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NY Times quadruples cost of House health bill

July 29, 2009 1:52 pm ET — 34 Comments

New York Times reporters Robert Pear and David M. Herszenhorn falsely claimed in a July 28 article that the House health care reform bill is "estimated at $1 trillion over 10 years." In fact, the Congressional Budget Office (CBO) has found that the House tri-committee bill "would result in a net increase in the federal budget deficit of $239 billion over the 2010-2019 period," not $1 trillion.

From the July 28 New York Times article, "Democrats Push Health Care Plan While Issuing Assurances on Medicare":

President Obama tried Tuesday to sell his health care plan to older Americans, as members of Congress said they were deluged with calls from constituents worried that their Medicare benefits might be cut to help finance coverage for the uninsured.

The outpouring of concern over Medicare came as House Democratic leaders tried to assuage the concerns of fiscally conservative House Democrats who have held up action on health care legislation while they press for changes to reduce the cost of the bill, estimated at $1 trillion over 10 years.

Pear, Herszenhorn claim bill cost is "estimated at $1 trillion over 10 years" is false

CBO found that the House tri-committee bill would increase the federal budget deficit by $239 billion over 10 years -- not $1 trillion. In its July 17 cost estimate of the bill as introduced, CBO explained that its "estimate reflects a projected 10-year cost of the bill's insurance coverage provisions of $1,042 billion, partly offset by net spending changes that CBO estimates would save $219 billion over the same period, and by revenue provisions that [the Joint Committee on Taxation] estimates would increase federal revenues by about $583 billion over those 10 years."

NYT joins MSNBC in advancing false cost estimate. During the July 27 edition of MSNBC's Morning Joe, CNBC host Maria Bartiromo falsely asserted as fact that the health care reform proposal under consideration in Congress will cost a "trillion dollars over 10 years."

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    • Author by dexteritas0071418 (July 29, 2009 1:56 pm ET)
        2
      "estimated at $1 trillion over 10 years." In fact, the Congressional Budget Office (CBO) has found that the House tri-committee bill "would result in a net increase in the federal budget deficit of $239 billion over the 2010-2019 period," not $1 trillion."

      Apples and oranges. What's going to increase or be cut to make it a "net" increase of $239 billion vs. simply a regular increase?
      Report Abuse
    • Author by southerngal (July 29, 2009 2:16 pm ET)
      1 1
      This is why most of this is irrelevant. And why government cost projections aren't worth the paper they are printed on.

      Your text to link here...

      Report Abuse
      • Author by wesley (July 29, 2009 2:23 pm ET)
        1 1
        Exactly, dead-bang, a real bulls-eye.

        That's why the healthcare reform cost won't be $1 trillion or the savings $800 billion.

        Costs will be many times higher and savings nil.
        Report Abuse
        • Author by southerngal (July 29, 2009 2:30 pm ET)
          1 1
          That is why when these people say oh there will be no rationing of health care or no tax increases for anyone except for the greedy rich and who cares about them anyway, it is all just a guess. If costs skyrocket like history tells us, then what will happen. It will have to be major tax increases to cover them, or rationing care. That is reality.
          Report Abuse
          • Author by jcalton (July 30, 2009 4:46 pm ET)
            1  
            by right ON (July 29, 2009 2:30 pm ET)
            ...If costs skyrocket like history tells us...
            What history are you referring to?
            Report Abuse
        • Author by loonz (July 29, 2009 3:07 pm ET)
          1 1
          And you pulled that right out of your ass because you don't know either.
          Report Abuse
          • Author by southerngal (July 29, 2009 3:24 pm ET)
              1
            If you don't learn from history, you are going to foolishly repeat it. You can discount history if you want, but you said you don't care about costs anyway, so why did you even respond?
            Report Abuse
            • Author by loonz (July 29, 2009 3:42 pm ET)
              1  
              I'm not sure what your point is. Should the numbers provided by the CBO on any legislation or any program be disregarded?

              so why did you even respond?


              The only reason why I responded is that you guys want to low price tag on Americans' life and health. There was a big brouhaha from conservatives when the CBO scored an incomplete plan to be around 1.6 trillion dollars. Now that it's only a fraction of that, conservatives suddenly don't believe the numbers. Why are you guys cherry picking which numbers you are willing to accept?
              Report Abuse
              • Author by southerngal (July 29, 2009 3:48 pm ET)
                1 1
                I am not cherry picking anything, I don't believe any of them are accurate. Speaking of cherry pick, where is my $2500 a year savings on my premiums that Obama promised? Is that even part of the narrative anymore, or was that just a premature number to get people on board?
                Report Abuse
                • Author by loonz (July 29, 2009 4:29 pm ET)
                  1  
                  "I don't believe any of them are accurate."


                  So you're of the opinion that the CBO should stop scoring all legislation and programs and congressmen can just make up their own numbers. Alright.

                  where is my $2500 a year savings on my premiums


                  Obama can promise you the moon but it all depends on the legislative branch because that's where law is made.

                  Report Abuse
                • Author by internet soldier (July 29, 2009 6:40 pm ET)
                     
                  "where is my $2500 a year savings on my premiums that Obama promised?"

                  I'm sorry, right ON, but you'll have to wait until his health care bill actually takes effect. That was part of the promise, you know?
                  Report Abuse
                • Author by MiddleLeft (July 29, 2009 7:04 pm ET)
                     
                  where is my $2500 a year savings on my premiums that Obama promised?

                  They haven't arrived yet. You won't see them for several years. If we did save 219 billion over ten years somebody is going to spend less, maybe you. They are probably not part of the narrative anymore because the drug companies and insurance DON'T WANT you to have those savings and will try to stop it.
                  Report Abuse
            • Author by foghornleghorn (July 29, 2009 4:51 pm ET)
              3  
              but you said you don't care about costs anyway

              Obviously, right ON, you don't care about costs either because right now we have the most expensive health care IN THE WORLD. And do you know who's paying for this?

              YOU!! Through tax breaks for companies that offer health insurance.

              And your whining about costs is getting really redundant.
              Report Abuse
              • Author by southerngal (July 29, 2009 5:13 pm ET)
                  2
                If you don't like the whining about costs then stop responding to me, period. It's not your money alone, nor is it Congress'. So stop acting like some politician's tool when it comes to demanding accountability. You have no business telling others to stop whining about how their money is spent. You look like a fool.
                Report Abuse
                • Author by foghornleghorn (July 30, 2009 12:26 pm ET)
                     
                  I noticed that you didn't refute the fact that you are already paying for health insurance through business tax breaks. Your demand for accountability rings hollow.

                  Keep on whining. It's what you do best.
                  Report Abuse
      • Author by internet soldier (July 29, 2009 6:58 pm ET)
           
        You do realize that the costliness of that bill was directly related to the crappiness of healthcare system? The bill attempted to help pay some the drug costs for seniors, costs which have been sky-rocketing because of our rotted health-care system. You're actually making an argument for healthcare reform by trotting that out.
        Report Abuse
    • Author by wesley (July 29, 2009 4:05 pm ET)
      1 1
      Here's a blue dog democrat, Jim Cooper, that's thinking right:

      -- The Congressional Budget Office has tested all the congressional bills so far and - guess what? - every one so far has failed except for the Healthy Americans Act, which is the one they won't let us talk about. The President has insisted repeatedly, he did it on prime time television last week, the bill has to be deficit neutral. It has to bend the cost curve in the right direction. And so far the House bill is bending the cost curve in the wrong direction. That's the opposite of reform...

      The key is to have an open dialogue with all the American people, not just hardcore Democrats and Republicans, but also the folks in the middle who really are worried and skeptical and want to know what’s in the bill. --

      He's talking about the bi-partisan Wyden-Bennett bill. The CBPP and the Heritage Foundation have published analysis on the bill.

      A cost neutral bill might be a good place to start.
      Report Abuse
      • Author by southerngal (July 29, 2009 4:16 pm ET)
          1
        Obama should not have taken his hands off approach to this and left it to Pelosi and Reid to do. They have little credibility.
        Report Abuse
      • Author by loonz (July 29, 2009 4:36 pm ET)
        1  
        Cooper has an opinion does as everyone else. I want single-payer and very few people in Congress are talking about it.

        And so far the House bill is bending the cost curve in the wrong direction. That's the opposite of reform...


        The House bill covers 97 percent of Americans and offers Americans another choice other than the private sector. That is reform to me (that doesn't go far enough); others may disagree.
        Report Abuse
        • Author by loonz (July 29, 2009 4:38 pm ET)
             
          That should be: "as does everyone else".
          Report Abuse
        • Author by anotheramerican (July 29, 2009 5:05 pm ET)
          1 1
          loonz,

          One of the problems with the health bill is that it simply adds millions more to an already broken system. We know that won't lower costs, instead it will raise them. We also know that medicare and medicaid have far exceeded their original estimated costs and that they are going broke.

          True reform would include legislation that will lower costs by limiting medical liability and an effective program for reducing the $100 billion plus wasted every year on defensive medicine.

          Rather than create more bureaucrats, a true reform bill would allow the citizen to pay directly for his medical coverage and let the market forces bring prices down. If that is to much, then limit government coverage to only covering catastrophic illnesses/accidents and let the day to day medical costs be absored by the individuals and their insurance companies.

          We've got the best medical services in the world. I see no sense in mucking it up with thousands of pages of bureaucracy written by special interests and the government taking over one sixth of our GDP.
          Report Abuse
          • Author by ConcernedLib (July 29, 2009 5:36 pm ET)
               
            Wow Another American,

            What you are saying might be the case if all markets were tiny, isolated things as described by Adam Smith, but health care is not a standard market.

            Ask economists. Health Care, like energy, doesn't have market pressures to drive costs up or down.

            How much would you pay to not die? How much would you pay to not be in extreme pain? How much would you pay to get over being sick? You can't say "oh, well I was going to be sick but I choose not to because I think all heath care services are over priced." Whats more, when you are not sick health care has NO value.

            Also, people need to stop talking to docotors and start talking to lawyers about liability. Even organizations like the ABA have indicated that capping liability won't bring costs down. It will likely raise them because every lawsuit will begin at the maximum possible payout.

            Liability is fundamentally counter productive to innovative treatment. The only real way to reduce that cost would be to make medical liability insurance like nuclear power plant insurance. Not provided by anybody except the goverment.

            I understand some people ar concerned with a public option. However, without it major changes need to be made. No state should have fewer than 3 health care providers. No health care provider should be allowed to turn ANYBODY down for service for any reason. As long as you pay up no health insurance company should be able to drop you. Your health insurance needs to be affordable without the 80% employer subsidy.

            We pay more per capita for health care than any other nation in the world and we are one of the least healthy. Our hospitals cost more, our medicine costs more, everything costs more in America.

            To those who don't want rationing: WE ALREADY RATION. Its called dollars. Those who have money can get whatever sort of health care they want, no matter how pointless. Those without unlimited funds get significatnly less.

            I find it imaginable how many lies are being spread about this. How so many memebers of goverment can play politics with this is baffiling.

            If, as a country, we really do hold that among our inalienable rights is life we should make the care and wellness of that life be rolled into that right?
            Report Abuse
          • Author by loonz (July 29, 2009 6:16 pm ET)
               
            1. The thinking is those with no insurance or insurance that is inadequate wait until the last possible moment to get medical attention and by that time care can be pretty expensive. If these people had adequate insurance they would seek attention immediately when the care is not too expensive which saves money.

            2. Medicaid and Medicare help the most vulnerable members of our society and can be solvent if we raise taxes on the wealthy.

            3. A government bureaucrat would only be charged with paying out claims (hopefully based on results and not the number of tests) unlike a corporate bureaucrat who is actively looking to deny your claim.

            4. Why do you think the government should tinker with medical liability?

            5. I'm not so sure anymore that we have the best medical services in the world. You can get great care anywhere in the world.

            6. Someone on the left suggested something that would lower cost. I'm not saying I agree with it but I thought it was interesting. He suggested we start importing doctors. These doctors would work for less than American doctors. Would you be in favor of such a proposal as a free market and globalization advocate?
            Report Abuse
          • Author by internet soldier (July 29, 2009 6:35 pm ET)
               
            I'm sorry if I'm slightly impolite, but I believe we've told you about one hundred times that malpractice suits account for less than 1 percent of healthcare costs, in fact, the number is .38%. And the CBO estimates that tort reform would reduce the cost of malpractice liability 5-6%; that's 5-6% of .38%, genius. And oh by the way, there is no evidence that "defensive medicine" has any significant effect on prices, so don't even try to trot out that one thoroughly debunked 1996 stanford study that you're meming, whether or not you know it.

            It seems the rest of your solution to the health care crisis is to accentuate the very features of our system that make it the worlds most costly and inefficient. The "market forces" will never bring health care costs down, by nature, they bring costs up inexorably. The two primary goals of for-profit insurers will always be to deny coverage to as many of the most risky patients and to deny care to as many of those already enrolled as possible. Insurance companies need a much larger beuracracy to achieve these two goals than the government would to simply administer healthcare on the basis of need. That is why the free market will never solve the health-care crisis.
            Report Abuse
            • Author by anotheramerican (July 30, 2009 9:41 am ET)
                 
              jm,

              I think you are exagerating and I find your link to be a little short on documentation, but be that as it may, what I do believe I've said more than once is that your chart leaves out the cost associated with avoiding lawsuits in the practice of defensive medicine

              Take a look at this from the American Academy of Orthopedic Surgeons:

              "...If the Kessler and McClellan estimates were applied to total U.S. healthcare spending in 2005, the defensive medicine costs would total between $100 billion and $178 billion per year. Add to this the cost of defending malpractice cases, paying compensation, and covering additional administrative costs (a total of $29.4 billion). Thus, the average American family pays an additional $1,700 to $2,000 per year in healthcare costs simply to cover the costs of defensive medicine.

              Excessive litigation and waste in the nation’s current tort system imposes an estimated yearly tort tax of $9,827 for a family of four and increases healthcare spending in the United States by $124 billion. How does this translate to individuals? The average obstetrician-gynecologist (OB-GYN) delivers 100 babies per year. If that OB-GYN must pay a medical liability premium of $200,000 each year (which is the rate in Florida), $2,000 of the delivery cost for each baby goes to pay the cost of the medical liability premium."

              http://www.aaos.org/news/aaosnow/nov08/managing7.asp

              Apparently your chart leaves out this important part of the equation. Looking at your source, I see Americans for Insurance Reform is a coalition of far leftist groups who have as their agenda, government controlled health care. Of course they will try to use statistics to diminish the costs associated to the individual for malpractice insurance because it is in their interest to do so.

              Why you or anyone would argue for tort reform is beyond me.

              ps. I disagree completely with your contention that insurers deny care to as many of those already enrolled as possible. That is pure hyperbole. Yes there are examples where some insurance companies have denied claims, and that should be looked at, but on the whole, they provide excellent coverage to millions of Americans.
              Report Abuse
              • Author by foghornleghorn (July 30, 2009 12:28 pm ET)
                1  
                I guess you missed the part where insurance company desk jockeys receive BONUSES for denying claims.

                Report Abuse
              • Author by internet soldier (July 30, 2009 2:39 pm ET)
                   
                So you decided to drag that discredited Stanford study (Kessler & Mcclellan) out. That study measures only the cost of heart conditions when assessing whether the threat of lawsuits increases medical costs. Numerous other studies have found no significant increase in costs related to laxer tort laws. If you're interested, factchek.org has a nice run-down here. Oh, and the amount of money that actually gets paid out for medical malpractice victims, both in settlements and in judge's rulings, is $3.6 billion annually out of the $2 trillion we currently spend as a nation on health care, which if you get out your calculator, is .18% of total health care spending. It is pure delusion to think that tort reform will have any significant effect on health care costs.

                p.s., unfortunately, your healthcare is the insurer's liability. If you think those wonderful people at insurance desks would never deny you coverage just because it is in their companies financial interest, then someone never told you what kind of world we live in.
                Report Abuse
          • Author by MiddleLeft (July 29, 2009 7:09 pm ET)
               
            We've got the best medical services in the world.

            Citation please. I thought we are 17th in health outcomes in the developed world and we pay twice as much as anybody else.
            Report Abuse
            • Author by anotheramerican (July 30, 2009 12:01 pm ET)
                1
              I do believe those types of rankings are based in part whether there is universal insurance coverage which pushes the U.S. down in the rankings.

              Also many other countries do not report their health findings the same as the U.S. Infant mortality being one of them.

              For these and other reasons, the rankings are basically worthless and only serve as propaganda for the left.

              ps. I agree that we do pay a lot for health care, but it is the best in the world.
              Report Abuse
              • Author by foghornleghorn (July 30, 2009 12:31 pm ET)
                1  
                Keep wrapping yourself in the flag, AA.

                If we have the best health care in the world, why do we have a high infant mortality rate when compared to other industrialized countries?

                If it is so great, why do 18,000 people die each year due to lack of available health care?

                If it is so great, why are 47 million people uninsured?

                If it is so great, why are 2/3 of bankruptcies related to health care costs?

                Care to rethink you opinion?
                Report Abuse
    • Author by LIBERTY OR DEATH (July 29, 2009 9:31 pm ET)
         
      When the governments involved the cost is always higher than they estimate.
      Report Abuse
    • Author by anotheramerican (July 30, 2009 9:55 am ET)
         
      I find it laughable that MMFA is defending a $239 billion dollar increase in the deficit when Obama said that the health care reform bill would be budget neutral.

      Anyone take a look at the stimulus bill results lately? Obaman's claimed it would keep the unemployment rate below 8%.

      What about this one? Obama "will not sign any non-emergency bill without giving the American public an opportunity to review and comment on the White House website for five days."

      How do you progressives reconcile those falsehoods?
      Report Abuse

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