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Will baselessly claimed health care reform plans will increase U.S. "debt and borrowing"

November 12, 2009 7:56 am ET — 31 Comments

In his November 12 Washington Post column, George Will asserted that "[g]old increasingly looks to investors to be a more reliable store of value than governments' bonds are, especially U.S. bonds as the U.S. government threatens to pile a mammoth health-care entitlement onto the nation's Ponzi welfare state, increasing the nation's debt and borrowing." However, Will's suggestion that health care reform will "increas[e] the nation's debt and borrowing" is undermined by the conclusion of the Congressional Budget Office (CBO) that health care reform bills in the House and the Senate will reduce federal deficits over 10 years and are expected to continue to yield savings beyond 2019.

Will falsely suggested health care reform is not paid for

From Will's November 12 Washington Post column:

Last month, India purchased 200 tons of gold at $1,045 an ounce, before the price topped $1,108 on Monday. China, too, may increasingly diversify from paper -- i.e., bonds -- into gold, the price of which, some experienced investors believe, could soar to $2,500 an ounce in three to five years. One reason for all this is U.S. behavior.

India's 2008 gross domestic product was $1.2 trillion, so its $6.7 billion purchase was small beer. It may, however, be a large portent: Gold increasingly looks to investors to be a more reliable store of value than governments' bonds are, especially U.S. bonds as the U.S. government threatens to pile a mammoth health-care entitlement onto the nation's Ponzi welfare state, increasing the nation's debt and borrowing.

In fact, CBO found that House bill coverage costs are "more than offset"

Will ignored CBO's finding that bill would result in "a net reduction in federal budget deficits of $109 billion over the 2010-2019 period." CBO stated in a November 6 estimate that "CBO and the staff of JCT now estimate that, on balance, the direct spending and revenue effects of enacting H.R. 3962, incorporating the manager's amendment, would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period." From CBO's cost estimate:

willdebt

CBO expects continued savings from House bill after first 10 years. According to CBO, the House bill is expected to continue reducing deficits beyond the 10-year budget window that ends in 2019. From CBO's October 29 preliminary analysis of the House bill:

All told, H.R. 3962 would reduce the federal deficit by $9 billion in 2019, CBO and JCT estimate. After that, the added revenues and cost savings are projected to grow slightly more rapidly than the cost of the coverage expansions. In the decade after 2019, the gross cost of the coverage expansions would probably exceed 1 percent of gross domestic product (GDP), but the added revenues and cost savings would probably be greater. Consequently, CBO expects that the legislation would slightly reduce federal budget deficits in that decade relative to those projected under current law-with a total effect during that decade that is in a broad range between zero and one-quarter percent of GDP. The imprecision of that calculation reflects the even greater degree of uncertainty that attends to it, compared with CBO's 10-year budget estimates, and the effects of the bill could fall outside of that range.

Senate Finance Committee bill also projected to reduce deficits

CBO found that the legislation would reduce the deficit by $81 billion over 10 years. As of November 12, the Senate has not released its final health care reform bill. However, an October 7 CBO analysis found that the Senate Finance Committee's health care reform bill "would result in a net reduction in federal budget deficits of $81 billion over the 2010-2019 period":

According to CBO and JCT's assessment, enacting the Chairman's mark, as amended, would result in a net reduction in federal budget deficits of $81 billion over the 2010-2019 period (see Table 1). The estimate includes a projected net cost of $518 billion over 10 years for the proposed expansions in insurance coverage. That net cost itself reflects a gross total of $829 billion in credits and subsidies provided through the exchanges, increased net outlays for Medicaid and the Children's Health Insurance Program (CHIP), and tax credits for small employers; those costs are partly offset by $201 billion in revenues from the excise tax on high-premium insurance plans and $110 billion in net savings from other sources. The net cost of the coverage expansions would be more than offset by the combination of other spending changes that CBO estimates would save $404 billion over the 10 years and other provisions that JCT and CBO estimate would increase federal revenues by $196 billion over the same period.1 In subsequent years, the collective effect of those provisions would probably be continued reductions in federal budget deficits. Those estimates are all subject to substantial uncertainty.

CBO expects Senate Finance bill to continue to reduce deficits beyond 2019. From CBO's October 7 analysis:

All told, the proposal would reduce the federal deficit by $12 billion in 2019, CBO and JCT estimate. After that, the added revenues and cost savings are projected to grow more rapidly than the cost of the coverage expansion. Consequently, CBO expects that the proposal, if enacted, would reduce federal budget deficits over the ensuing decade relative to those projected under current law -- with a total effect during that decade that is in a broad range between one-quarter percent and one-half percent of GDP. The imprecision of that calculation reflects the even greater degree of uncertainty that attends to it, compared with CBO's 10-year budget estimates.

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    • Author by Nobodyputsbabyinacorner (November 12, 2009 9:01 am ET)
        4
      When has any government program ever cost less than projected? How can government spending reduce the deficit?
      Report Abuse
      • Author by foghornleghorn (November 12, 2009 4:24 pm ET)
        4  
        How can government spending reduce the deficit?

        Let's file that question right next to:

        "How can tax cuts increase tax revenue?"
        Report Abuse
        • Author by egb (November 13, 2009 2:41 am ET)
             
          Tax cuts increase revenue because the money the government was going to get to give to people who don't earn it, instead, is invested in growing business which creates jobs so people no longer have to get government handouts. That's easy to understand.

          As for government spending reducing the deficit, that's what O thinks he's doing by throwing some of the TARP money at the debt. In other words, he yelled EMERGENCY, EMERGENCY in February and forced through a $780B TARP bill to spend money we didn't have. Now, all you libs have forgotten that and you think he's actually paying off the debt. He's gonna look real good when he reduces the debt caused by the TARP bill with TARP money.

          Dam_, that guy's good.
          Report Abuse
          • Author by roundhouse (November 13, 2009 11:49 am ET)
               
            False. Tax cuts just stay at the top as profit. Your trickle down model is a farce.
            Report Abuse
            • Author by Nobodyputsbabyinacorner (November 13, 2009 12:52 pm ET)
                 
              Perhaps. I too believe reducing tax rates is wrong if the richest people have a tax rate lower than everyone else. But that's not the case. The people earning the most already pay a higher tax rate. There should be a fair tax or flat tax instead of a progressive tax rate.
              Report Abuse
    • Author by Cheney2012 (November 12, 2009 9:13 am ET)
      2 7
      CBO analyses are kind of like war plans. When the war starts, throw out the plan. Similarly, when a government program kicks in, toss out the cost estimates.

      Medicare was estimated to cost $9 billion over the first 25 years. The REAL tab? $67 billion. They were off by only...oh...700 percent.

      Has a government program ever come in under estimate? (well, the Medicare drug benefit did -- and it was a GOP plan)

      Anyone with half a brain (obviously liberals are excluded) knows this one will be over-budget. Unless we go with the alternative and deny a massive amount of care

      http://www.concordcoalition.org/issues/facing-facts/drug-benefit-wont-cure-what-ails-medicare-cut.

      "If experience is any guide, even these figures may understate future costs. The history of Medicare cost projections, after all, is one of embarrassing underestimates, starting with the very first projection in 1965. It put spending on Medicare Part A at $9 billion in 1990. Actual spending that year came in at $67 billion. "
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      • Author by SHSZack10 (November 12, 2009 9:50 am ET)
        1 3
        Exactly!!! Government says the cost will be minimal, but as soon as we the people believe them and give them what they want, they take advantage of us and increase spending by dramatic ammounts! Will was correct to say what he say.
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      • Author by eweston8542983 (November 12, 2009 9:56 am ET)
        4  
        What happened in the interm between 1965 and 1990? What changed?
        I just wonder at the other developed countries who somehow make their medical systems work. How are we unable to do the same? Are we so intellectually inferior?
        Report Abuse
        • Author by DellDolly (November 12, 2009 12:07 pm ET)
          4  
          Yeah, it couldn't be that Medicaid and Medicare covered more people in more ways than before, could it?

          Yeah, that's it.
          Report Abuse
        • Author by roundhouse (November 12, 2009 12:28 pm ET)
            1
          It's called conservative governance. Slash and burn politics. That's what happened.
          Report Abuse
        • Author by egb (November 13, 2009 3:10 am ET)
            1
          Part of our big medical bills pays for research. That doesn't fully justify the 2x penalty we pay, but if you think about the major medical advances over the past 50 years, you find the vast majority of them come from the US. Just count the number of US Nobel prizes in medicine over the past 50 years. Another part of the big bills comes from those miracle drugs being sold overseas for less than in the US. For instance, the US is subsidizing Africa for AIDS medicines. Drug companies make drugs cheaply so it is better to sell drugs in Canada for 30 cents on the dollar than to not sell them at all. Drug companies RIO is not a lot different than other businesses, so you cannot claim they are making obscene profits unless you define "obscene" as 5 or 6% RIO.

          All you libs should be proud of the high costs of medicine caused by these two phenomena -- we are redistributing our wealth to the poor of the world. That's good, right?

          Remember, the poorest people in this country are living extravagantly by Malawi standards.
          Report Abuse
          • Author by foghornleghorn (November 13, 2009 12:06 pm ET)
               
            Part of our big medical bills pays for research

            Wrong. Most research is government funded and is done at universities. Big Pharma's last big research breakthrough was boner pills.

            Report Abuse
      • Author by ajzito (November 12, 2009 11:21 am ET)
        5  
        Amazing...67 billion versus 9 billion, and yet, we are still here, government and all. And is it government debt and spending that caused the current financial crisis? Nyet...it is the whacked-out greed of bankers, set free of some of their burden of regulation, in order that they might create the best of all possible worlds. And we have thrown 700 billion dollars at them (or is it more now?). Every year since FDR stood up and started advocating that we take care of each other, conservatives have been preaching that we are on the precipice of ruin. If there is a sword hanging over our heads, evidently it is welded to the ceiling. It is remarkable that many of the same folks who pooh-pooh concerns about global warming blissfully ignore the repeated failure of the hypothesis that big government will do us in. Is there any idea in politics which has been literally proven wrong more often? Notify me, please!
        Report Abuse
        • Author by roundhouse (November 12, 2009 12:32 pm ET)
          3  
          These people don't care about debt. If the government increased our debt while stabilizing the job market and the economy, these anti-government, Norquist worshippers wouldn't bat an eye.
          Report Abuse
          • Author by ajzito (November 12, 2009 1:44 pm ET)
            3  
            You are absolutely right, roundhouse, because they did not care when the Bush administration tried just that last October. (Perhaps that was your point - forgive me if I am too literal-minded.)
            Report Abuse
            • Author by roundhouse (November 12, 2009 2:19 pm ET)
              3  
              You're on the money.

              What Bush did was hand out as much money as he could to the banks before he left office. In doing so, he left the next president with the impossible political choice of continuing the bailout and take the hit, or discontinue the bailout, allow the banks to fail, and take the hit.

              Bush was too much of a coward, just like every long tongued Republican, too vested in corporate power to stand up to the banksters.

              The shame of it all is that Democrats will not tap into all this populist anger over the Wall st. welfare act. The leaders of the liberal movement, elitists for the most part, tell us not to get upset or take to the streets or yell about the pain and suffering that Wall st. has caused. Meanwhile, Republican leaders like Bachman, Limbaugh, Beck, Palin and friends encourage people to get out and get angry. The thing is, these hack right-wing operatives are manipulating the working people who are hurt the worst by conservative economic ideology. We on the left fall into the elitist trap of dismissing the teabaggers as ignorant racists, when in reality; they're just working and middle class people who are hurting in this economy like everyone else. The difference is that the right-wing are offering them a narrative, as detached from planet earth as it is, it means something to working people. It has an enemy (government) defenders of the middle class (Republicans)and solutions (free markets.)

              We could bring these folks to our side if our movement leaders were willing to fire us up, tell the truth of why our economy crashed under the conservative market fundie ideology of hands off, why taxing these rich bastards is justified and practical and make the case for investment in the commons.

              The anger is out there, it ain't going away. The question is whether it can be directed at the real problems.
              Report Abuse
              • Author by chucky123 (November 12, 2009 10:45 pm ET)
                   
                Ajzito, your example of big government failing is Soviet Russia. It wasn't too hard to come up with that one. And they still haven't come out of it over 20 years later. Nice legacy for their children. By the way, FDR was correct in that we should take care of each other. He was incorrect in assuming that it is the government’s roll to force us to take care of each other. Social Security is a bust since it was a scam to allow the government to collect more taxes by promising a future payback. But the payback is based on IOUs instead of real money placed in a lock box or invested for the benefit of the people it was meant to provide for. I believe Madoff got busted for something like that did he not?

                Roundhouse, you can't stabilize the economy with more debt. Nor are you going to create permanent productive jobs. You can create government jobs but those are not productive since the government does not produce a product. Government is pretty much a cost center not a profit center. Cost centers are what companies get rid of first during economic hard times. The worst of this economic mess is still to come. More government stimulus is not going to help it. If fact it is government meddling in the free market that caused the mess we are in now. You have to blame both the Democrats and the Republicans. The market has built-in safety valves. When left alone those safety valves release pressure and bubbles do not form. When the government messes with those pressure releases you get catastrophic results. Do you want an example? Play big government and tape down the pressure release on your hot water heater because you think that everyone in your house has a right to hotter water. Watch what happens but hopefully from a distance. Which is similar to what caused the housing bust. You had the Fed dropping interest rates to nothing which in turn caused a drop in interest rates that fueled massive home buying by people who probably shouldn’t have been buying houses anyway. You had Fannie Mae and Freddie Mac forcing banks to make bad loans through what can only be called mafia tactics. You had Bill Clinton not vetoing the repeal of Glass-Steagall. The repeal was introduced by two Republicans. (By the way, the banks hated Glass-Steagall. Glass and Steagall were both Democrats; maybe they knew something Clinton didn’t?) From everything I have read the repeal of Glass-Steagall was the cause of the banks becoming to big to fail and getting into risky repackaging of bad housing debt into securities. Add all of this together and it was the recipe for the disaster we are in now.

                So my opinion is that both parties are at fault. You can’t fix the blame on anyone in particular. You can only blame greedy politicians that only seem to be interested in getting re-elected and serving special interests. The thing that bothers me the most is that politicians are put in power by the voters. If the politicians are an image of the voter’s desires then it doesn’t say much about the electorate of this country.

                You can go ahead and rip my comments apart. For some reason Media Matters can’t seem to get my password reset so I will not be able to rebut anything once I sign off tonight.
                Report Abuse
                • Author by foghornleghorn (November 13, 2009 11:41 pm ET)
                     
                  you can't stabilize the economy with more debt

                  Gosh, there are so many people out there that just can't grasp simple economics. When the credit market dried up, Chucky, nobody had any money to spend. Got that. No more equity loans, no more flat screens, no more vacations, no more fancy dinners.

                  Nobody was spending ANY money. The only entity with the ability to introduce capital/credit into the economy is....

                  THE GOVERNMENT.

                  You see, right now we're paying the bill for Bush's tax cuts for the top 1% and his deregulatory policies.
                  Report Abuse
              • Author by egb (November 13, 2009 3:24 am ET)
                  1
                Right would love to tap in the the anger at Wall Street Welfare. They would have said NO to bailouts. No one but the bankers (Geithner, Bernanke, and Paulson) wanted to give that money to the banks. You can't blame it on Bush or O because neither of them understand financial/banking issues. Both had to just listen and judge which of the "experts" to believe in. It turns out Bush and O chose the same course. I'm not believing Geither, Bernanke and Paulson really know what they are doing either.
                Report Abuse
        • Author by egb (November 13, 2009 3:19 am ET)
             
          FDR didn't read the beginnings of America where both Jamestown and Plymouth colonies started out with shared resources and everyone working for the common cause. Both socialism attempts failed (resulting in starvation and death) as all socialist societies in history have failed. You also cannot account for the financial collapse by blaming it on greed. Greed got those executive lots of money, but even Madoff didn't have enough to cause what happened and he had many times more than the WS execs. Behaviors caused our financial collapse. Government behaviors, private company behaviors and people buying things they knew they could only pay for if their salaries continued to go up. This part of the problem most people fell for. We hadn't had a serious economic problem in the memory of most living people.

          You need to read many of the analysis books that are out now and will be coming out. Our government is now attempting to solve problems they don't understand. If that's not scary, I don't know what is.
          Report Abuse
    • Author by Eric Jaffa (November 12, 2009 10:18 am ET)
      3  
      Never mind George W. Bush's 8 years of wrecking the economy, taking us from a budget surplus to a budget deficit.

      It's all Obama's fault.

      (sarcasm)
      Report Abuse
      • Author by highliter (November 12, 2009 11:16 am ET)
          7
        You mean those budget surpluses authored by the republicans.
        Report Abuse
        • Author by vhw28672478 (November 12, 2009 11:21 am ET)
          4  
          You are wrong Bush borrowing and made the debt worst where you Bush spend more
          Report Abuse
        • Author by ScienceBuff (November 12, 2009 11:48 am ET)
          5  
          If it's to the credit of republicans, why did they fail so miserably when they had total control? You don't suppose that maybe it's because their philosophies are economically unfeasible, do you?
          Report Abuse
          • Author by highliter (November 12, 2009 11:58 am ET)
              5
            Because they lost their dam minds and move away from what made them successful in the 80s and 90s. If you want to talk about philosophies being economically unfeasible take a look at your leftist utopia California and the shape it is in.
            Report Abuse
            • Author by ScienceBuff (November 12, 2009 12:25 pm ET)
              6  
              You can try to distance republican actions from their philosophies, but it fails in the face of reality. The collapse took place under the application of republican philosophies into practice.

              The problems in California are, to a huge degree, the result of the application of conservative policies. It was more exposed than most other states to the housing bubble that was a result of conservative anti-regulation philosophies. It's been under republican governance for years. There is a long history, going back to Prop 13, of putting wacky conservative ideas into practice.

              No one with an iota of common sense has ever looked at California and seen it as a "leftist utopia." That's purely a conservative fantasy.
              Report Abuse
        • Author by peace4all (November 12, 2009 12:52 pm ET)
          4  
          let's just review what the republicans have given us, shall we?
          2 wars that they started and failed at miserably. they couldn't win either one. tax cuts for rich people and an economy that completely collapsed.
          yep, your side has done a terrific job.
          please stop your crying and let us contine to clean up the mess you made.
          Report Abuse
    • Author by DellDolly (November 12, 2009 12:10 pm ET)
      4  
      Reality is that the Republican bill costs a lot less than the Democratic bills.

      But the Democratic bills SAVE a lot more money in the end, decreasing the projected budget by a lot more.

      How is that? Because our side actually does something to try to bring down the cost curve.

      And that's why it's a crisis that Obama had to address - the cost curve had to be taken care of. And the Republican bill didn't do hardly anything to address that!
      Report Abuse
      • Author by egb (November 13, 2009 3:35 am ET)
          2
        Dem bills don't bring down costs or if they do they do it by price fixing. Price fixing (price controls) will drive doctors out of the field and the current doctor shortage in US (2.4 doctors/1000 people) will become worse. Dem bills dis-incentivize doctors and that is very bad.

        Not only that, but since there will be a number of people who won't buy ins and will refuse to pay a fine, the government will have more poverty on its hands, not less. The only saving grace will be when the courts declare that there is no Federal power to force people to buy insurance. When that happens the whole HR3962 thing will collapse. [I defy you to find where in the US Constitution, the Feds have the power to force me, at the point of a gun, to buy insurance].

        Neither Dem bill or Repub bills solve our healthcare problems. Rep bills lower costs but don't produce universal coverage. Dem bills raise costs and drive doctors out of the field. HR3962 is a disaster. Hopefully, if it passes it will be quickly neutered.
        Report Abuse
        • Author by foghornleghorn (November 13, 2009 11:44 pm ET)
             
          There's a word you should look up. It starts with an "o", follows with a "p", and finishes with a "tion".

          Once you've mastered that definition, your rants about the constitution, point of a gun, driving out doctors, blah, blah, blah, become quite meaningless fearmongering. Please stop.
          Report Abuse
    • Author by egb (November 13, 2009 2:36 am ET)
        1
      I can guarantee the CBO estimate is wrong. I'm not going
      to buy insurance and I'm not paying a fine. There are others of my persuasion. How does the CBO factor that into their static analysis?
      Report Abuse

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