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The REAL Arithmetic of Health Care Reform
NY Times ^ | March 20, 2010 | DOUGLAS HOLTZ-EAKIN

Posted on 03/23/2010 5:05:29 AM PDT by Timeout

Even worse, some costs are left out entirely. To operate the new programs over the first 10 years, future Congresses would need to vote for $114 billion in additional annual spending. But this so-called discretionary spending is excluded from the Congressional Budget Office’s tabulation.

(Excerpt) Read more at nytimes.com ...


TOPICS: Health/Medicine; Miscellaneous
KEYWORDS:

1 posted on 03/23/2010 5:05:29 AM PDT by Timeout
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To: Timeout
Sorry: the system exerpted my question.

__________________

Interesting op-ed, especially given that it's in the NYT.

But I was struck by this paragraph:

Even worse, some costs are left out entirely. To operate the new programs over the first 10 years, future Congresses would need to vote for $114 billion in additional annual spending. But this so-called discretionary spending is excluded from the Congressional Budget Office’s tabulation.
I've been calling all over Washington since last August trying to find out how many new federal employees would be hired to staff all those new agencies. I even talked to one of the "scorers" at CBO. To a person, I was told: "We don't know that".

In other words, it's not included in the bill's costs? This op-ed is the first published reference I've seen, and it appears to confirm what I suspected.

I will say, I think the $114 billion "annually" must be an error. Even if that figure is for 10 years, it would mean 228,000 new bureaucrats at an average $50k/year. And---keep in mind---they will not all be in place for the full 10 years---so it's probably even more.

Does anyone have any more information on this? Has anyone found ANYTHING that tells us what it will cost to implement this scheme? All I've heard is IRS information. But there are hundreds of new agencies, commissions, etc. created in this bill. What will it cost to staff/equip all of them?

2 posted on 03/23/2010 5:06:54 AM PDT by Timeout (Brits have the royals. Russia, the Nomenklatura. WE have our Privileged "Public Servant" class.)
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To: Timeout

Where was the NYT BEFORE this P.O.S. bill was passed?


3 posted on 03/23/2010 5:08:39 AM PDT by MortMan (Viscous rumors are thickening.)
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To: Timeout
SMOKE & MIRRORS

Congress is honest with America. BARF

Sure they are. So now and until this thing gets repealed, then NO additional funds should be appropriated if it any way shape or form increases the deficit.

4 posted on 03/23/2010 5:10:12 AM PDT by Bobby_Taxpayer (Don't tread on us...or you'll pay the price in the next election.)
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To: Timeout
It's called the bill may end up costing more like US$1.5 TRILLION to implement. No thanks.
5 posted on 03/23/2010 5:10:30 AM PDT by RayChuang88 (FairTax: America's economic cure)
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To: MortMan
PING

I was getting ready to ask the same thing?

6 posted on 03/23/2010 5:12:12 AM PDT by Bobby_Taxpayer (Don't tread on us...or you'll pay the price in the next election.)
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To: Timeout
I am shocked!

At the numbers? No, that the NYT would publish this piece.

7 posted on 03/23/2010 5:13:38 AM PDT by mlocher (USA is a sovereign nation)
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To: Timeout
I will say, I think the $114 billion "annually" must be an error. Even if that figure is for 10 years, it would mean 228,000 new bureaucrats at an average $50k/year. And---keep in mind---they will not all be in place for the full 10 years---so it's probably even more.

As I understand the issue, it seems that we are taking from Seniors (Medicare) to fund 30M Americans who do not have insurance. The 30M would each get a subsidy of $6K annually to buy insurance. I think this is where most of the money goes -- not to set up bureaucracies.

Your general point is well taken however. There will be a massive bureaucracy, but I am not sure the bill spells out how big and how it will be organized.

8 posted on 03/23/2010 5:18:07 AM PDT by mlocher (USA is a sovereign nation)
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To: Timeout

Currently, Medicare and Medicaid medical claim reimbursements are contracted out to existing insurance entities, i.e. Blue Cross Blue Shield; who receive administrative fees.

IMHO This process is intended be implemented for all other Obamacare medical expenditures - by contracting private insurance companies to process claims...until the Federal Goverment takes them over lock, stock and barrel.

The question has to be: What happens to all the premiums held in reserve for the existing health insurance policies?
According to several State Insurance sites - there are $trillions in reserve as required by State Insurance laws.

FOLLOW THE MONEY!!!!!!!


9 posted on 03/23/2010 5:25:19 AM PDT by sodpoodle (Despair - Man's surrender. Laughter - God's redemption.)
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To: mlocher

No, I think you’re misunderstanding it.

The subsidies and Medicare cuts ARE in the bill. The writer is clearly referring to “discretionary” costs that are NOT in the CBO score.

He never says what those costs are. But calling them “operating costs” and “discretionary” leads me to assume he’s referring to costs of staffing/equipping those new agencies.

Obviously, this op-ed doesn’t provide those answers. But it royally pisses me off that, after a YEAR of intense debate, I couldn’t get a single Republican to ask this explosive question.

Yeah, late in the game they came out with the IRA talking points. But my guess is the public would be even more alarmed to find out there will be a quarter million NEW federal workers!


10 posted on 03/23/2010 5:33:50 AM PDT by Timeout (Brits have the royals. Russia, the Nomenklatura. WE have our Privileged "Public Servant" class.)
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IRA = IRS


11 posted on 03/23/2010 5:34:42 AM PDT by Timeout (Brits have the royals. Russia, the Nomenklatura. WE have our Privileged "Public Servant" class.)
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To: Timeout
Here is how the Arithmetic effects my house.

My Employer pays my monthly Health Care Premiums, and those of my Wife IF she is not employed or her employer does not provide a Health Insurance plan. Her employer currently does not. If she does have a plan available (and now it's mandated that her employer must), then I pay $175 a month if I want her to stay on my company's plan. So either way we have to now pay a monthly premium for her, where I didn’t before.
Obama has taken a minimum of $175 a month out of my pocket, and that's assuming premiums stay the same, which they won't.

12 posted on 03/23/2010 5:40:37 AM PDT by NavyCanDo
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To: NavyCanDo

YOu got off light.

Our CEO has already let all of us know that as soon as this kicks in the company is cancelling our insurance completely.

Right now the company I work for provides full family coverage for every employee for free. This is at a cost of $1900 per employee per month. Our owner does this because he wants to, even though the bean counters and auditers tell him it is assinine.

This is not a standard coverage either, it is the top package BC/BS offers. There is no deductible, and all services are covered 100%. All we are responsible for is a $10 co-pay.

Obviously this is what Obama and his band of Thugs refer to as a “Cadillac” policy, and yes I realize how truly blessed I am to work for this firm.

Now, here is the bottom line, our Ceo pointed out that the new taxes and fees imposed by ObamaCare will render our company as unprofitable — so he has a clear choice:
1. Continue to provide insurance at a cost of 1900 a month per employee and go bankrupt
2. Pay a fine of up to $3000 PER YEAR and cancel all health coverage.


13 posted on 03/23/2010 5:50:00 AM PDT by commish (Freedom tastes sweetest to those who have fought to preserve it.)
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To: commish

Also, just to be clear to everyone, the insurance we get is not at the cost of our income. The average income of my company is among the top 10% in our industry. So we are well paid, and well insured — our CEO does this because his employees reward him with work that befits the treatment he gives us. We work our asses off and have made our company the go to choice in our respective field.


14 posted on 03/23/2010 5:52:24 AM PDT by commish (Freedom tastes sweetest to those who have fought to preserve it.)
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To: NavyCanDo

You reminded me of an astonishing item I read a couple of months back. I think it was in the San Jose Mercury News...it was about the unaffordable health-care-for-life provided to city employees.

But here’s the part that gobsmacked me: Spouse qualify for dependent coverage under the city plan. BUT-—if an employee’s spouse has insurance at her job or elsewhere-— the city employee IS PAID the amount the city would have paid for his spouse...every year! I think it was estimated to be around $16k per year.

Outrageous. I wonder if that little benny will be affected by the health care bill. (Probably not, they’re union and I don’t think union plans are not included in the bill)


15 posted on 03/23/2010 6:33:17 AM PDT by Timeout (Brits have the royals. Russia, the Nomenklatura. WE have our Privileged "Public Servant" class.)
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To: Timeout

btt


16 posted on 03/23/2010 6:34:26 AM PDT by GailA (obamacare paid for by cuts & taxes on most vulnerable Veterans, disabled,seniors & retired Military)
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To: MortMan
Where was the NYT BEFORE this P.O.S. bill was passed?

It's just like the 'Rat politicians who "voted against" ObamaCare (because Comrade Pelosi told them they could). Pure Baloney! And now they want to pretend to be serious journalist.

17 posted on 03/23/2010 11:09:17 AM PDT by Nevermore (...just a typical cracker, clinging to my Constitutional rights...)
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To: AdmSmith; Berosus; bigheadfred; Convert from ECUSA; dervish; Ernest_at_the_Beach; Fred Nerks; ...
...the budget office is required to take written legislation at face value and not second-guess the plausibility of what it is handed. So fantasy in, fantasy out. In reality, if you strip out all the gimmicks and budgetary games and rework the calculus, a wholly different picture emerges: The health care reform legislation would raise, not lower, federal deficits, by $562 billion.

18 posted on 03/23/2010 7:26:38 PM PDT by SunkenCiv ("Fools learn from experience. I prefer to learn from the experience of others." -- Otto von Bismarck)
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