Analysis & commentary. Health care reform is likely to widen

Health affairs · Jun 2010

Analysis & commentary. Health care reform is likely to widen federal budget deficits, not reduce them.

The federal government faces a daunting fiscal outlook, which makes the budgetary impact of the Patient Protection and Affordable Care Act even more important. The official Congressional Budget Office (CBO) analysis indicates modest deficit reduction over the next ten years and beyond. We examine the underpinnings of the CBO's projection and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade.

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- Douglas Holtz-Eakin and Michael J Ramlet.
- American Action Forum, Washington, DC, USA. dholtzeakin@americanactionforum.org
- Health Aff (Millwood). 2010 Jun 1; 29 (6): 1136-41.
AbstractThe federal government faces a daunting fiscal outlook, which makes the budgetary impact of the Patient Protection and Affordable Care Act even more important. The official Congressional Budget Office (CBO) analysis indicates modest deficit reduction over the next ten years and beyond. We examine the underpinnings of the CBO's projection and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade.

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Analysis & commentary. Health care reform is likely to widen federal budget deficits, not reduce them.

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