Friday, October 16, 2009
Mickey's Assignment Desk: Explain Away the Health Care Shell Game, Please!
Mickey's Assignment Desk: Senate Dems quietly move a bill to countermand a 21% cut in Medicare fees for doctors, which will add $247 billion to the deficit over ten years. Of course, the Baucus health care reform bill achieves its famed deficit neutrality through cuts in Medicare fees, mainly to non-physicians--saving (by my reading of the CBO analysis) at least $184 billion from Medicare over the same period. Plus there is a special panel set up to recommend further cuts.
Jonathan Cohn and Ezra Klein might productively explain a) Why this isn't a shell game, with Dems granting Medicare increases in one bill and then taking ostentatious credit for partly-offsetting cuts in a separate bill; b) Why Congress' unwillingness to put up with the scheduled Medicare doctors' cuts this year doesn't indicate that it won't put up with scheduled cuts in future years--that, as Megan McArdle among others argues, the projected Medicare cuts in Baucus' bill simply won't happen. ......