unfunded mandates

Governors Criticize Health Care Bill for Increasing Unemployment and State Budget Deficits; Tax Increases and Medicare Cuts in Bill Rise

by Hans Bader on March 18, 2010

in Deregulate to Stimulate, Economy, Employment, Health and Illness, Healthcare, Insurance, Politics as Usual, Regulation, Sanctimony

Governors are now criticizing the health care bill backed by the Obama administration, saying it will cause health care costs and state deficits to skyrocket, while driving up unemployment.  Arizona Governor Janice Brewer said the bill would end up “exacerbating our state’s fiscal woes by billions of dollars.” Rhode Island’s Donald Carcieri said “this legislation is bad for Rhode Island, its taxpayers, seniors, and economy….This bill is not about health care. It’s about ideology and special interests.” Indiana’s Mitch Daniels said it would lead to insurance “premium increases ranging up to 78 percent,” “huge tax increases” for medical “device manufacturers” that employ many, and “job losses” and “a job killing tax of $2,000 per employee” that “will be levied on many companies.”

Earlier, Tennessee’s governor, Phil Bredesen (D), called the bill the “mother of all unfunded mandates,” saying it will force states to spend so much that they will have to either massively raise taxes, or run large budget deficits that violate state constitutions.

The health care bill has now been changed to add additional tax increases, such as increasing the tax on uninsured individuals by an extra $2 billion and on employers by $25 billion. Also added are new cuts to Medicare Advantage, increased by $13.7 billion (to $131.9 billion), and Medicare Advantage interactions, by $53 billion (to $70.4 billion).  This is according to the Congressional Budget Office.  But the CBO has cautioned that “the agency has not thoroughly examined the reconciliation proposal to verify its consistency with the previous draft,” so there may be additional major changes that remain undisclosed until the House votes on the bill.

While the CBO has scored the health care bill as not increasing the federal deficit, thanks to the many tax increases in the bill, it has done so only by accepting many accounting gimmicks that even pro-Obama journalists have admitted are deceptive and conceal the bill’s enormous cost and the fact that it will massively increase the deficit.

Earlier, health care cost expert James C. Capretta explained how “Obamacare Is A Budgetary Disaster” that will cost at least $1.4 trillion more than promised.

The Congressional Budget Office, which refused to question Obama’s gimmicks to lowball the cost of his health care plan, nevertheless admits that “President Obama’s policies would add more than $9.7 trillion to the national debt over the next decade.”

There are $3,000,000,000,000 in tax increases in Obama’s budget.  But he’s spending money at such a furious pace that the deficit will skyrocket anyway: “The president’s budget would borrow 42 cents for each dollar spent in 2010,” and “double the national debt over the next decade.”  Obama recently ran up the largest budget deficit in history, by a huge margin.

ObamaCare would reduce medical innovation, raise taxes, drive up insurance premiums, and break campaign promises.  It  would cut the quality of  care, while imposing restrictions that failed when tried at the state level.  It ignores advice from experts about how to cut costs.

Unfunded Mandates

by Ryan Young on November 5, 2009

in Deregulate to Stimulate, Economy, Politics as Usual, Regulation

Today’s American Spectator Online has a piece by CEI VP Wayne Crews and I on curbing Congressional abuse of unfunded mandates. If the term is new to you, unfunded mandates are basically an accounting gimmick that lets government understate how much it costs taxpayers:

rather than fund a new federal job training program through a Department of Labor appropriation, Congress could mandate that all Fortune 500 firms provide, and pay for, such training. The first appears on the federal budget, the second does not. For politicians, it’s the perfect scheme. The government can spend — or, rather, force other people to spend — as much as it wants without adding to the deficit.

Decency demands this trickery stop; fortunately, a bill from Rep. Virginia Foxx looks like it would do some good on that front.

New ObamaCare Version Claims Not to Increase Federal Deficit, But It Explodes State Deficits, and Relies on Mythical Savings and Unlikely Medicare Cuts

by Hans Bader on October 8, 2009 · 1 comment

in Healthcare, Nanny State, Personal Liberty, Politics as Usual

Democrats are cheering a Congressional Budget Office decision to “score” the Senate Finance Committee’s version of ObamaCare as not increasing the federal budget deficit. But it pays for some of ObamaCare’s massive cost by expanding state Medicaid programs, shifting its cost to the states. That will radically increase state budget deficits. Moreover, this version of ObamaCare, while cheaper than the four other versions, still relies on mythical cost savings and massive cuts to Medicare that are likely to be canceled after ObamaCare is enacted, to avoid enraging seniors and doctors. Rather than keeping costs down, ObamaCare outsources them to state governments and people with insurance.

This version of ObamaCare “proposes to spend more than $800 billion in the midst of an explosion of federal spending and debt to create a new entitlement program, the cost of which CBO says will grow at more than 8 percent a year (faster than health care costs grow now), and to raise taxes by almost $200 billion in the midst of a recession. It then proposes to make up the difference by massive cuts in Medicare which, as CBO notes, are unlikely to actually materialize.”

The Congressional Budget Office “scored” the bill as not increasing the deficit, but in doing so, it admitted that the bill does not even exist except as a concept, and that its details have yet to be fleshed out. Senate leaders intend to have the Finance Committee vote on the bill before its text is even available, and to have the Senate vote on the bill with virtually no advance notice, after major changes are made to the broad outline of the bill approved by the Committee (to add a potentially-costly “public option”).

ObamaCare would pay to cover some currently uninsured people by expanding state Medicaid programs.  Tennessee Governor Phil Bredesen (D) is criticizing Obama’s health-care plan as “the mother of all unfunded mandates,” saying it will force states to spend so much that they will have to either massively raise taxes, or run large budget deficits that violate state constitutions.

Some people who currently have employer-provided insurance or individual insurance policies will lose that insurance under ObamaCare.  In states that adopted major provisions of ObamaCare, the number of privately-insured people fell, as the cost of their insurance skyrocketed.   “The Congressional Budget Office analyzed” ObamaCare “and said that by 2016 some 3 million people who now have employer-based care would lose it because their employers would decide to stop offering it.”  Some of these people will wind up on Medicaid, which ObamaCare will expand to cover some people who are not poor enough to be covered now.

While the CBO has scored this version of ObamaCare as not increasing the federal budget deficit (unlike the 4 other versions of ObamaCare pending in Congress, which the CBO admits would explode the deficit), some of Obama’s own advisers are more skeptical.  Earlier, adviser Martin Feldstein said that Obama’s health-care plan would explode the federal budget deficit and lead to “crippling deficits,” as well as “higher taxes, debt payments, and interest rates” that would cut America’s standard of living.  Feldstein also noted that Obama’s health-care plan would harm people with insurance, and predicted that it would lead to massive tax increases.  Other analysts have predicted that it will drive up medical costs and inflation.

Obama is relying on $2 trillion in imaginary savings to pay for his health care plan.   He is also relying on tax increases, which breaks Obama’s campaign promise not to raise taxes on the middle class.

Fact-checkers say Obama is lying about health-care. CNN Money says ObamaCare would take away 5 freedoms.