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	<title>Cato @ Liberty &#187; cost estimate</title>
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		<title>What if We Ran a Public School System&#8230; and No-One Came?</title>
		<link>http://www.cato-at-liberty.org/what-if-we-ran-a-public-school-system-and-no-one-came/</link>
		<comments>http://www.cato-at-liberty.org/what-if-we-ran-a-public-school-system-and-no-one-came/#comments</comments>
		<pubDate>Thu, 17 Mar 2011 17:16:25 +0000</pubDate>
		<dc:creator>Andrew J. Coulson</dc:creator>
				<category><![CDATA[Education and Child Policy]]></category>
		<category><![CDATA[Regulatory Studies]]></category>
		<category><![CDATA[Tax and Budget Policy]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[Nevada]]></category>
		<category><![CDATA[New Jersey]]></category>
		<category><![CDATA[public school system]]></category>
		<category><![CDATA[South Carolina]]></category>
		<category><![CDATA[spending]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=28837</guid>
		<description><![CDATA[<p>By Andrew J. Coulson</p>The New Jersey Office of Legislative Services, which estimates the budgetary impact of proposed laws, has just released its analysis of a private school choice bill called the &#8220;Opportunity Scholarship Act.&#8221; The most remarkable thing about its report is the amount of money it assumes that districts would save for each student they no longer [...]<p><a href="http://www.cato-at-liberty.org/what-if-we-ran-a-public-school-system-and-no-one-came/">What if We Ran a Public School System&#8230; and No-One Came?</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Andrew J. Coulson</p><p>The New Jersey Office of Legislative Services, which estimates the budgetary impact of proposed laws, has just released its <a href="http://www.njleg.state.nj.us/2010/Bills/S2000/1872_E1.PDF">analysis of a private school choice bill</a> called the &#8220;Opportunity Scholarship Act.&#8221; The most remarkable thing about its report is the amount of money it assumes that districts would save for each student they no longer have to teach: $0.</p>
<p>On that assumption, if every student were to leave for the private sector tomorrow, districts would keep right on spending exactly the same amount they spend today. Inefficient though it is, not even state-run monopoly schooling is that bad.</p>
<p>The OLS report does not explain why it assumes that the per pupil savings for students leaving public schools (the &#8220;marginal cost&#8221;) would be $0. It states that this figure is &#8220;indeterminate,&#8221; but by not counting it at all is effectively treating it as zero.</p>
<p>In fact, the marginal cost of public schooling is not &#8220;indeterminate&#8221; at all. Economists &#8220;determine&#8221; it all the time, and it&#8217;s quite easy to do. You simply observe how district spending actually rises and falls with enrollment, using a time-series regression, as I did in 2009 to calculate <a href="http://www.cato.org/pubs/20090113_Choosing_to_Save.pdf">the marginal cost of public schooling in Nevada</a> (see Appendix A).</p>
<p>Even if the NJ OLS does not conduct a marginal cost estimate specific to New Jersey, they could have done&#8211;and should still do&#8211;the next best thing: take the marginal cost estimates for other states as a rough guide and estimate the NJ district savings from them. I estimated that Nevada district spending falls by 85% of average per-pupil spending when a student leaves, and Grecu and Lindsay, a couple of years earlier, estimated the figure at 80% for South Carolina.</p>
<p>If they want to be conservative, the NJ OLS could use the lower of these figures, and perhaps also run the numbers for estimates 10% higher and 10% lower.</p>
<p>Any of the above options is preferable to the logical impossibility of their current analysis, which effectively treats the marginal cost of public schooling as $0.</p>
<p><a href="http://www.cato-at-liberty.org/what-if-we-ran-a-public-school-system-and-no-one-came/">What if We Ran a Public School System&#8230; and No-One Came?</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>The Senate Bill Would Increase Health Spending</title>
		<link>http://www.cato-at-liberty.org/the-senate-bill-would-increase-health-spending/</link>
		<comments>http://www.cato-at-liberty.org/the-senate-bill-would-increase-health-spending/#comments</comments>
		<pubDate>Thu, 11 Mar 2010 18:53:40 +0000</pubDate>
		<dc:creator>Michael F. Cannon</dc:creator>
				<category><![CDATA[Cato Publications]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[deficit spending]]></category>
		<category><![CDATA[expenditures]]></category>
		<category><![CDATA[Ezra Klein]]></category>
		<category><![CDATA[federal budget]]></category>
		<category><![CDATA[government spending]]></category>
		<category><![CDATA[health care bill]]></category>
		<category><![CDATA[health plan]]></category>
		<category><![CDATA[health plans]]></category>
		<category><![CDATA[insurance premiums]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[medicare cuts]]></category>
		<category><![CDATA[President Obama]]></category>
		<category><![CDATA[senate bill]]></category>
		<category><![CDATA[senate health]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=11904</guid>
		<description><![CDATA[<p>By Michael F. Cannon</p>Ezra Klein quotes the Congressional Budget Office&#8217;s latest cost estimate of the Senate health care bill when he writes: &#8220;CBO expects that the legislation would generate a reduction in the federal budgetary commitment to health care during the decade following 2019,&#8221; which is to say that this bill will cover 30 million people but the [...]<p><a href="http://www.cato-at-liberty.org/the-senate-bill-would-increase-health-spending/">The Senate Bill Would Increase Health Spending</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Michael F. Cannon</p><p>Ezra Klein quotes <a href="http://www.cbo.gov/ftpdocs/113xx/doc11307/Reid_Letter_HR3590.pdf">the Congressional Budget Office&#8217;s latest cost estimate of the Senate health care bill</a> when <a href="http://voices.washingtonpost.com/ezra-klein/2010/03/new_cbo_analysis_says_the_sena.html">he writes</a>:</p>
<blockquote><p>&#8220;CBO expects that the legislation would generate a reduction in the federal budgetary commitment to health care during the decade following 2019,&#8221; which is to say that this bill will cover 30 million people but <strong>the cost controls will, within a decade or so, leave us spending less on health care than if we&#8217;d done nothing</strong>.  That&#8217;s a pretty good deal. But it&#8217;s not a very well-understood deal.</p></blockquote>
<p>Indeed, because that&#8217;s not what the CBO said.</p>
<p>First, the CBO said the &#8220;federal budgetary commitment to health care&#8221; would rise by $210 billion between 2010 and 2019 under the Senate bill.  Then, after 2019, it would fall <em>from that higher level</em>.  And it could fall quite a bit before returning to its current level.</p>
<p>Second, the &#8220;federal budgetary commitment to health care&#8221; is a concept that includes federal spending on health care <em>and </em>the tax revenue that the federal government forgoes due to <a href="http://www.bepress.com/fhep/11/2/3/">health-care-related tax breaks, the largest being the exclusion for employer-sponsored insurance premiums</a>.  If Congress creates a new $1 trillion health care entitlement and finances it with deficit spending or an income-tax hike, the &#8220;federal budgetary commitment to health care&#8221; rises by $1 trillion.  But if Congress funds it by eliminating $1 trillion of health-care-related tax breaks, the &#8220;federal budgetary commitment to health care&#8221; would be unchanged, even though Congress just increased government spending by $1 trillion.  That&#8217;s what the Senate bill&#8217;s tax on high-cost health plans does: by revoking part of the tax break for employer-sponsored insurance, it makes the projected growth in the &#8220;federal budgetary commitment to health care&#8221; appear smaller than the actual growth of government.</p>
<p>Third, the usual caveats about the Senate bill&#8217;s Medicare cuts, which <a href="http://www.cbo.gov/ftpdocs/108xx/doc10868/12-19-Reid_Letter_Managers_Correction_Noted.pdf">the CBO says are questionable</a> and <a href="http://www.tnr.com/sites/default/files/CMSActuarySenate.pdf">Medicare&#8217;s chief actuary calls &#8220;doubtful&#8221; and &#8220;unrealistic,&#8221;</a> apply.  If those spending cuts don&#8217;t materialize, the &#8220;federal budgetary commitment to health care&#8221; will be higher than the CBO projects.</p>
<p>Fourth, Medicare&#8217;s chief actuary also contradicts Klein&#8217;s claim that the Senate bill would &#8220;leave us spending less on health care than if we&#8217;d done nothing.&#8221;  <a href="http://www.tnr.com/sites/default/files/CMSActuarySenate.pdf">The actuary estimated that national health expenditures would rise by $234 billion under the Senate bill. </a></p>
<p>And really, Klein&#8217;s claim is a little silly.  Even President Obama admits, <a href="http://www.cato-at-liberty.org/2010/01/30/obama-admits-cbo-cost-estimates-of-obamacare-are-incomplete/">&#8220;You can’t structure a bill where suddenly 30 million people have coverage and it costs nothing.&#8221;</a></p>
<p><a href="http://www.cato-at-liberty.org/the-senate-bill-would-increase-health-spending/">The Senate Bill Would Increase Health Spending</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>Our System of Government Exists to Prevent This Kind of Thing</title>
		<link>http://www.cato-at-liberty.org/our-system-of-government-exists-to-prevent-this-kind-of-thing/</link>
		<comments>http://www.cato-at-liberty.org/our-system-of-government-exists-to-prevent-this-kind-of-thing/#comments</comments>
		<pubDate>Fri, 18 Dec 2009 04:01:47 +0000</pubDate>
		<dc:creator>Michael F. Cannon</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Government and Politics]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Baucus]]></category>
		<category><![CDATA[complete cost estimate]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[max baucus]]></category>
		<category><![CDATA[obama]]></category>
		<category><![CDATA[polls]]></category>
		<category><![CDATA[Senate]]></category>
		<category><![CDATA[vote]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=10691</guid>
		<description><![CDATA[<p>By Michael F. Cannon</p>The Hill&#8216;s Congress Blog asks, &#8220;Will the Senate pass a health care reform bill before it adjourns for the year?&#8221; I answer: It’s not looking good – nor should it. The Reid bill becomes less popular with each passing day.  (So too does President Obama’s handling of health care.) CBS News is reporting that Reid [...]<p><a href="http://www.cato-at-liberty.org/our-system-of-government-exists-to-prevent-this-kind-of-thing/">Our System of Government Exists to Prevent This Kind of Thing</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Michael F. Cannon</p><p><em>The Hill</em>&#8216;s Congress Blog asks, &#8220;Will the Senate pass a health care reform bill before it adjourns for the year?&#8221;</p>
<p>I <a href="http://bit.ly/5ZcQYd">answer</a>:</p>
<blockquote><p>It’s not looking good – nor should it.</p>
<p>The Reid bill becomes <a title="http://www.pollster.com/polls/us/healthplan.php" href="http://www.pollster.com/polls/us/healthplan.php">less popular with each  passing day</a>.  (So too does <a title="http://www.pollster.com/polls/us/jobapproval-presobama-health.php" href="http://www.pollster.com/polls/us/jobapproval-presobama-health.php">President  Obama’s handling of health care</a>.)</p>
<p>CBS News is reporting that Reid wants to  hold a vote before Christmas <em>because</em> <a title="http://bit.ly/5PVMRL" href="http://bit.ly/5PVMRL">he doesn’t want senators to go home and hear from  their constituents</a>.</p>
<p>Reid has been systematically <a title="http://www.cato-at-liberty.org/2009/12/16/bland-cbo-memo-or-smoking-gun/" href="../2009/12/16/bland-cbo-memo-or-smoking-gun/">suppressing  a complete cost estimate</a> of his bill.</p>
<p>Reid’s manager’s amendment will make  unknown, countless, and dramatic changes to that 2,074-page bill – and Reid  wants to vote on it before anyone knows what those changes  are.</p>
<p>Even Max Baucus admits that <a title="http://www.cato-at-liberty.org/2009/12/16/baucus-no-senator-understands-this-health-care-bill/" href="../2009/12/16/baucus-no-senator-understands-this-health-care-bill/">not  a single senator understands the Reid bill</a>.</p>
<p>Our federalist system, the separation of  powers, our bicameral national legislature, six-year terms for Senators,  staggered Senate elections, and the Senate’s procedural rules all exist  precisely to prevent what Reid is trying to do: ram a sweeping piece of  legislation through Congress without due consideration.</p></blockquote>
<p><a href="http://www.cato-at-liberty.org/our-system-of-government-exists-to-prevent-this-kind-of-thing/">Our System of Government Exists to Prevent This Kind of Thing</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>ObamaCare Cost Estimate Watch: Day #180</title>
		<link>http://www.cato-at-liberty.org/obamacare-cost-estimate-watch-day-179/</link>
		<comments>http://www.cato-at-liberty.org/obamacare-cost-estimate-watch-day-179/#comments</comments>
		<pubDate>Wed, 16 Dec 2009 13:43:35 +0000</pubDate>
		<dc:creator>Michael F. Cannon</dc:creator>
				<category><![CDATA[Government and Politics]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[harry reid]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[health care bill]]></category>
		<category><![CDATA[jim webb]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[transparency]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=10624</guid>
		<description><![CDATA[<p>By Michael F. Cannon</p>On Day #179 of the ObamaCare Cost Estimate Watch, Sen. Jim Webb (D-Va.) wrote in The Winchester Star of his involvement in the Senate health care debate: At the start of this debate I was one of eight senators who called on Senate Majority Leader Harry Reid to post the text and complete budget scores [...]<p><a href="http://www.cato-at-liberty.org/obamacare-cost-estimate-watch-day-179/">ObamaCare Cost Estimate Watch: Day #180</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Michael F. Cannon</p><p>On Day #179 of the ObamaCare Cost Estimate Watch, Sen. Jim Webb (D-Va.) <a href="http://www.winchesterstar.com/pages/view/still.html">wrote</a> in <em>The Winchester Star</em> of his involvement in the Senate health care debate:</p>
<blockquote><p>At the start of this debate I was one of eight senators who called on Senate  Majority Leader Harry Reid to post the text and complete budget scores of the  health-care bill on a public web site for review at least 72 hours prior to both  the first vote and final passage. This request was agreed to, affording proper  transparency in the process.</p></blockquote>
<p>On the contrary, as I explain in this <em>Richmond Times-Dispatch </em><a href="http://www2.timesdispatch.com/rtd/news/opinion/commentary/article/ED-CANN13_20091211-205402/311002/">oped</a>, Reid did not comply with Webb&#8217;s request.</p>
<p>Indeed, a <a href="https://www.cbo.gov/ftpdocs/107xx/doc10731/MLR_and_budgetary_treatment.pdf">memo</a> recently issued by the Congressional Budget Office suggests that Reid has been working very hard to conceal the legislation&#8217;s full cost all along.</p>
<p><a href="http://www.cato-at-liberty.org/obamacare-cost-estimate-watch-day-179/">ObamaCare Cost Estimate Watch: Day #180</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>Recapping the Costs of the REAL ID Revival Bill</title>
		<link>http://www.cato-at-liberty.org/recapping-the-costs-of-the-real-id-revival-bill/</link>
		<comments>http://www.cato-at-liberty.org/recapping-the-costs-of-the-real-id-revival-bill/#comments</comments>
		<pubDate>Fri, 23 Oct 2009 21:38:18 +0000</pubDate>
		<dc:creator>Jim Harper</dc:creator>
				<category><![CDATA[Telecom, Internet & Information Policy]]></category>
		<category><![CDATA[CBO Score]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[National Conference of State Legislatures]]></category>
		<category><![CDATA[national governors association]]></category>
		<category><![CDATA[national id]]></category>
		<category><![CDATA[NCSL]]></category>
		<category><![CDATA[NGA]]></category>
		<category><![CDATA[PASS ID]]></category>
		<category><![CDATA[real id]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=9787</guid>
		<description><![CDATA[<p>By Jim Harper</p>In late July, the Senate Homeland Security and Governmental Affairs Committee passed a new version of PASS ID, the REAL ID revival bill. I&#8217;ve posted about various dimensions of it: the national ID question, the politics of PASS ID, whether PASS ID protects privacy, a run-down of the Senate hearing on it, and the inexplicable [...]<p><a href="http://www.cato-at-liberty.org/recapping-the-costs-of-the-real-id-revival-bill/">Recapping the Costs of the REAL ID Revival Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Jim Harper</p><p>In late July, the Senate Homeland Security and Governmental Affairs Committee passed a new version of <a href="http://www.washingtonwatch.com/bills/show/111_SN_1261.html">PASS ID</a>, the REAL ID revival bill. I&#8217;ve posted about various dimensions of it: the <a href="http://www.cato-at-liberty.org/2009/06/17/is-the-real-id-revival-bill-pass-id-a-national-id/">national ID question</a>, the <a href="http://www.cato-at-liberty.org/2009/06/18/the-politics-of-the-real-id-revival-bill/">politics of PASS ID</a>, <a href="http://www.cato-at-liberty.org/2009/07/07/does-the-pass-id-act-protect-privacy/">whether PASS ID protects privacy</a>, a run-down of the <a href="http://www.cato-at-liberty.org/2009/07/16/review-of-the-big-real-id-hearing/">Senate hearing on it</a>, and the <a href="http://www.cato-at-liberty.org/2009/07/17/pass-id-and-national-id-rejoinder-to-schwartz/">inexplicable support of the Center for Democracy and Technology</a> for this national ID law.</p>
<p>Three months later, the committee still has not reported the bill, meaning that the public doesn&#8217;t get access to the version the committee passed. (A <a href="http://www.washingtonwatch.com/bills/show/111_HE_835.html">resolution in the House</a> would require committees there to publish amendments to bills within 24 hours.) But the Congressional Budget Office <a href="http://www.cbo.gov/ftpdocs/106xx/doc10666/s1261.pdf">scored the bill</a> this week. That is often a signal that legislation is on the move.</p>
<p>So it&#8217;s a good time to look at costs again. The National Governors Association and the National Conference of State Legislatures both premised their support for PASS ID on the idea that it would reduce costs to states to just $2 billion.</p>
<p>But in July <a href="http://www.cato-at-liberty.org/2009/07/22/would-pass-id-really-save-states-money/">I examined the likely costs of PASS ID</a> and NGA&#8217;s cost calculations. To save you a burdensome click, here are some highlights:</p>
<p><span id="more-9787"></span></p>
<blockquote><p>But there is reason to doubt [the NGA's $2 billion] figure. PASS ID is a lot more like REAL ID — the original REAL ID — in the way that most affects costs: the implementation schedule.</p>
<p>Under PASS ID, the DHS would have to come up with regulations in just nine months. States would then have just one year to begin complying. All drivers’ licenses would have to be replaced in the five years after that. That’s a total of six years to review the documents of every driver and ID holder, and issue them new cards.</p>
<p>How did the NGA come up with $2 billion? Maybe they took the extended, watered-down, 75%-over-ten-years estimate and subtracted some for reduced IT costs. (The NGA is free to publish its methodology, of course.)</p>
<p>But the costs of implementing PASS ID to states are more likely to be closer to $11 billion than the $2 billion figure that the NGA puts forward. In just six years, PASS ID would send some 245 million people into DMV offices around the country demanding new cards. States will have to hire and train new employees to handle the workload. They will have to acquire new computer systems, documents scanners, data storage facilities, and so on.</p></blockquote>
<p>The NGA&#8217;s claim of savings from PASS ID is weak. Did the new CBO score change anything?</p>
<p>First, let&#8217;s review what a CBO score is. When CBO scores a bill, it reports how a bill will change costs to the federal government. Other CBO reports may include overall costs for federal programs, but when CBO scores a bill, it just reports the difference between current federal spending and spending if a new proposal should pass. CBO sometimes mentions mandates on states and private-sector costs in their bill-scores, but those are rarely if ever thoroughly reported. CBO&#8217;s wheelhouse is federal spending, and that&#8217;s what it reports.</p>
<p>Now, let&#8217;s look at how CBO has done with estimating the costs to states from implementing federal national ID standards.</p>
<p>Its first cut at scoring national ID standards was when it <a href="http://www.cbo.gov/doc.cfm?index=5896&amp;type=0">looked at H.R. 10</a> in the latter stages of the 108th Congress. (This was before REAL ID — H.R. 10 was an early version of the bill that became law as the Intelligence Reform and Terrorism Prevention Act.) When CBO scored H.R. 10 in late 2004, it lumped national ID standards along with several other policies and programs in a category called &#8221;Mandates With no Significant Costs.&#8221;</p>
<p>Four months later, in early 2005, CBO <a href="http://www.cbo.gov/doc.cfm?index=6072&amp;zzz=28669">scored the REAL ID Act</a>, which had been introduced early in the new Congress. It found then that the national ID standards Congress had put into law in December had changed from a mandate with &#8220;no significant costs&#8221; to a mandate costing more than $100 million.</p>
<p>CBO thought REAL ID would only cost $20 million more than that, an amount below the reporting threshold of the Unfunded Mandates Reform Act, so CBO did not do a thorough analysis.</p>
<p>Then the folks actually faced with implementing it took a look at REAL ID. More realistic estimates of costs to states in the $10+ billion range came forward, including an estimate from the National Governors Association, as I discussed in <a href="http://www.cato-at-liberty.org/2009/07/22/would-pass-id-really-save-states-money/">my previous post on costs</a>.</p>
<p>With that background we&#8217;re ready to look at the <a href="http://www.cbo.gov/ftpdocs/106xx/doc10666/s1261.pdf">CBO score for PASS ID</a>. CBO makes no precise estimate of costs to states. Its specialty, again, is federal spending. But it makes a few observations about such costs:</p>
<ul>
<li>&#8220;The bill would require states to issue public notices about their security and privacy policies that include information about how personally identifiable information is used, stored, accessed, and shared.&#8221;</li>
</ul>
<p>This, all should agree, is a complex problem but a small cost.</p>
<ul>
<li>&#8220;The bill also would require states to have a process that would allow individuals to access, amend, and correct their information. Information from groups representing state governments [NGA and NCSL, most likely] indicates that most states currently have such policies and procedures, though some may need to be revised.&#8221;</li>
</ul>
<p><strong>No. They. Do. Not.</strong></p>
<p>As I said in my post on the <a href="http://www.cato-at-liberty.org/2009/07/07/does-the-pass-id-act-protect-privacy/">privacy consequences of PASS ID</a>:</p>
<blockquote><p>This is a new and different security/identity fraud challenge not found in REAL ID, and the states have no idea what they’re getting themselves into if they try to implement such a thing. A May 2000 report from a panel of experts convened by the Federal Trade Commission was bowled over by the complexity of trying to secure information while giving people access to it. Nowhere is that tension more acute than in giving the public access to basic identity information.</p></blockquote>
<p>No state has opened its driver databases for review and correction by the public. That would be an all-you-can-eat buffet for identity fraudsters. The CBO has been bamboozled about state policies.</p>
<p>But the language of PASS ID finesses this, doesn&#8217;t it? It says that opening up identity data and giving the public correction rights would be done &#8220;as determined appropriate by the State.&#8221; So states wouldn&#8217;t really have to do anything, right? Right!</p>
<p><em>Except that the Department of Homeland Security gets to interpret what that language means</em>, and a court will defer to any reasonable DHS interpretation. That&#8217;s the Supreme Court&#8217;s <a href="http://en.wikipedia.org/wiki/Chevron_U.S.A.,_Inc._v._Natural_Resources_Defense_Council,_Inc."><em>Chevron</em> doctrine</a>. (It&#8217;s an unfortunate abdication of power to administrative agencies, but it&#8217;s the law today.)</p>
<p>If the NGA and NCSL have told their clients that they will have the last word on how PASS IS is implemented, they are wrong. It&#8217;s DHS&#8217; call — not states&#8217;. There may be huge costs to states — hidden at first, but growing and growing — if they stick their heads into the jaws of the federal lion.</p>
<p>Returning to the CBO&#8217;s assessment of state costs:</p>
<ul>
<li>&#8220;The bill would repeal the requirements of the REAL ID Act and replace them with more flexible requirements for issuing compliant driver’s licenses and identification cards.&#8221;</li>
</ul>
<p>This is true in some respects, and not in others. As I noted before, PASS ID is on a tighter implementation schedule which is the main driver of costs.</p>
<ul>
<li>&#8220;The bill also would authorize appropriations that could be used to pay for those requirements, and it would prohibit the federal government from charging fees to states to access the SAVE and SSOLV data systems.&#8221;</li>
</ul>
<p>Because it&#8217;s federal, this is something that CBO actually knows about, and its assessment is that PASS ID would dole out a total of $123 million to states over the next five years. Washington, D.C.&#8217;s highest spending year would be fiscal 2013, in which it would spend $39 million, less than $1 million per state.</p>
<p>And those savings when the federal government doesn&#8217;t charge states for using its databases? Just $2 million each year in fiscal 2010 and 2011.</p>
<p>Nothing in the CBO estimate changes the conclusion that implementing a national ID would cost states over $10 <strong>billion</strong> dollars, as they hired new staff, acquired new equipment and systems, and marched 250 million Americans through their DMVs. The federal government is promising to dole out $123 million and offer states a whopping $4 million in savings on data access.</p>
<p>The National Governors Association&#8217;s argument that PASS ID reduces costs to states is ludicrous. And the paltry funds Congress might share with states is a drop in the bucket. The homeland security appropriations bill for fiscal 2010 <a href="http://appropriations.house.gov/pdf/Homeland_Security_FY10_Conference.pdf">cuts funding for REAL ID by $40 million</a> from its 2009 funding level. PASS ID would fare no better.</p>
<p>State governors and legislatures that have fallen for the PASS ID cost estimates of the National Governors Association and National Conference of State Legislatures should fire these financial advisors. NGA and NCSL are trying to grow federal power at the expense of state coffers.</p>
<p><a href="http://www.cato-at-liberty.org/recapping-the-costs-of-the-real-id-revival-bill/">Recapping the Costs of the REAL ID Revival Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>Baucus Bill Would Cost More than $2 Trillion</title>
		<link>http://www.cato-at-liberty.org/baucus-bill-would-cost-more-than-2-trillion/</link>
		<comments>http://www.cato-at-liberty.org/baucus-bill-would-cost-more-than-2-trillion/#comments</comments>
		<pubDate>Thu, 08 Oct 2009 16:34:44 +0000</pubDate>
		<dc:creator>Michael F. Cannon</dc:creator>
				<category><![CDATA[Cato Publications]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Baucus]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[federal spending]]></category>
		<category><![CDATA[government]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[mandate]]></category>
		<category><![CDATA[Massachusetts]]></category>
		<category><![CDATA[Medicare]]></category>
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		<category><![CDATA[sustainable growth rate]]></category>
		<category><![CDATA[unfunded mandate]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=9533</guid>
		<description><![CDATA[<p>By Michael F. Cannon</p>Sen. Max Baucus’s (D-MT) health care overhaul would cost more than $2 trillion.  It would expand the deficit.  But he has carefully and methodically hidden those facts – so well that he has completely hoodwinked nearly all the major media. The media are reporting that the Baucus bill would reduce the deficit by $81 billion [...]<p><a href="http://www.cato-at-liberty.org/baucus-bill-would-cost-more-than-2-trillion/">Baucus Bill Would Cost More than $2 Trillion</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Michael F. Cannon</p><p>Sen. Max Baucus’s (D-MT) health care overhaul would cost more than $2 trillion.  It would expand the deficit.  But he has carefully and methodically hidden those facts – so well that he has completely hoodwinked nearly all the major media.</p>
<p>The media are <a href="http://news.yahoo.com/s/ap/20091008/ap_on_go_co/us_health_care_overhaul;_ylt=Ag3X9cDg2MmjSPePKdbRyqVp24cA;_ylu=X3oDMTJ0NGhqaWVyBGFzc2V0A2FwLzIwMDkxMDA4L3VzX2hlYWx0aF9jYXJlX292ZXJoYXVsBHBvcwMxBHNlYwN5bl9wYWdpbmF0ZV9zdW1tYXJ5X2xpc3QEc2xrA2hlYWx0aGJpbGx3bw--">reporting</a> that the Baucus bill would reduce the deficit by $81 billion over 10 years.  Wrong.</p>
<p>The Baucus bill assumes that Congress will allow the “sustainable growth rate” cuts in <a href="http://www.catostore.org/index.asp?fa=ProductDetails&amp;pid=1441322">Medicare</a>’s physician payments to occur beginning in 2012.  Yet Congress has routinely and repeatedly <a href="http://www.cbo.gov/ftpdocs/75xx/doc7542/09-07-SGR-brief.pdf">blocked</a> those cuts, making Baucus’s assumption preposterous.  The CBO handled the issue delicately, but essentially said, “Sure, provided that the sun rises in the west in 2012, then yes, this bill would reduce the deficit.”</p>
<p>That means Baucus will come up at least $200 billion short on the revenue side, making his bill a budget-buster.</p>
<p>The media are reporting that the Baucus bill would cost just $829 billion over 10 years.  Wrong.</p>
<p>As Donald Marron <a href="http://dmarron.com/2009/10/07/the-real-cost-of-the-baucus-bill/">observes</a>, that number omits as much as $75 billion in new federal spending.  It also omits a $33 billion unfunded mandate on state governments.</p>
<p>But the worst part is that the Congressional Budget Office’s <a href="http://www.cbo.gov/doc.cfm?index=10642&amp;type=1">preliminary cost estimate</a> omits the cost of the private sector mandates in the Baucus bill.  In Massachusetts, those costs accounted for <a href="http://www.cato.org/pub_display.php?pub_id=10488">60 percent</a> of the total cost of reform.  That suggests the actual cost of the Baucus bill – $829 billion plus $75 billion plus $33 billion, times 2.5 – is well over $2 trillion.</p>
<p>Yet the CBO score pretends those costs aren’t even there.  It’s like a mystery novel that’s missing the last 50 pages.  And the media aren’t even curious.</p>
<p>In the words of Brad DeLong, why, oh why, can’t we have a better press corps?</p>
<p>Cross-posted at <em>Politico</em>’s Health Care Arena.</p>
<p><a href="http://www.cato-at-liberty.org/baucus-bill-would-cost-more-than-2-trillion/">Baucus Bill Would Cost More than $2 Trillion</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>NYT Nonsense on SAFRA</title>
		<link>http://www.cato-at-liberty.org/nyt-nonsense-on-safra/</link>
		<comments>http://www.cato-at-liberty.org/nyt-nonsense-on-safra/#comments</comments>
		<pubDate>Wed, 16 Sep 2009 18:29:56 +0000</pubDate>
		<dc:creator>Neal McCluskey</dc:creator>
				<category><![CDATA[Education and Child Policy]]></category>
		<category><![CDATA[Tax and Budget Policy]]></category>
		<category><![CDATA[Arne Duncan]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
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		<category><![CDATA[federal government]]></category>
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		<category><![CDATA[lenders]]></category>
		<category><![CDATA[members of congress]]></category>
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		<category><![CDATA[New York Times]]></category>
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		<category><![CDATA[student aid]]></category>
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		<category><![CDATA[students]]></category>
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		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=9066</guid>
		<description><![CDATA[<p>By Neal McCluskey</p>With the Student Aid and Fiscal Responsibility Act (SAFRA) likely to be voted on by the full House or Representatives today, the media is finally giving some space to debate over the bill. Unfortunately, the New York Times only pays attention to the parts it likes, writing in an editorial today that: The private lenders and those who [...]<p><a href="http://www.cato-at-liberty.org/nyt-nonsense-on-safra/">NYT Nonsense on SAFRA</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Neal McCluskey</p><p>With the Student Aid and Fiscal Responsibility Act (SAFRA) likely to be voted on by the full House or Representatives today, the media is finally giving some space to debate over the bill. Unfortunately, the <em>New York Times</em> <a href="http://www.nytimes.com/2009/09/16/opinion/16wed3.html?_r=1">only pays attention</a> to the parts it likes, writing in an editorial today that:</p>
<blockquote><p>The private lenders and those who do their bidding in Congress have recently taken issue with a Congressional Budget Office analysis that showed that the bill would save about $87 billion over the next 10 years.</p>
<p>They argue, absurdly, for example, that the savings would be smaller if the system were analyzed under accounting rules other than the ones that the federal government is required to use. The aim is to mislead taxpayers and members of Congress into believing that the C.B.O. estimate is dishonest.</p></blockquote>
<p style="text-align: left;">Um, excuse me <em>New York Times</em>, but the CBO <em>has never said</em> the bill &#8212; not just going from subsidized to direct lending, but <em>the whole bill</em> &#8212; would save $87 billion over ten years. Moreover, it has been a series of analyses <em>from the CBO</em> &#8212; albeit driven by requests from members of Congress &#8211; that have continually <em>increased </em>the cost estimates for SAFRA. (I have linked to all the CBO analyses <a href="http://www.cato-at-liberty.org/2009/09/14/full-house-to-vote-on-lie-of-a-bill/">here</a>.) CBO&#8217;s <em>very first estimate</em> of the bill&#8217;s likely net cost put it at around $6 billion over ten years, and it only went up from there after incorporating such things as lending risk and potentially higher Pell grant costs.</p>
<p style="text-align: left;">Of course, the <em>Times</em> isn&#8217;t alone in its refusal to talk honestly about SAFRA. Despite all of the CBO estimates, yesterday U.S. Secretary of Education Arne Duncan said SAFRA would give college students and numerous other interests the world without costing taxpayers a dime.  &#8220;We’re not asking the taxpayers for one single dollar,&#8221; <a href="http://talkradionews.com/2009/09/house-may-provide-87-billion-in-financial-aid-for-students/">he said</a>. And SAFRA&#8217;s sponsor, Rep. George Miller (D-CA), has been touting his bill as a revolutionary money saver since day one.</p>
<p style="text-align: left;">The truth on this thing is out there, but it&#8217;s definitely not in the <em>New York Times</em>.</p>
<p><a href="http://www.cato-at-liberty.org/nyt-nonsense-on-safra/">NYT Nonsense on SAFRA</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>Full House to Vote on Lie of a Bill</title>
		<link>http://www.cato-at-liberty.org/full-house-to-vote-on-lie-of-a-bill/</link>
		<comments>http://www.cato-at-liberty.org/full-house-to-vote-on-lie-of-a-bill/#comments</comments>
		<pubDate>Mon, 14 Sep 2009 20:24:36 +0000</pubDate>
		<dc:creator>Neal McCluskey</dc:creator>
				<category><![CDATA[Education and Child Policy]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[fiscal responsiblity]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[loans]]></category>
		<category><![CDATA[pell grants]]></category>
		<category><![CDATA[SAFRA]]></category>
		<category><![CDATA[student aid]]></category>
		<category><![CDATA[vote]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=9017</guid>
		<description><![CDATA[<p>By Neal McCluskey</p>The Student Aid and Fiscal Responsibility Act (SAFRA) is expected to head to the full House of Representatives for a vote tomorrow, and as it does there is yet another Congressional Budget Office estimate upping its expected cost. The bill that sponsor George Miller (D-CA) shamelessly says will be a taxpayer-money saver continues to be exposed as very much the [...]<p><a href="http://www.cato-at-liberty.org/full-house-to-vote-on-lie-of-a-bill/">Full House to Vote on Lie of a Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Neal McCluskey</p><p>The Student Aid and Fiscal Responsibility Act (SAFRA) is expected to head to the full House of Representatives for a vote tomorrow, and as it does there is yet another Congressional Budget Office estimate upping its expected cost. The bill that sponsor George Miller (D-CA) shamelessly says will be a taxpayer-money saver continues to be exposed as very much the opposite.</p>
<p><a href="http://www.cato-at-liberty.org/2009/08/11/things-grow-worse-so-fast-these-days/">As you might recall</a>, Miller has been touting SAFRA as legislation that would fund all kinds of new or expanded federal programs while allocating $10 billion to deficit reduction. But the CBO has never agreed with that. <a href="http://www.cbo.gov/ftpdocs/104xx/doc10479/hr3221.pdf">First, the CBO identified </a>a likely net cost to taxpayers of about $6 billion over ten years, and that was without including any deficit reduction. Then it estimated that SAFRA would cost <a href="http://www.cbo.gov/ftpdocs/102xx/doc10295/Gregg_StudentLoans__09-07-27.pdf">an additional $33 billion </a>after accounting for lending risk. And now, CBO estimates that the cost of expanding Pell grants could be almost <a href="http://www.cbo.gov/ftpdocs/105xx/doc10557/hr3221KlineLtr.pdf">$11 billion greater </a>than originally estimated. If you add all of those things together, the cost of SAFRA has flipped from a promised $10 billion savings to a $50 billion loss.</p>
<p>In fairness, the last estimate comes from a change in the baseline used for Pell outlays, going from March to August 2009. The increased cost estimate could very well reflect a higher-than-usual Pell expense because of the economic downturn, and the additional cost would not materialize if and when things improve. Nonetheless, this just adds to a very clear message about SAFRA: Far from relieving taxpayers, it&#8217;s going to deliver yet one more punishing blow.</p>
<p><a href="http://www.cato-at-liberty.org/full-house-to-vote-on-lie-of-a-bill/">Full House to Vote on Lie of a Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>Sen. Kennedy&#8217;s Budget-Breaking &#8220;Reform&#8221; Bill</title>
		<link>http://www.cato-at-liberty.org/sen-kennedys-budget-breaking-reform-bill/</link>
		<comments>http://www.cato-at-liberty.org/sen-kennedys-budget-breaking-reform-bill/#comments</comments>
		<pubDate>Thu, 18 Jun 2009 12:56:11 +0000</pubDate>
		<dc:creator>Doug Bandow</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Tax and Budget Policy]]></category>
		<category><![CDATA[cbo]]></category>
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		<category><![CDATA[cost estimates]]></category>
		<category><![CDATA[Health]]></category>
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		<category><![CDATA[individual mandate]]></category>
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		<category><![CDATA[Massachusetts]]></category>
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		<category><![CDATA[private sector]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=7742</guid>
		<description><![CDATA[<p>By Doug Bandow</p>It appears that the Obama administration has decided to disown the venerable Senator.  No wonder.  The Congressional Budget Office estimated the ten-year cost of Sen. Kennedy&#8217;s bill at $1 trillion, but admitted that its analysis was incomplete.  Now the consulting group HSI Network, LLC comes foward with an estimate of $4 trillion: The Senate Committee on [...]<p><a href="http://www.cato-at-liberty.org/sen-kennedys-budget-breaking-reform-bill/">Sen. Kennedy&#8217;s Budget-Breaking &#8220;Reform&#8221; Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Doug Bandow</p><p>It appears that the Obama administration has decided to <a href="http://blogs.abcnews.com/politicalpunch/2009/06/after-cbo-analysis-white-house-distances-self-from-kennedy-bill">disown the venerable Senator</a>.  No wonder.  The Congressional Budget Office estimated the ten-year cost of Sen. Kennedy&#8217;s bill at $1 trillion, but admitted that its analysis was incomplete. </p>
<p>Now <a href="http://www.hsinetwork.com/HSI_Report_on_Kennedy_06-13-2009.pdf">the consulting group HSI Network, LLC comes foward with an estimate of $4 trillion</a>:</p>
<blockquote><p>The Senate Committee on Health, Education, Labor and Pensions (HELP) have proposed a health reform bill called the Affordable Health Choice Act (AHC) that seeks to reduce the number of uninsured and increase health system efficiency and quality. The draft legislation was introduced on June 9th, 2009. The proposal provided adequate information to suggest what the impact would be of AHC using the ARCOLA™ simulation model. AHC would include an individual mandate as well as a pay or plan provision. In addition, it would include a means-tested subsidy with premium supports available for those up to 500% of the federal poverty level. Public plan options in three tiers: Gold, Silver and Bronze are proposed in a structure similar to that of the Massachusetts Connector, except that it is called The Gateway. These public plan options would contain costs by reimbursing providers up to 10% above current reimbursement rates. There is no mention of removing the tax exclusion associated with employer sponsored health insurance. There is also no mention of changes to Medicare and Medicaid, other than fraud prevention, that could provide cost-savings for the coverage expansion proposed. Below, we summarize the impact of the proposed plan in terms of the reduction on uninsured, the 2010 cost, as well as the ten year cost of the plan in 2010 dollars.</p>
<p><strong>HELP Affordable Health Choices Act</strong></p>
<ul>
<li>Uninsurance is reduced by 99% to cover approximately 47,700,000 people</li>
<li>Subsidy &#8211; Tax Recovery = Net cost:
<ul>
<li>$279,000,000,000 subsidy to the individual market</li>
<li>$180,000,000,000 subsidy to the ESI market with</li>
<li>Net cost: $460,500,000,000 (annual)</li>
<li>Net cost: $4,098,000,000,000 (10 year)</li>
</ul>
</li>
<li>Private sector crowd out: ~79,300,000 lives</li>
</ul>
</blockquote>
<p>HSI figures that a lot more people will take advantage of federal health insurance subsidies, driving costs up far more than indicated by the CBO figure.  (<a href="http://blogs.abcnews.com/politicalpunch/2009/06/after-cbo-analysis-white-house-distances-self-from-kennedy-bill.html">H/t to Phil Klein at the <em>American Spectator</em> online</a>.)</p>
<p>Of course, no one knows what the bill would really cost in operation.  But the history of social insurance and welfare programs is sky-rocketing expense well beyond original projections.  <a href="http://article.nationalreview.com/?q=MTM5NGNmZDc3OGIxYTMwMTlkZTQzNTJlMmU5ZTg5MjI=">Go back and look at the initial cost estimates for Medicare and Social Security</a>, and you will run from the room simultaneously laughing and crying.</p>
<p>Health care reform would be serious business at any moment of time, but especially when the country faces $10 trillion in new debt over the next decade on top of the existing $11 trillion national debt.  And with the $100 trillion Medicare/Social Security financial bomb lurking in the background, rushing to leap off the financial cliff with this sort of health care legislation would be utterly irresponsible.</p>
<p><a href="http://www.cato-at-liberty.org/sen-kennedys-budget-breaking-reform-bill/">Sen. Kennedy&#8217;s Budget-Breaking &#8220;Reform&#8221; Bill</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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		<title>What&#8217;s a Trillion Dollars Among Friends?</title>
		<link>http://www.cato-at-liberty.org/whats-a-trillion-dollars-among-friends/</link>
		<comments>http://www.cato-at-liberty.org/whats-a-trillion-dollars-among-friends/#comments</comments>
		<pubDate>Tue, 16 Jun 2009 12:54:11 +0000</pubDate>
		<dc:creator>Doug Bandow</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Tax and Budget Policy]]></category>
		<category><![CDATA[Barack Obama]]></category>
		<category><![CDATA[budget deficits]]></category>
		<category><![CDATA[cbo]]></category>
		<category><![CDATA[congressional budget office]]></category>
		<category><![CDATA[cost estimate]]></category>
		<category><![CDATA[federal budget]]></category>
		<category><![CDATA[federal budget deficits]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[money]]></category>
		<category><![CDATA[national debt]]></category>
		<category><![CDATA[Social Security]]></category>
		<category><![CDATA[social security benefits]]></category>
		<category><![CDATA[spending]]></category>
		<category><![CDATA[trillion]]></category>

		<guid isPermaLink="false">http://www.cato-at-liberty.org/?p=7711</guid>
		<description><![CDATA[<p>By Doug Bandow</p>If you&#8217;re Barack Obama, money is no object. The national debt exceeds $11 trillion. We&#8217;ve had about $13 trillion worth of bail-outs over the last year. The deficit this year will run nearly $2 trillion. The Congressional Budget Office warns of a cumulative deficit of some $10 trillion over the next decade. Now Obama-style health care &#8220;reform&#8221; will add [...]<p><a href="http://www.cato-at-liberty.org/whats-a-trillion-dollars-among-friends/">What&#8217;s a Trillion Dollars Among Friends?</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
]]></description>
			<content:encoded><![CDATA[<p>By Doug Bandow</p><p>If you&#8217;re Barack Obama, money is no object. The national debt exceeds $11 trillion. We&#8217;ve had about $13 trillion worth of bail-outs over the last year. The deficit this year will run nearly $2 trillion. The Congressional Budget Office warns of a cumulative deficit of some $10 trillion over the next decade.</p>
<p>Now Obama-style health care &#8220;reform&#8221; will add another $1 trillion in increased spending over the same period. And the ultimate cost likely would be higher, perhaps much higher. <a href="http://cboblog.cbo.gov/?p=293">Reports the Congressional Budget Office</a>:</p>
<blockquote><p>According to our preliminary assessment, enacting the proposal would result in a net increase in federal budget deficits of about $1.0 trillion over the 2010-2019 period. When fully implemented, about 39 million individuals would obtain coverage through the new insurance exchanges. At the same time, the number of people who had coverage through an employer would decline by about 15 million (or roughly 10 percent), and coverage from other sources would fall by about 8 million, so the net decrease in the number of people uninsured would be about 16 million or 17 million.</p>
<p>These new figures do <em>not</em> represent a formal or complete cost estimate for the draft legislation, for several reasons. The estimates provided do not address the entire bill—only the major provisions related to health insurance coverage. Some details have not been estimated yet, and the draft legislation has not been fully reviewed. Also, because expanded eligibility for the Medicaid program may be added at a later date, those figures are not likely to represent the impact that more comprehensive proposals—which might include a significant expansion of Medicaid or other options for subsidizing coverage for those with income below 150 percent of the federal poverty level—would have both on the federal budget and on the extent of insurance coverage.</p></blockquote>
<p>Then there is the more than $100 trillion in unfunded Medicare and Social Security benefits.</p>
<p>Just who is going to pay all these bills?</p>
<p>Don&#8217;t worry, be happy.</p>
<p><a href="http://www.cato-at-liberty.org/whats-a-trillion-dollars-among-friends/">What&#8217;s a Trillion Dollars Among Friends?</a> is a post from <a href="http://www.cato-at-liberty.org">Cato @ Liberty - Cato Institute Blog</a></p>
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