In health-care reform, no deficit cure

Debate rages over bill's impact on costs -- and how much that matters

By Lori Montgomery
Washington Post Staff Writer
Monday, November 30, 2009

As the long battle over health care is rejoined in the Senate this week, experts remain deeply divided over whether the legislation would rein in soaring health-care costs or simply add millions of people to a system that is already driving the nation toward bankruptcy.

Optimists say the $848 billion package drafted by Senate Majority Leader Harry M. Reid (D-Nev.) contains all the most promising ideas for transforming the health-care system and encouraging doctors and hospitals to work more efficiently. They say it would eventually reduce both private premiums and the swelling cost of government health care for the elderly and poor.

Even pessimists don't necessarily disagree. But they see scant evidence that those ideas would quickly bear fruit, and in the short term they fear that the initiative would leave Washington struggling to pay for a new $200 billion-a-year health program even as existing programs require vast infusions of cash to care for the aging baby-boom generation.

Those concerns were magnified by the release of Reid's bill, which the Senate will begin debating on Monday. Democrats were thrilled when the nonpartisan Congressional Budget Office reported that the package was fully "paid for" -- meaning lawmakers had identified spending cuts and tax increases sufficient to cover the cost of expanding coverage to 30 million additional people.

(More here.)