Fellow at the Ethics and Public Policy Center. He served as an associate director at the White House Office of Management and Budget from 2001 to 2004.
A new commission created by the health law is supposed to ensure that in 2015, Medicare spending is supposed to be limited to a fixed growth rate.
One of the central arguments President Barack Obama has made on behalf of the health care plan he wants Congress to approve in coming weeks is that it would begin to address the problem of rising costs and thus also begin to bring down future federal budget deficits. But will it?
It’s not that President Obama and his advisors don’t recognize their budget problem. They speak frequently about the dangers of business as usual. The problem is that the president’s stated solution will never work.
Even if all of the offsets work out as planned, which is not likely, the House and Senate bills would still create substantial budgetary risks because of the pressures for entitlement expansion they would unleash.
To get a sense of who’s right on cost-control, some perspective is necessary.
If the president and his aides continue to signal that House bill is acceptable, they will never be able to deliver the real reform the president has promised.
Pursuing sensible change requires a clear understanding of what’s driving the status quo.
There's no doubt the administration's new health reform sales pitch works much better in focus groups. But does it really describe what's under consideration in Congress?
House Democratic leaders have been selling the health care bill -- now reported out by two of the three House committees to which it had been referred -- as costing "only" $1 trillion over a decade. But that's not really the whole story.