If you can’t come up with a healthcare reform bill that costs less than $1 trillion dollars over 10 years, divide that sucker up into bills that are less than $1 trillion dollars each:
Later this week, or maybe next, Senate Democrats plan to vote on a stand-alone bill that strips a formula that automatically cuts Medicare physician payments out of “comprehensive” health reform. Rather than include the pricey $247 billion plan known on Capitol Hill as the “doc fix” as part of ObamaCare, they’ll instead make this a separate contribution to the deficit, without compensating tax increases or spending cuts. Majority Leader Harry Reid explained at a press conference last week that “All we’re doing is wiping the slate clean by adjusting the baseline to what is current policy. This is not new policy.”
It’s true that Congress likes to pretend that the “sustainable growth rate,” or SGR, is real. Created in 1997, the SGR slashes Medicare reimbursements if costs rise too steeply, as they always do. In January, doctors fees are scheduled to fall by 21.5%, and 40% over the next five years. That would force many doctors to stop seeing Medicare patients, so Congress intervenes every year and temporarily overrides the cuts.
No one will notice!
