Thursday, November 19, 2009

Ten years of taxes and spending, six years of benefits

If you want a hint of why the new Senate bill could get a good evaluation from the CBO, consider this.
The Senate bill pushes back implementation of major parts of the reform to 2014 -- a change from 2013 under the Finance Committee bill.

This is bad news for lawmakers who will need to explain to constituents why the elements that have attracted the most attention -- the public plan, the Medicaid expansion and the insurance exchanges -- won't be available for four years.

Some reforms would kick in earlier, Senate aides explained, but the big pieces would still be a ways off.
The pain starts now, but the benefits come later. And that is how they get a good rating for the next decade. And then what happens when we go into the second decade and we have a full 10 years of benefits to pay for? Guess.