In the weeks since the Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act, the evidence has continued to pile up that, constitutional or not, ObamaCare is bad news.

Yes, fans of the "reform" cheered this week's news reports suggesting that ObamaCare will be less expensive than originally feared. But those news reports were wrong.

The Congressional Budget Office did, in fact, report that two provisions, the expansion of Medicaid and subsidies to help middle-class families buy insurance, might cost $84 billion less over the next 10 years than previously projected. But that's a drop of less than 5 percent of the law's total cost over that period.

Plus, it's a "savings" only in the Washington sense that, instead of spending $1.76 trillion on those subsidies, now we're only going to spend $1.68 trillion.

ObamaCare will cost more and insure fewer people.

And the reason for this cost reduction isn't that Uncle Sam has found some new way to provide insurance less expensively — it's that the government is going to cover 3 million fewer people.

In particular, CBO notes that the Supreme Court made the law's Medicaid expansion optional for states, and at least seven governors have already announced that they'll pass. Some of the people who would've gotten Medicaid in those states may qualify for other federal subsidies instead, but not all. So the feds will spend less money providing coverage.

In other words, it'll cost less by covering fewer people. But that's not the end of the CBO report: It also showed that costs for the rest of the program, and for the law as a whole, are still rising.

For projected ObamaCare spending from 2012 to 2021, CBO estimates are now $81 billion higher than they were a year ago. (The big change: CBO now concludes that many of the law's expected savings in Medicare and elsewhere won't happen.)

So: We're going to cover fewer people — and pay more than we'd thought, anyway. That's nothing to cheer about.

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Michael Tanner

Michael Tanner

Michael D. Tanner is a senior fellow at the Cato Institute, heading research into a variety of domestic policies with particular emphasis on health care reform, welfare policy, and Social Security. His most recent white paper, "Bad Medicine: A Guide to the Real Costs and Consequences of the New Health Care Law," provides a detailed examination of the Patient Protection and Affordable Care Act (Obamacare) and what it means to taxpayers, workers, physicians, and patients.

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5 Comments So Far
worker Wrote: Jul 30, 2012 5:55 PM
Should any of us be suprised. Whenever government gets involved in anything it's a disaster. They should stick to what they are supposed to do. Defend us from enemies foreign and DOMESTIC.
Kibitzer Wrote: Jul 30, 2012 2:08 PM
The PPACA (ObamaCare) comes with a huge overhead cost to support the non-productive Federal bureaucracy that will administer it. Massachusetts didn't get that added layer of cost with RomneyCare.
MoreFreedom Wrote: Jul 30, 2012 11:04 AM
When has government ever offered a product or service better than the free market can provide it? Never, as it doesn't have to survive in a market where consumers have choices, instead it forces its product on us whether we like it or not, and gives us no choice.

Voters for schemes like this just think they can use government to steal for them. I'd hope they would have learned something from the failure of government planned economies and markets. I guess what they learned is that they get the freebies for awhile. They haven't learned how bad the aftermath is and that they'll be paying for it regardless.

Today, seniors on medicare pay more out of pocket for medical care than before Medicare existed. Government screws us big time.
Richard976 Wrote: Jul 30, 2012 10:00 AM
I have VA healthcare, which is great. However, with the passage of Obamacare, my meds and treatments have changed. My Doctor can no longer prescribe what I used to get because the job has been taken over by the government. Doctors agreeing to abide by Obamacare must also agree to a new salary arrangement. "Every Doctor," regardless of expertise, will be paid the same salary. That salary is "less" than what a congressman gets paid by quite a bit. Need a operation? Do you want your congressman or a Doctor? How many qualified Doctors do you think will agree to the pay offered by the government? You also "wait your turn." That could be months or even years. It's a disaster.
ROBERT3033 Wrote: Jul 30, 2012 8:16 AM
Smoke and mirrors, slight of hand, and bait and switch are the new tools of the Hopey and Changey
left. I wonder if the increased taxes, higher premiums, and reduced/ delayed medical services will be enough for the Obamaites to admit they made a huge mistake by trusting the handsome, glib, mysterious man behind the teleprompter?