ABC News’ Rick Klein reports: President Obama today reiterated his pledge that health care reform will “not add a dime to the deficit, now or in the future” — a critical component of his sales pitch to a public that’s growing increasingly concerned about government spending.
But is that a promise he can keep?
On ABCNews.com’s “Top Line” today, Douglas Holtz-Eakin, a former director of the Congressional Budget Office, said he doesn’t think so — not with health care spending growing far faster than the rate of new revenues.
“I think the fundamental problem is that if you cover everybody, you put everyone in a system that is growing too rapidly in costs, and is added onto an entitlement problem where we already don’t have the revenues to pay for it,” Holtz-Eakin told us. “And so you build a big problem up front and there’s no way to unwind that quickly. A way to get there is to be more patient and sequential. Cover targeted groups like working uninsured and as you get savings, channel them back in and cover more people.”
“But the political patience isn’t there for that. The promise has been made to cover everyone, and I don’t think it’ll ever add up,” he said.
Democrats’ last best chance at producing a product that doesn’t add to the deficit is likely to come this week, as the Senate Finance Committee finishes its long-delayed draft of a health care bill. The CBO is expected to release its cost estimates of that bill this week as well.
“They may be frustrated but this shouldn’t be a matter of surprise,” Holtz-Eakin said. “[CBO] put out in January their view of options that would change health care spending. They’ve worked with the staffs on all the drafts of the bills. They’ve talked about things that work [and] don’t work, nd so when they finally get down to putting out these final reports, everyone should know what’s coming. And what they’ll look at when they get a bill from the Senate Finance Committee is number one: How much does it cost? They’re not going to know for sure.”
Holtz-Eakin, who was a top adviser to Sen. John McCain’s presidential campaign, also joked about what it’s like to see the president own ideas McCain once espoused, such as subjecting health insurance coverage to taxation, and the creation of “high-risk pools” for those with preexisting health conditions.
“Democrats have been phenomenal advocates of most of the McCain plan,” he said. “They will in fact propose the entire McCain plan, and we’ll see how it happens. But substantively this isn’t the same proposal. . . . [T]hey’re going to make the effort to put out a bipartisan proposal in this way, but when the rubber hits the road it’s not there.”
Watch the full interview with Doug Holtz-Eakin HERE.
We also chatted with Politico columnist Roger Simon about the health care push and the latest trouble signs for the president in the new ABC News/Washington Post poll.
Click HERE to see the discussion with Roger Simon.