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The Medicare Trustees’ Report and the $8.1 Trillion Double Count

10:10 AM, Apr 24, 2012 • By JAMES C. CAPRETTA
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But, of course, because the HI taxes and spending cuts were counted on paygo, the government has now stood up permanent entitlement commitments in Medicaid and the state exchanges that exceed the $8.1 trillion liability reduction in Medicare. It’s just that those long-term liabilities are never reported anywhere because they are not paid from a trust fund.

Some Obamacare apologists have tried to argue that the rules have always allowed this double-count to occur. That is true. But in the past, the amounts were inconsequential. Not so with Obamacare. This legislation used double-counted Medicare cuts to create the largest entitlement expansion in a generation. Unless it is repealed, the fiscal consequences will be disastrous.

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