The report, compiled by the chief actuary at the Centers for Medicare and Medicaid Services, estimated that total health costs in the U.S. would be $234 billion higher than if the bill weren’t passed. President Barack Obama has said Democrats’ health plan would reduce the growth of health-care costs.
The report said 33 million more U.S. citizens and legal residents would be insured under the bill, resulting in 93% of Americans with health-insurance coverage. But it said the new demand for health care caused by the bill could prove “difficult to meet initially” because doctors and hospitals would charge higher fees in response to the new demand. The report also said the bill’s proposed cuts in Medicare spending “may be unrealistic.”
In addition to expanding coverage, the Senate bill creates a long-term-care insurance program that would provide a daily subsidy for those with disabilities and illnesses who require home-based care. The report cited a risk of “adverse selection,” saying people who were more likely to require care would be more likely to use the new insurance. That could cause insurance payouts to exceed premium revenue.
“There is a very serious risk that the problem of adverse selection would make the [long-term-care insurance] program unsustainable,” the report said.
a CNN poll found that an even bigger majority–61%–oppose the Senate’s version of the ObamaCare bill.