Monday, January 18, 2010

As usual, Ezra Klein...

...puts the health care bill in perspective:

No matter what the players involved in the health-care reform fight want for the bill, they're all united in one respect: They want you to believe this is the biggest thing in the world. Republicans want you to believe it's a dangerous proposal that will wreck a sixth of the economy. Democrats want you to believe it's a marvelous bill that will fix the health-care system. The news media frequently take both claims at face value.

It's time for some real talk on health-care reform. By the standards of what Congress generally does in a year, this bill is very big. But by the standards of the health-care system, it's not that big at all. It goes two-thirds of the way on covering the uninsured. It makes a courageous, but insufficient, start on cost control. This is the beginning, not the end, of reform.

Let's begin by breaking down the numbers. The $900 billion price tag is repeated with the regularity of a rooster's crow. That's a shame, as the number is, somewhat impressively, misleading in both directions.

On the one hand, that $900 billion is stretched over 10 years. But people don't think in 10-year increments. They don't pay taxes once a decade. Put more simply, the bill will cost an average of $90 billion a year.

But that number is meaningless without context. Ninety billion is a lot more than you probably paid for, say, your house. But is it a lot of money in the context of national health-care spending? Not really. In 2008, we spent $2.3 trillion on health care. Ninety billion is about 4 percent of that. In other words, a drop in the bucket.

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