You think the 7.8% (not counting California) unemployed can increase revenue and reduce expenditures to the point where total receipts will exceed entitlements in the coming years? I'd love to see that analysis.
I didn't say that I think it would wipe out the entire deficit- I suggested it would be significantly lower than 2011 and 2012 numbers would predict. It was only a bit more than a decade ago when people were campaigning on what to do with budget surplus.
In general, I'm deeply skeptical of long-term budget forecasts, especially ones built during obviously 'special' circumstances. No one in 2007 saw 2008 coming. Do you really think you can predict where technology will be in 2020? If you can't, then your long term forecast is essentially worthless.
The point was to provide healthcare to people who couldn't afford it.
Thats one small portion of a huge law. Most of the fundamental reforms are about addressing cost. Otherwise they would have just done a large medicaid expansion.
The CBO analysis of costs of this health care law have steadily increased and they will very likely increase substantially in the future.
You've phrased this in a very misleading way. The CBO analysis of the SAVINGS from this health care law have decreased. Its still projected to be a net deficit reducer, even according to your link. But as I'll suggest below- we should doubt those projections.
Pretty much everyone. The CBO can't factor in whether things like effectiveness will be effective, and so they don't try. This isn't a strike against them- no one can. The forecasts have to be built around today's baseline.
Right now, most of our healthcare is based around employer based coverage- one of the goal's of Obamacare is to slowly shift us to a system where people buy individual coverage on an exchange. No one really knows how much this will effect costs- some people think 'harnessing the market' is likely to work miracles, I'm more skeptical.
Similarly, collecting data from electronic medical records to push effectiveness research could be a very powerful way to create cost effective care. I personally think this can accomplish tremendous cost reductions, but my training is a scientist so I always think the scientific approach to a problem is best. Others are more skeptical.
The issue is- the CBO has no way of scoring how these sorts of moves will turn out- no one does. They can't score the potential gains from competition on individual exchanges, and they can't score the potential gains from scientific effectiveness studies. So instead, they make loose estimates from today's baselines. Which is fine for 1 or 2 years, but there is no way its accurate much beyond that.
But anyone who looks at it should understand that Obamacare is a big change in healthcare- it is going to do SOMETHING to costs, and they only real approach is to 1. doubt our current projections 2. wait and see what happens.