Because the program would begin taking in premiums immediately
but would not start paying benefits until 2016, congressional budget
analysts have forecast that it would generate a nearly $60 billion
surplus over the next 10 years, cash that would help the larger
measure's balance on paper.
Not long ago I filed this under "Department of Uh-Oh." In the longer run it is very bad for the budget and it is simply an accounting trick. It's a sign that fiscal responsibility will never come to U.S. health care. And yes there is a long-term care provision in the Senate bill. Although I have not read through its current incarnation of 2000-some pages, I am willing to bet we are getting the cost back-loaded version of the idea.