Tag Archives: budget-office

Why Is Mick Mulvaney Complaining About CBO’s Score of the Republican Health Care Bill?

Mother Jones

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Republicans have a problem. The party of fiscal discipline and a balanced budget really, really wants to pass a tax cut for the rich that will blow up the deficit. Unfortunately, Senate PAYGO rules don’t allow this,1 and Democrats can filibuster any attempt to change those rules.

But there’s a metaphysical issue embedded here: how can you know—really know—that a bill will increase the deficit? That’s like seeing into the future! What godlike intelligence could possibly do that? It’s impossible!

Nonetheless, in our fallen state this task has been given to the Congressional Budget Office. And they have an annoying tendency to produce results that Republicans don’t like. So Trump’s budget chief, Mick Mulvaney, is making the case that we should get rid of the CBO entirely:

“I would do my own studies here at OMB…And other folks would do their studies from the outside. And those would come with their natural biases. The Heritage Foundation comes in and says it’s going to cost a lot. Brookings comes in or the Center for American Progress says the benefits would be great.

….Asked what would happen in a scenario in which, say, a Democratic administration says a bill costs $500 billion and Heritage Foundation puts out a report saying the same bill would cost trillions, Mulvaney responded, “Then they would do it and if it works, they would get re-elected and if it doesn’t, they don’t. And that was the way it worked before the Congressional Budget Office.”

In other words, there would be no rules at all. You’d just do whatever you wanted, and if you get reelected it must mean you were right. This is a fascinating ontological approach to budget estimation.

But what’s more fascinating is Mulvaney’s pretense that what he’s really upset about is the CBO’s score of the Republican health care bill:

Mulvaney was particularly critical of the CBO’s recent estimate that the House-passed healthcare bill would result in 23 million fewer people with health insurance. He argued that the CBO’s model assumed that the mandate requiring individuals obtain coverage has a lot more influence on people’s decisions than it does in real life.

“Did you see the methodology on that 23 million people getting kicked off their health insurance?” he said. “You recognize of course that they assume that people voluntarily get off of Medicaid? That’s just not defensible. It’s almost as if they went into it and said, ‘Okay, we need this score to look bad. How do we do it?'”

But CBO’s most recent estimate says the health care bill will reduce the deficit by about $100 billion. Mulvaney has no beef with this, nor any reason to be upset about the estimate of 23 million people losing insurance, since that’s the very thing that reduces costs enough to make the bill compliant with PAYGO rules. So why is Mulvaney kvetching about this?

In fact, Mulvaney doesn’t care a fig about AHCA. He’s just preparing the ground for an assault on the CBO when it comes time to score his cherished tax bill. A few years back Republicans finally badgered the CBO into accounting for the “dynamic” effects of tax cuts, but they’ve never been satisfied with CBO’s refusal to use the most fanciful dynamic models, which assume that tax cuts pay for themselves entirely. And CBO is obstinate about this even with a Republican in charge! What to do?

Answer: Get rid of the CBO. But Democrats would filibuster any attempt to do that. So what is Mulvaney up to? Just this: it turns out that the Senate Budget Committee isn’t actually required to use CBO estimates. They always have in the past, but that’s a custom, not a rule. They have the authority to make their own estimates, and all it takes to make them stick is a majority vote in the committee.2

Mulvaney is basically trying to start up a campaign to put some spine into the SBC’s Republican members to ignore the CBO and simply score the tax bill using a model that will pronounce it deficit-neutral. That’s what this is all about.

1The House has no PAYGO rules for tax cuts.

2There are also Byrd Rule problems with the tax cut bill, but Republicans already think they might have a way around those.

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Why Is Mick Mulvaney Complaining About CBO’s Score of the Republican Health Care Bill?

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Trump’s Tax Cut Plan Will… Pay… For… Itself!

Mother Jones

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Back during Steve Mnuchin’s confirmation hearings for Treasury Secretary, he said he was surprised that IRS staffing had gone down. This just reduces the number of audits they can perform, and therefore the amount of tax revenue they collect from high earners. Just think about it. If you increased hiring, it would pay for itself!

It was très adorbs. But Mnuchin is a quick learner, and he never brought that subject up again. Instead, he’s now talking about a much more acceptable kind of plan that pays for itself. The subject, of course, is tax cuts:

Treasury Secretary Steven Mnuchin said the economic growth that would result from the proposed tax cuts would be so extreme — close to $2 trillion over 10 years — that it would come close to recouping all of the lost revenue from the dramatic rate reductions. Some other new revenue would come from eliminating certain tax breaks, although he would not specify which ones.

“The plan will pay for itself with growth,” Mnuchin said at an event hosted by the Institute of International Finance.

The Congressional Budget Office will have a very different take on this, and their take is the only one that matters. So why does Mnuchin even bother with this tired old charade? Maybe so that Donald Trump can yell and scream about how the CBO is rigged when they say that his tax plan is a deficit buster? Maybe to give congressional Republicans an excuse to fire Keith Hall and install a new CBO director who will give them whatever numbers they want?

Who knows? Maybe it’s just reflex. While we wait to find out, however, here’s a chart showing income tax receipts following the five most recent big changes to tax rates. You can decide for yourself if tax cuts pay for themselves or if tax increases tank the economy.

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Trump’s Tax Cut Plan Will… Pay… For… Itself!

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There’s Only One Big Thing That Matters About the Upcoming Republican Health Care Plan

Mother Jones

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Politico has gotten its hands on a leaked copy of a Republican health care plan. It’s a discussion draft of a bill that’s a couple of weeks old, but it still provides a good idea of what Republicans are thinking these days. Here’s my summary of Sarah Kliff’s summary:

Good news: Compared to previous plans, it’s better on pre-existing conditions; more generous in its funding of high-risk pools; generally cheaper for young people; and includes bigger tax credits than earlier Republican plans.
Neutral news: Loosens the list of “essential” benefits for all plans. This is generally better for healthy people and worse for sick people.
Bad news: Eliminates Medicaid expansion; cuts Medicaid funding; is terrible for the poor; and is far more expensive for older workers.

There’s other stuff (all Obamacare taxes are repealed, for example, which is great news for the rich), but I submit to you that these are pesky details. There’s really only one big thing that matters: how much the program costs.

Obamacare spends roughly $100 billion per year on subsidies to make health coverage affordable for the poor, and even at that premiums are too high for many people and deductibles are too high for almost everyone. Handwaving aside, there’s no way to produce a plan that’s even remotely useful with any less funding than Obamacare. That’s just reality.

If the funding is sufficient, we can all have a good time arguing over continuous coverage penalties, age ratios, essential benefits, and all that. If the funding is insufficient, it’s all just whistling in the wind.

Rumor has it that an outline of this plan was already submitted to the Congressional Budget Office, and the score they returned was so horrific that it never saw the light of day. So when Republicans do finally release a bill and a CBO score, just turn immediately to the section that estimates the ten-year cost. If it’s substantially less than a trillion dollars, you can skip the rest.

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There’s Only One Big Thing That Matters About the Upcoming Republican Health Care Plan

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California Projects Big Obamacare Increase in 2017 — But Rates Are Still Way Under Original Projections

Mother Jones

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Obamacare rates are going up in California:

Premiums for Californians’ Obamacare health coverage will rise by an average of 13.2% next year — more than three times the increase of the last two years and a jump that is bound to raise debate in an election year.

….Two of the state’s biggest insurers — Blue Shield of California and Anthem Inc. — asked for the biggest hikes. Blue Shield’s premiums jumped by an average of more than 19%, according to officials, and Anthem’s rates rose by more than 16%.

That’s gonna hurt. And it’s going to be a big political football too. Just keep in mind what I told you a few weeks ago: Obamacare rates have been way under projections ever since the program started in 2014. Even if premiums go up 13 percent nationwide, the average will still be around $4,746, far less than the $5,616 the Congressional Budget Office originally projected for 2017.

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California Projects Big Obamacare Increase in 2017 — But Rates Are Still Way Under Original Projections

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