http://blog.heritage.org/2009/11/12/...medicare-cuts/
. . ."In 1997 Congress included in the formula for calculating Medicare physician payments a provision — called the “sustainable growth rate” (SGR) — designed to limit the growth of spending on physician services in Medicare. The SGR was designed to work as follows:
Medicare set the per-service fees it would pay doctors. However, if doctors provided more services to Medicare patients — thereby increasing Medicare spending above Congressionally set targets — the per-service fees paid by Medicare would be cut to keep total Medicare physicians spending in line. Furthermore, by embedding this arrangement in the physician payment formula, Congress made the future cuts automatic so as to insulate itself from political pressure to keep increasing entitlement spending.
The only problem was that it didn’t work. . . ."
...."Case in point. The Congressional Budget Office estimates that the health care legislation passed last Saturday in the House would result, over ten years, in $1.3 trillion in new spending, plus $29 billion in tax cuts (mostly new tax credits to small business that offer coverage), offset by $767 billion in new taxes and fees, and $693 billion in spending cuts, mainly in Medicare.
But if Congress won’t enforce its previous Medicare cuts, how realistic is it that they will actually enforce these new Medicare cuts?"
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