Democrats and Republicans say they want to keep health care reform from expanding the budget deficit. Overhauling health care, by some estimates, might cost as much as $1.5 trillion over 10 years. The big question is how to pay for it.
There is some concern that a chunk of President Obama's savings proposals, such as paying physicians more for high-quality care and providing new incentives and penalties to reduce hospital readmissions, might not actually save money for a number of years.
Should Congress bend PAYGO rules to allow potential savings down the road to fund upfront investments? How sure can the government be that savings from proposed quality initiatives would ever be realized? Could Congress be stuck finding new sources of revenue down the road?
-- Marilyn Werber Serafini, NationalJournal.com