OMB Director Mick Mulvaney makes mincemeat of CBO scoring of health care plan

  • The CBO has a bad track record when it comes to projecting coverage. Just three years ago, the CBO predicted that 24 million people would be covered today under Obamacare exchanges. The true number: 11.5 million, less than half the CBO’s forecast.
  • Most tellingly, Mulvaney made the distinction between “coverage” and “care.” Dems focus on coverage. But he gave the example of a family of relatively modest means that is “covered” with an Obamacare plan. But given the annual deductible of $12-15,000, that family can’t afford actual care. He said the focus under the Trump proposal is on actually delivering care to people.
  • Finally, he gave an example of an unrealistic assumption that the CBO made in coming to its coverage projections. The CBO assumes that once the new health plan is implemented, people on Medicaid will drop that free coverage and seek coverage under the new plan. Mulvaney: “that makes no sense.”