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24.7B may not be much compared to the federal deficit (the mass of jupiter barely compares to the federal deficit, after all), it's an awful big cut to doctors' pay
That's a conundrum for any serious budget deficit reduction effort. Smaller groups stand to lose disproportionately and have an incentive to mobilize to preserve their cashflow from the government.
IMO, if such cashflow from the federal government is to be preserved, offsetting measures should be adopted to pay for such expenditures. If they're not paid for, then they should not be extended. The longer-run costs (additional deficits, interest incurred on such deficits, long-term adverse macroeconomic impact from increasing structural budget deficits) to the nation, even if they are spread out among the population as a whole--outweigh the benefits.
it's what underlay reid's cynical attempt to slice off of obamacare and account instead against the national debt his quarter T doc fix
of course, the fix failed on the floor, 47 to 53
I'm well aware of the political maneuvering that was attempted on that issue vis-a-vis the health care legislation and am relieved about the outcome, though I am concerned that it is temporary.
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