The Dems did a poor job of INFORMING the public about "uncompensated care" cost paid out under Medicare and Medicaid. According to the Kaiser Family Foundation we spent $34.6 billion in 2004 (
The Cost of Care for the Uninsured). IF you straight line extrapolate that through 2010-2019, adding inflation, that figure comes to about $816 billion. That's what we would spend anyway without any changes to Health Care.
That's not considering the 8.4% that uncompensated care drives up premiums for those who have health insurance. The additional total cost (about $1,000-$1,200) per policy (individual and family coverage) extrapolated through 2010-2019 to all the insured comes to $4.7 Trillion.
Now, if we insure about 90% of the currently uninsured then you could figure on these costs for Uncompensated Care to go down proportionately. These numbers should have been mentioned for comparison to the costs for HCR. The reductions of costs to Medicare and Medicaid for the reductions of uncompensated care costs to hospitals should have been pointed out as part of the savings to be gained by reducing the number of people without health insurance coverage.
In every CBO cost estimate of the various bills, the savings in reduced "uncompensated care" payments by Medicare and Medicaid was lost in the term "reductions to Medicare (or Medicaid)". This sounds like reductions in
services to those who are covered by these programs. There is not a penny of services reduction in the expected reductions in uncompensated care costs to be paid by Medicare and Medicaid.
The Dems and Pres Obama never specifically pointed this out. This should have been done from the very beginning.
NOT making sure people understood this helped the Disinformation campaign and the hysteria created by the fascist party. This was a perfect example of "the Big Lie" working to perfection. Josef Goebbels would have been proud of the Republicans.