The Truth

• "We have incorporated the best ideas from Democrats and from Republicans." Far from it. Some of the biggest omissions include tort reform, health savings accounts, portable insurance, expanding consumer access to plans across state lines and posting provider prices for services so patients can shop around.
Republicans were almost completely shut out from the process and at the early stages last summer, were not even permitted to read the bill. In an atmosphere like this, it's little wonder the bill isn't drawing a single vote of support from Republicans of either house. It's fully a creature of the Democratic Party.
• ("This is not a) government takeover of health care." How is it that government can dictate to private insurance companies what they can offer, to whom, under what circumstances and at what prices, and yet still not own it? Every basic business decision a private company can make has effectively been expropriated.
Even as Obama denied his health care plan was a government takeover, his vice president, Joe Biden, laid out the real deal: "You know we're going to control the insurance companies." We'll take him at his word.
• "If you like your doctor, you can keep your doctor." That's if your doctor chooses to remain in the profession. Unfortunately, our own IBD/TIPP Poll found that up to 45% would consider quitting if they're going to be dictated to by unaccountable bureaucrats who couldn't get into medical school.
Price controls will slash doctor salaries and raise workloads, mandating that doctors make up for losses with volume. Bureaucrats will crack the whip on costs by lowering payments and penalizing doctors who refer patients to specialists. All this, and zero tort reform relief, will drive many doctors out of the profession just as 32 million new patients enter the market.
• "Our proposal is paid for ... our cost-cutting measures would reduce most people's premiums and bring down our deficit by more than $1 trillion over the next two decades." Government programs always cost more than projected. Medicare, which has $86 trillion in unfunded liabilities, was supposed to cost $10 billion within 25 years of its implementation. It actually cost $107 billion.

The real cost of the Democrats' reform plan, according to the Cato Institute, which isn't handcuffed in its estimates like the Congressional Budget Office, is $2.5 trillion over the first decade.
• "If this vote fails, then insurance companies will continue to run amok." They're not exactly wildcatting as it is. Health plan providers boast a profit margin of 3.4% — placing them 88th of 215 industries in Morningstar rankings. More than 2,000 state mandates dictate what coverages they provide.
• "By the time the vote has taken place ... you'll know what's in it because it's going to be posted and everybody's going to be able to evaluate it on the merits." The final bill wouldn't available to the public until Saturday morning, the day before the vote, congressional sources told us Friday. So in fact, nobody would have time to digest the 2,500-page leviathan.
• "We're not transforming one-sixth of the economy in one fell swoop." Yes, Obama wants to take over the health care sector, but in pieces. In 2007, he said that "economically it is better for us to start getting a system in place, a universal health care system, signed into law by the end of my first term as president." Canada, he noted, "did not start off immediately with a single-payer system, they had a similar transition step." He's been on record since at least 2003 as a "proponent of single-payer, universal health care."
• "(This will be) the largest middle-class tax cut in the history of the country." Tax cut? New taxes on prescription drug sales, medical devices, tanning services and an annual tax on health insurers for being health insurers will all end up on middle-class shoulders.
Then for families earning $250,000 there are taxes of 0.9% for hospital insurance, 2.9% on "unearned income," plus a tax on high-premium policies. The "middle-class tax cut," in the president's misleading words, amounts to "tax credits to help you afford" the more expensive insurance of the new (also misleadingly named) "competitive marketplace."