In­ept bu­reau­crats

Modern Healthcare - - OPINIONS|LETTERS - Michael Cadger Founder and CEO Mon­o­cle Health Data At­lanta

Re: “Supreme Court’s de­ci­sion cuts re­form law’s 11-year cost by $84 bil­lion, CBO says,” Mod­ern Health­care.com, July 24: Upon read­ing this ar­ti­cle, my trust in the Con­gres­sional Bud­get Of­fice has fallen fur­ther than I thought pos­si­ble. While the CBO gives big head­lines to re­duc­tions, it also hedges its pre­dic­tions, ef­fec­tively say­ing, “We don’t have any idea how much Oba­macare costs.” And by the way, why is an 11-year pe­riod used? Why not one year or 25 years or 13 years, 13 weeks, 13 days, 13 hours or 13 min­utes for that mat­ter? Or maybe it does mat­ter be­cause in year 12, the bal­loon pay­ment comes due.

Let’s face it, our pres­i­dent, along with the rest of our gov­ern­ment, can’t add two num­bers and get the same an­swer twice. And the CBO doesn’t have to be ac­count­able if its num­bers are hedged suf­fi­ciently.

As Wal­ter Cronkite would say, “And that’s the way it is.” Shame­ful. I think I know what’s mak­ing ev­ery­one sick: a pri­mary di­ag­no­sis of our gov­ern­ment’s in­ep­ti­tude with a co-mor­bid­ity of self-ag­gran­dize­ment pre­sent­ing symp­toms of manic delu­sion in the hope of cit­i­zens imag­in­ing they’ll be happy if only they trust Wash­ing­ton bu­reau­crats to solve their prob­lems.

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