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	<title>Comments on: Expenditures for Health Programs Always Outpace Early Estimates</title>
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	<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/</link>
	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: Projected Health Care Costs vs Actual &#171; Democratic Thinker</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-46049</link>
		<dc:creator>Projected Health Care Costs vs Actual &#171; Democratic Thinker</dc:creator>
		<pubDate>Sat, 12 Sep 2009 02:20:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-46049</guid>
		<description>[...] &#124; Expenditures for Health Programs Always Outpace Early Estimates    Aug 20, 2009 by Devon Herrick   Government has a poor record of predicting the cost of health [...]</description>
		<content:encoded><![CDATA[<p>[...] | Expenditures for Health Programs Always Outpace Early Estimates    Aug 20, 2009 by Devon Herrick   Government has a poor record of predicting the cost of health [...]</p>
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		<title>By: Maggie's Farm</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45331</link>
		<dc:creator>Maggie's Farm</dc:creator>
		<pubDate>Tue, 25 Aug 2009 14:12:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45331</guid>
		<description>&lt;strong&gt;Bruce’s Two-Bits...&lt;/strong&gt;

A good time to be a jihadist “Obama has already gone a long way towards ensuring that interrogators cannot use any technique that might reasonably be expected to extract information from hardened terrorists.”
The CIA Report: What Does It Say? 

The ...</description>
		<content:encoded><![CDATA[<p><strong>Bruce’s Two-Bits&#8230;</strong></p>
<p>A good time to be a jihadist “Obama has already gone a long way towards ensuring that interrogators cannot use any technique that might reasonably be expected to extract information from hardened terrorists.”<br />
The CIA Report: What Does It Say? </p>
<p>The &#8230;</p>
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		<title>By: pat</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45318</link>
		<dc:creator>pat</dc:creator>
		<pubDate>Tue, 25 Aug 2009 13:04:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45318</guid>
		<description>Are these the projected and actual costs of the first full year of the program?  Or are the projections/actuals some years in the future?</description>
		<content:encoded><![CDATA[<p>Are these the projected and actual costs of the first full year of the program?  Or are the projections/actuals some years in the future?</p>
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		<title>By: Instapundit &#187; Blog Archive &#187; THE OBAMACARE DEFICIT BLOWOUT: &#8220;The press corps has noticed the Congressional Budget Office’s est&#8230;</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45315</link>
		<dc:creator>Instapundit &#187; Blog Archive &#187; THE OBAMACARE DEFICIT BLOWOUT: &#8220;The press corps has noticed the Congressional Budget Office’s est&#8230;</dc:creator>
		<pubDate>Tue, 25 Aug 2009 12:29:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45315</guid>
		<description>[...] more, judging by the experience with Medicare and other programs, actual spending will be much higher than even these [...]</description>
		<content:encoded><![CDATA[<p>[...] more, judging by the experience with Medicare and other programs, actual spending will be much higher than even these [...]</p>
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		<title>By: No Runny Eggs &#187; Blog Archive &#187; We&#8217;ve Only Just Begun</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45252</link>
		<dc:creator>No Runny Eggs &#187; Blog Archive &#187; We&#8217;ve Only Just Begun</dc:creator>
		<pubDate>Mon, 24 Aug 2009 10:52:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45252</guid>
		<description>[...] I also say &#8220;at least&#8221; because there is historical evidence that the first year of all major government health programs have been significantly underestimated. Take a look at this graph from John Goodman&#8217;s Health Policy Blog: [...]</description>
		<content:encoded><![CDATA[<p>[...] I also say &#8220;at least&#8221; because there is historical evidence that the first year of all major government health programs have been significantly underestimated. Take a look at this graph from John Goodman&#8217;s Health Policy Blog: [...]</p>
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		<title>By: russ</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45181</link>
		<dc:creator>russ</dc:creator>
		<pubDate>Fri, 21 Aug 2009 21:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45181</guid>
		<description>It just isn&#039;t in health care the federal government screws up estimates on....

Consider this Cato commentary from five years ago by Jenifer Zeigler...

&lt;a href=&quot;http://www.cato.org/pub_display.php?pub_id=2807&quot; rel=&quot;nofollow&quot;&gt;&lt;b&gt;$9 Trillion Didn&#039;t End Poverty -- What to Do?&lt;/b&gt;&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>It just isn&#8217;t in health care the federal government screws up estimates on&#8230;.</p>
<p>Consider this Cato commentary from five years ago by Jenifer Zeigler&#8230;</p>
<p><a href="http://www.cato.org/pub_display.php?pub_id=2807" rel="nofollow"><b>$9 Trillion Didn&#8217;t End Poverty &#8212; What to Do?</b></a></p>
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		<title>By: Health Care Costs Often Exceed Expectations &#171; Free Market Mojo</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45171</link>
		<dc:creator>Health Care Costs Often Exceed Expectations &#171; Free Market Mojo</dc:creator>
		<pubDate>Fri, 21 Aug 2009 17:19:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45171</guid>
		<description>[...] HT: John Goodman&#8217;s Health Policy Blog [...]</description>
		<content:encoded><![CDATA[<p>[...] HT: John Goodman&#8217;s Health Policy Blog [...]</p>
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		<title>By: Ken</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45134</link>
		<dc:creator>Ken</dc:creator>
		<pubDate>Thu, 20 Aug 2009 23:10:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45134</guid>
		<description>Fascinating chart.</description>
		<content:encoded><![CDATA[<p>Fascinating chart.</p>
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		<title>By: Devon Herrick</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45118</link>
		<dc:creator>Devon Herrick</dc:creator>
		<pubDate>Thu, 20 Aug 2009 20:46:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45118</guid>
		<description>I noticed one interesting point to this analysis.  These are programs for which the government has little control over demand. Yet it has estimating a cost far into the future.  A case in point is the Hospital Disproportionate Share Hospital (DSH) fund.  The DSH fund is essentially throwing money at hospitals for providing charity care. Hospitals have little incentive to vet which patients are truly needy, and collect from those that aren&#039;t needy when the government is willing to spend billions on hospitals that treat indigent patients.</description>
		<content:encoded><![CDATA[<p>I noticed one interesting point to this analysis.  These are programs for which the government has little control over demand. Yet it has estimating a cost far into the future.  A case in point is the Hospital Disproportionate Share Hospital (DSH) fund.  The DSH fund is essentially throwing money at hospitals for providing charity care. Hospitals have little incentive to vet which patients are truly needy, and collect from those that aren&#8217;t needy when the government is willing to spend billions on hospitals that treat indigent patients.</p>
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		<title>By: Charlie</title>
		<link>http://healthblog.ncpa.org/expenditures-for-health-programs-always-outpace-early-estimates/comment-page-1/#comment-45106</link>
		<dc:creator>Charlie</dc:creator>
		<pubDate>Thu, 20 Aug 2009 14:10:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4773#comment-45106</guid>
		<description>And the Massachusetts Plan is just getting started. I like to think of Government plans like diesel engines, sometimes they take awhile to warm up, but from then on you can always count on them to run up the public debt.

Since it is a state program, I don&#039;t think that the Massachusetts will threaten the frightening expenditure growth of Medicare and Medicaid, but if some of the current plans in Congress get passed, which resemble the Mass. Plan (exchange, individual mandate, guaranteed access, mandates), then we are in for a wild ride.</description>
		<content:encoded><![CDATA[<p>And the Massachusetts Plan is just getting started. I like to think of Government plans like diesel engines, sometimes they take awhile to warm up, but from then on you can always count on them to run up the public debt.</p>
<p>Since it is a state program, I don&#8217;t think that the Massachusetts will threaten the frightening expenditure growth of Medicare and Medicaid, but if some of the current plans in Congress get passed, which resemble the Mass. Plan (exchange, individual mandate, guaranteed access, mandates), then we are in for a wild ride.</p>
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