TightWind is written by Kyle Baxter. Stay Hungry. Stay Foolish.

Douglas Holtz-Eakin, former director of the CBO, thinks repealing health care reform is fiscally responsible:

The Congressional Budget Office says repealing the Affordable Care Act would increase the deficit by $230 billion over the coming decade and by a modest amount in the decade after that. The CBO estimate has become the central defense by ACA advocates fighting the upcoming repeal vote in the House.

They might want to re-think their strategy. A close examination of CBO’s work and other evidence undercuts this budget-busting argument about repeal and leads to the exact opposite conclusion, which is that repeal is the logical first step toward restoring fiscal sanity.

Here’s one reason:

The deepest spending cuts in the ACA are in Medicare. Let us be very clear: Medicare needs real reform that generates genuine budget savings. Sadly, the ACA’s cuts are illusory. Medicare’s payments to health care providers would fall below those of Medicaid. The network of hospitals and physicians willing to care for Medicaid patients is notoriously constrained. About 15 percent of the nation’s hospitals would have to stop seeing Medicare patients in just a few years to stem their losses. The idea that Medicare could pay less than Medicaid is such sheer folly that Congress will rapidly reverse course. What’s worse, ACA’s advocates are double-counting this fictional savings, claiming it can pay both for the ACA’s entitlements and Medicare solvency too. The truth is, these cuts cannot be relied upon to pay for anything.