And some are because of cuts in health care spending passed by Congress. The Affordable Care Act, in particular, made significant reductions to Medicare’s spending on hospitals and private Medicare plans, to help subsidize insurance coverage for low- and middle-income Americans. The Budget Control Act, which Congress passed in 2011, also made some across-the-board cuts to Medicare spending.
But much of the recent reductions come from changes in behavior among doctors, nurses, hospitals and patients. Medicare beneficiaries are using fewer high-cost health care services than in the past — taking fewer brand-name drugs, for example, or spending less time in the hospital. The C.B.O.’s economists call these changes “technical changes,” and they dominate the downward revisions since 2010.
Let me translate this horseshit for you: Medicare “spending” is going down because Obamacare takes money that used to go to seniors who got Medicare, and handed it over to the uninsured it deemed more worthy. Cutting spending on Medicare has, unsurprisingly, resulted in cuts to the services and goods it offers – patients are being kicked out of hospitals with their catheters dangling and their oxygen tubes rammed up their nostrils, and being disallowed from taking the drugs their doctors have specifically prescribed in favor of drugs deemed cheaper.
But hey, the CBO says Obama has saved the federal deficit, so it must be true.