paid for. that is a tax. excise tax on so called cadillac plans. but in the senate bill that s been put off until 2018. and the reasonable question comes up which is, do you really think a future congress which will be under a lot of pressure not to raise $1 trillion of taxes, is going to withstand that pressure, or are you going to be left where because this congress won t raise the tax now, they put it off to 2018 so you have all of the spending and not get any of the savings until 2018. isn t that unrealistic? i think two things happen right away with the way this is designed. first, it puts insurance companies who pay the tax ultimately on notice that this is coming. and they can begin to change the kind of policies that are in the market. what we want to do is change insurance company behavior which hasn t been very strategic in terms of cutting costs. as the goldman analyst said they are driving up cost, they have a
that we pay for quality and not any longer by the number of tests you do. will help also drive the private market. we ve got every strategy, every idea that health economists and experts say works in this bill, including a lot of measures, david, which the congressional budget office doesn t account for. they say maybe health i.t.s t uof electronic health records pays off. we know it does. they don t give credit for that. we know that investing in health and wellness works, if you have fewer diabetics, if you have fewer who smoke, you have fewer overweight and obese americans, that s going to lower costs. no skred given to that so we get right now $1 trillion over two decades in health savings without giving credit to a number of the programs. a couple. one has to do with how this gets paid for. that is a tax. excise tax on so called cadillac
we know that investing in health and wellness works, if you have fewer diabetics, if you have fewer who smoke, you have fewer ss overweight and obese americans, that s going to lower costs. no credit is given to that so we get right now $1 trillion over two decades in health savings without giving credit to a number of the programs. a couple. one has to do with how this gets paid for. that is a tax. excise tax on so called cadillac plans. but in the senate bill that s s been put off until 2018. and the reasonable question comes up which is, do you really think a future congress which s s will be under a lot of pressure not to raise $1 trillion of taxes, is going to withstand s that pressure, or are you going to be left where because this congress won t raise the tax now, they put it off to 2018 so s you have all of the spending and not get any of the savings until 2018. isn t that unrealistic? s