Orszag Health Care Reform Must be Deficit Neutral

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Let me just conclude by noting that the current debate over health care reform illustrates the importance of the PAYGO principle. Some advocates may support health reform even if it expands the deficit. The administration does not share that perspective. Some may say that all we need to do is make the system more efficient in the long run and this will pay for health care reform. We agree that bending the health care cost curve over the long run is essential, but it is not enough. That is why we have put forward $950 billion in hard scoreable offsets to make sure that the legislation is deficit neutral not only over 10 years but also in the tenth year alone.