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SPENDING IS THE PROBLEM Historic/Projected Spending & Revenue as a Share of Economy

SPENDING IS THE PROBLEM Historic/Projected Spending & Revenue as a Share of Economy. Source : OMB/CBO. CRUSHING BURDEN OF DEBT U.S. Debt Held by Public as a Share of Economy. Source: OMB/CBO. Contrast in Visions A Comparison of Fiscal Year 2014 Budget Resolutions.

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SPENDING IS THE PROBLEM Historic/Projected Spending & Revenue as a Share of Economy

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  1. SPENDING IS THE PROBLEMHistoric/Projected Spending & Revenue as a Share of Economy Source: OMB/CBO

  2. CRUSHING BURDEN OF DEBTU.S. Debt Held by Public as a Share of Economy Source: OMB/CBO

  3. Contrast in Visions A Comparison of Fiscal Year 2014 Budget Resolutions [1] The Senate Democrats’ budget resolution increases revenue by $923 billion over ten years. It includes reconciliation directives to increase revenue by $975 billion over ten years. According to the Senate Budget Committee Republican staff, if the resolution assumptions for offsetting the sequester ($480 billion) and stimulus ($100 billion) are included, it increases taxes by $1.5 trillion.

  4. State Decisions For Creating Health Insurance Exchanges 3 17 27 7 Source: Kaiser Family Foundation, May 28, 2013, http://kff.org/health-reform/state-indicator/health-insurance-exchanges/# http: Kaiser Family Foundation, statehealthfacts.org

  5. 2014: “State” Exchanges • Insurance “Marketplace” for Individuals and Small Business • HHS Administers Exchanges in Lieu of States; Some States Entering Into “Partnership” to Share Responsibility • “State” in Name Only: ACA Requirements and Federal Regulations Drive What Can Be Offered in State, Partnership and Federal Exchanges • Much of 20k Pages Of Regulations Issued so far Relate to Exchange/Insurance Regulation • Benefit Design, Cost-sharing, and Even Participating Doctors and Providers Subject to Federal Control and Oversight • $1 Trillion for Sliding Scale Premium/Cost-sharing Subsidies for Individuals/Families up to 400% of Federal Poverty

  6. Labor Market Impacts • False Promise: Speaker Pelosi stated that the law “will create 4 million jobs, 400,000 almost immediately.” • 71%of small businesses say the health care law makes it harder to hire additional workers. • Spring/Summer reports of employers shifting workers to part-time or 29 hours to avoid Obamacare rules. • False Promise: President Obama said, “If you like your health care plan, you can keep your health care plan.” • 7 million fewer people will have employer-sponsored coverage according to CBO. • HHS estimates that up to 80%of small employer plans will lose grandfathered status – triggering new requirements on the coverage Americans have today.

  7. Examples of Employer Actions • Securitas ended mini-med plans – 55,000 employees to the exchanges • Home Depot – stopped covering 20,000 part-time workers • UPS and UVA – no longer covering spouses with access elsewhere • Trader Joe’s – stopped coverage, giving 1,300 part-time workers $500 for exchange coverage • Commonwealth of VA – part-time limited to no more than 29 hours • Walgreens (160,000), Sears and Darden Restaurants – moved employees to private exchanges • IBM (110,000) and Time Warner – moved retirees to private exchanges

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