Democrats see springboard for healthcare in high court win

There is no shortage of proposals. Some, such as, could potentially save hundreds of billions of dollars, depending on how they are structured. But coverage and benefit expansions could cost an equal or even much greater amount.

“There is a sorting going on,” said John McDonough, who was a senior Democratic aide in the Senate during the debate over the health law. “Not all of these ideas are viable, but you don’t always know which ones at the start.” McDonough is now a professor at the Harvard T.H. Chan School of Public Health.

“These are not proposals in the single-digit billions,” said Marc Goldwein, senior policy director with the Committee for a Responsible Federal Budget. “We’re talking $100 billion, $200 billion or more — but in different directions. The more they save, the more they can spend.” His group advocates for reducing federal deficits, and Goldwein adds that “it’s my hope they abide by the basic rule that you pay for what you’re willing to spend.

Some ideas that energize progressive Democrats may have the hardest time getting through the winnowing process.

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