Congressman Paul Ryan ( R-WI) takes the President to task for cooking the books on projected health care costs, most egregiously with the “doc fix” — namely, assuming Medicare slashes physician payments by 21.3% this year and subsequently lets them fall continuously in real terms. What nobody seems to have noticed is that the same phony “doc fix” taints the new “ Health Spending Projections Through 2019 ” from Centers for Medicare and Medicaid Services (CMS).

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Health Cost Projections to 2019: The Doc Fix Trick Again ( Health, Welfare & Entitlements )