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It's a long-term care plan the Obama administration has put on hold, fearing it could go bust if actually implemented. Yet while the program exists on paper, monthly premiums the government may never collect count as reducing federal deficits. Real or not, that's $80 billion over the next 10 years.
"It's a gimmick that produces phantom savings," said Robert Bixby, executive director of the Concord Coalition, a nonpartisan group that advocates deficit control.. "That money should have never been counted as deficit reduction because it was supposed to be set aside to pay for benefits," Bixby added. "The fact that they're not actually doing anything with the program sort of compounds the gimmick."
"They've shelved it, but they're keeping it around," said Rep. Denny Rehberg, R-Mont. "The only logical reason I can see is that they need the money — even though there is no money there — to make Obamacare work." Absolutely not, says the administration. "We are looking at the CLASS program from every angle," Kathy Greenlee, assistant HHS secretary for aging, blogged recently. "We are doing our due diligence." The administration will soon release a report with recommendations about how to proceed, she added.
Don't expect CLASS to go away easily. If the congressional supercommittee tackling the debt decides to recommend repeal, the panel would have to come up with about $80 billion in other cuts — possibly real and painful — to offset the hypothetical savings from CLASS.
Here’s how the program works (or rather how it doesn’t): Workers pay into the program at regulated rates determined by bureaucrats at the Department of Health and Human Services, which will be prohibited from taking individual health history into account. For the poor, the rate is set at a flat rate of $5 per month, adjusted for inflation over time. Workers who pay in for five years and develop difficulty with daily living will then be eligible for a cash benefit of a minimum of $50 each day to spend on care—a benefit designed to rise with inflation. There’s no limit to the amount of cash the benefit can pay out, and it lasts as long as the beneficiary is alive and eligible. The Obama administration claims the program is only for those who want to join, but that’s true only in the strictest sense. According to John Inglehart, a founding editor of the health policy journal Health Affairs, “all adult Americans would effectively be ‘nudged’ into joining” the program. It’s technically voluntary, in other words, but the Obama administration is already convinced that everyone will want to join. On the other hand, maybe they will! After all, the biggest problem with the program is that the benefits it’s projected to pay out vastly exceed the premium revenues it’s expected to collect. Plenty of beneficiaries (though not all), then, stand to more than make their money back.