By: Congressional Budget Office
Published: July 1993
Financed by: Congress of the United States
Legislation analyzed: S. 491, the American Health Security Act of 1993
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CBO estimates that enactment of S. 491 would raise national health expenditures at first but would reduce spending about 5 percent in 2003. The administrative savings from switching to a single-payer system would offset some of the cost of the additional services demanded by consumers. Over the longer run, the cap on the growth of the national health budget - assumed to be 75 percent effective, as explained below - would hold the rate of growth of spending on covered services below the baseline.