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"These are not propositions in the single-digit billions," said Marc Goldwein, senior policy director with the Committee for a Responsible Federal Budget. " More Discussion Posted Here  talking $100 billion, $200 billion or more but in various instructions. The more they save, the more they can invest." His group advocates for minimizing federal deficits, and Goldwein adds that "it's my hope they follow the standard rule that you spend for what you want to spend." Early on, a hierarchy of proposals has actually begun to emerge.

They're now offered through completion of next year under his COVID-19 relief expense. The cost is estimated at $163 billion over 10 years. Another health law concern includes figuring out how to cover more than 2 million low-income individuals in primarily Southern states that have not expanded their Medicaid programs.

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Likewise unsure is the outlook for licensing Medicare to negotiate prescription drug prices. Home Speaker Nancy Pelosi, D-California, passed a robust bill in the House practically two years ago, and the issue remains a priority for congressional Democrats as well as Biden. The 2019 legislation would have conserved the federal government more than $450 billion over ten years through Medicare rate settlements, however Pelosi's hard approach to the politically powerful pharmaceutical market is viewed as an issue for some Senate Democrats.

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For example, adding dental, vision and hearing benefits to Medicare might cost about $360 billion over 10 years. Some concepts that stimulate progressive Democrats might have the hardest time getting through the winnowing procedure. That could be the case with the proposal for a new "public alternative" medical insurance plan to be provided together with subsidized personal coverage through Health, Care.

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It's unclear whether such a proposal can make the cut under the budget plan guidelines that would permit the Biden program to clear the Senate without Republican politician votes. Separately, a proposition to lower Medicare's eligibility age to 60 from 65 might prove difficult. Republicans are already explaining that Medicare's huge trust fund is anticipated to be in the red in 2026.