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"These are not propositions in the single-digit billions," stated Marc Goldwein, senior policy director with the Committee for an Accountable Federal Spending Plan. "We're talking $100 billion, $200 billion or more but in different directions. The more they conserve, the more they can invest." His group advocates for minimizing federal deficits, and Goldwein adds that "it's my hope they abide by the basic guideline that you pay for what you're prepared to invest." Early on, a hierarchy of propositions has begun to emerge.

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

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Also uncertain is the outlook for licensing Medicare to negotiate prescription drug costs. House Speaker Nancy Pelosi, D-California, passed a robust expense in your home nearly 2 years earlier, and the problem stays a top priority for congressional Democrats along with Biden. The 2019 legislation would have conserved the federal government more than $450 billion over ten years through Medicare cost settlements, however Pelosi's difficult technique to the politically powerful pharmaceutical market is seen as an issue for some Senate Democrats.

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For example, adding oral, vision and hearing benefits to Medicare could cost about $360 billion over 10 years. Some concepts that energize progressive Democrats may have the hardest time getting through the winnowing process. That could be the case with the proposal for a brand-new "public alternative" health insurance plan to be provided alongside subsidized private coverage through Health, Care.

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It's unclear whether such a proposal can pass inspection under the budget rules that would allow the Biden program to clear the Senate without Republican votes. Individually, a proposal to lower Medicare's eligibility age to 60 from 65 might show challenging. Republicans are already mentioning that Medicare's huge trust fund is anticipated to be in the red in 2026.