“In the congressional floor debate leading up to the repeal vote, Rep. Paul Ryan (R., Wis.) highlighted a point that has generally gone under the radar: The Congressional Budget Office (CBO) says that Obamacare would increase the national debt. The CBO writes that, by the end of 2019 alone, Obamacare ‘would amount to a net increase in federal deficits of $226 billion.’ Elsewhere, in a conclusion that only the truly credulous could accept, the CBO says that Obamacare would decrease deficits. But, as the CBO notes, that’s before ‘factoring in that the [Medicare Hospital Insurance] trust fund would hold more than $358 billion of additional government debt by the end of 2019 compared with its holdings under current law.'”