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Despite promises that ObamaCare would be fully paid for and reduce the budget deficit, many of the savings will not materialize when the time comes. Firstly, it is extremely difficult from a technical perspective to correctly assess costs so far in the future. Secondly, many of the promised cuts are scheduled to take place far in the future in order to delay the political consequences of unpopular provisions, but future Congresses might not be willing to pay the political price for those cuts.

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