Why Is Mick Mulvaney Complaining About CBO’s Score of the Republican Health Care Bill?

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.


Republicans have a problem. The party of fiscal discipline and a balanced budget really, really wants to pass a tax cut for the rich that will blow up the deficit. Unfortunately, Senate PAYGO rules don’t allow this,1 and Democrats can filibuster any attempt to change those rules.

But there’s a metaphysical issue embedded here: how can you know—really know—that a bill will increase the deficit? That’s like seeing into the future! What godlike intelligence could possibly do that? It’s impossible!

Nonetheless, in our fallen state this task has been given to the Congressional Budget Office. And they have an annoying tendency to produce results that Republicans don’t like. So Trump’s budget chief, Mick Mulvaney, is making the case that we should get rid of the CBO entirely:

“I would do my own studies here at OMB…And other folks would do their studies from the outside. And those would come with their natural biases. The Heritage Foundation comes in and says it’s going to cost a lot. Brookings comes in or the Center for American Progress says the benefits would be great.

….Asked what would happen in a scenario in which, say, a Democratic administration says a bill costs $500 billion and Heritage Foundation puts out a report saying the same bill would cost trillions, Mulvaney responded, “Then they would do it and if it works, they would get re-elected and if it doesn’t, they don’t. And that was the way it worked before the Congressional Budget Office.”

In other words, there would be no rules at all. You’d just do whatever you wanted, and if you get reelected it must mean you were right. This is a fascinating ontological approach to budget estimation.

But what’s more fascinating is Mulvaney’s pretense that what he’s really upset about is the CBO’s score of the Republican health care bill:

Mulvaney was particularly critical of the CBO’s recent estimate that the House-passed healthcare bill would result in 23 million fewer people with health insurance. He argued that the CBO’s model assumed that the mandate requiring individuals obtain coverage has a lot more influence on people’s decisions than it does in real life.

“Did you see the methodology on that 23 million people getting kicked off their health insurance?” he said. “You recognize of course that they assume that people voluntarily get off of Medicaid? That’s just not defensible. It’s almost as if they went into it and said, ‘Okay, we need this score to look bad. How do we do it?'”

But CBO’s most recent estimate says the health care bill will reduce the deficit by about $100 billion. Mulvaney has no beef with this, nor any reason to be upset about the estimate of 23 million people losing insurance, since that’s the very thing that reduces costs enough to make the bill compliant with PAYGO rules. So why is Mulvaney kvetching about this?

In fact, Mulvaney doesn’t care a fig about AHCA. He’s just preparing the ground for an assault on the CBO when it comes time to score his cherished tax bill. A few years back Republicans finally badgered the CBO into accounting for the “dynamic” effects of tax cuts, but they’ve never been satisfied with CBO’s refusal to use the most fanciful dynamic models, which assume that tax cuts pay for themselves entirely. And CBO is obstinate about this even with a Republican in charge! What to do?

Answer: Get rid of the CBO. But Democrats would filibuster any attempt to do that. So what is Mulvaney up to? Just this: it turns out that the Senate Budget Committee isn’t actually required to use CBO estimates. They always have in the past, but that’s a custom, not a rule. They have the authority to make their own estimates, and all it takes to make them stick is a majority vote in the committee.2

Mulvaney is basically trying to start up a campaign to put some spine into the SBC’s Republican members to ignore the CBO and simply score the tax bill using a model that will pronounce it deficit-neutral. That’s what this is all about.

1The House has no PAYGO rules for tax cuts.

2There are also Byrd Rule problems with the tax cut bill, but Republicans already think they might have a way around those.

AN IMPORTANT UPDATE ON MOTHER JONES' FINANCES

We need to start being more upfront about how hard it is keeping a newsroom like Mother Jones afloat these days.

Because it is, and because we're fresh off finishing a fiscal year, on June 30, that came up a bit short of where we needed to be. And this next one simply has to be a year of growth—particularly for donations from online readers to help counter the brutal economics of journalism right now.

Straight up: We need this pitch, what you're reading right now, to start earning significantly more donations than normal. We need people who care enough about Mother Jones’ journalism to be reading a blurb like this to decide to pitch in and support it if you can right now.

Urgent, for sure. But it's not all doom and gloom!

Because over the challenging last year, and thanks to feedback from readers, we've started to see a better way to go about asking you to support our work: Level-headedly communicating the urgency of hitting our fundraising goals, being transparent about our finances, challenges, and opportunities, and explaining how being funded primarily by donations big and small, from ordinary (and extraordinary!) people like you, is the thing that lets us do the type of journalism you look to Mother Jones for—that is so very much needed right now.

And it's really been resonating with folks! Thankfully. Because corporations, powerful people with deep pockets, and market forces will never sustain the type of journalism Mother Jones exists to do. Only people like you will.

There's more about our finances in "News Never Pays," or "It's Not a Crisis. This Is the New Normal," and we'll have details about the year ahead for you soon. But we already know this: The fundraising for our next deadline, $350,000 by the time September 30 rolls around, has to start now, and it has to be stronger than normal so that we don't fall behind and risk coming up short again.

Please consider pitching in before moving on to whatever it is you're about to do next. We really need to see if we'll be able to raise more with this real estate on a daily basis than we have been, so we're hoping to see a promising start.

—Monika Bauerlein, CEO, and Brian Hiatt, Online Membership Director

payment methods

AN IMPORTANT UPDATE ON MOTHER JONES' FINANCES

We need to start being more upfront about how hard it is keeping a newsroom like Mother Jones afloat these days.

Because it is, and because we're fresh off finishing a fiscal year, on June 30, that came up a bit short of where we needed to be. And this next one simply has to be a year of growth—particularly for donations from online readers to help counter the brutal economics of journalism right now.

Straight up: We need this pitch, what you're reading right now, to start earning significantly more donations than normal. We need people who care enough about Mother Jones’ journalism to be reading a blurb like this to decide to pitch in and support it if you can right now.

Urgent, for sure. But it's not all doom and gloom!

Because over the challenging last year, and thanks to feedback from readers, we've started to see a better way to go about asking you to support our work: Level-headedly communicating the urgency of hitting our fundraising goals, being transparent about our finances, challenges, and opportunities, and explaining how being funded primarily by donations big and small, from ordinary (and extraordinary!) people like you, is the thing that lets us do the type of journalism you look to Mother Jones for—that is so very much needed right now.

And it's really been resonating with folks! Thankfully. Because corporations, powerful people with deep pockets, and market forces will never sustain the type of journalism Mother Jones exists to do. Only people like you will.

There's more about our finances in "News Never Pays," or "It's Not a Crisis. This Is the New Normal," and we'll have details about the year ahead for you soon. But we already know this: The fundraising for our next deadline, $350,000 by the time September 30 rolls around, has to start now, and it has to be stronger than normal so that we don't fall behind and risk coming up short again.

Please consider pitching in before moving on to whatever it is you're about to do next. We really need to see if we'll be able to raise more with this real estate on a daily basis than we have been, so we're hoping to see a promising start.

—Monika Bauerlein, CEO, and Brian Hiatt, Online Membership Director

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate