Hah, I tricked you into reading a health care policy report...:P
An excellent new report from the Commonwealth Fund illustrates how savings from controlling health care costs and improving quality in conjunction with a model universal coverage plan could actually save money instead of costing. A model they developed - Insurance Connector - would provide access to affordable coverage (subsidized for low income people) by giving the public a choice between private insurance plans and Medicare (so far it sounds a lot like John Edwards plan).
There's a lot of data here to look at, but one of the more important aspects of the report is that cutting costs and providing affordable universal coverage must be done concurrently, or both will result in high costs in the years to come. IOW, enacting a health care reform plan that only addresses lowering the cost of health care without providing universal coverage will still result in rising health care costs due to continued growth of uninsured Americans. Conversely, enacting a program to provide universal health coverage, particularly under plans w/ taxpayer subsidy of private insurance plans, without enacting plans to control costs would result in health system cost increases of $15 billion the first year and $218 billion over the next ten years. It seems Massachusetts and a few other states are learning this lesson the hard way.
If both cost control and quality & efficiency reforms are enacted simultaneously with the Insurance Connector model, cumulative savings over 10 years would equal
$1.5 trillion.
The executive summary is at the link above, but there is more information at the site, including cost savings for different proposals they developed. It certainly seems to make sense that controlling health care costs and improving efficiency would offset increases in the cost of providing universal coverage. It should also serve as a cautionary warning against attempting to publicly subsidize the purchase of private insurance without addressing cost controls.
There's enough data here to allow anyone to calculate the costs of any candidate's health care reform plan with some interesting results.
http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=620087Link to interactive web feature of the Report
http://www.commonwealthfund.org/usr_doc/site_docs/slideshows/SavingsMatrix/matrix.html