Democrats face dilemma over how to keep health care expansion in their big spending bill:
The proposed package includes broadening Medicare to provide dental, vision and hearing benefits, expanding Medicaid in the 12 states that refused to adopt the Affordable Care Act provision and making permanent generous premium subsidies for Obamacare policies. To help pay for it, the Democrats would enable Medicare to negotiate drug prices -- another longtime goal.
Though the Congressional Budget Office has yet to weigh in on this latest proposal, it found that a 2019 House bill to add these benefits would raise spending by about $358 billion over a 10-year period.Nearly half of Medicare beneficiaries, or 24 million Americans, did not have dental coverage in 2019, according to Kaiser. Many also lack vision and hearing benefits.
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