In the least surprising revelation of the day, the Congressional Budget Office doesn’t see much in the way of savings coming from health-care reform in the next 10 or so years. This is because the bills under consideration do not save much money in the next 10 or so years.

I would, however, like to propose a couple of rules for commenting on this story. Politicians who are going to use this CBO report against the existing health-care reform proposals must do some combination of the following:

a) Support, as the CBO says you should, the eradication of the tax exclusion that protects employer-based health-care insurance;

b) Support, as Lewin and Commonwealth say you should, a public insurance option that can bargain at Medicare’s rates;

c) Support, as the Office of Management and Budget and every health-care wonk in town says you should, one of the various policies floating around to give MedPAC authority to continually reform and modernize Medicare;

d) Support some form of aggressive cost-sharing that would make people extremely angry because it will save money by reducing their access to health-care services;

e) Support comparative effectiveness review that can judge not only the effectiveness but also the cost-effectiveness of various treatments, and give the federal government authority to use that data when deciding reimbursement rates.