Budget tricks rife in health reform effort

Advocates of health care reform are relying on budget manipulations to stick with President Obama's pledge to overhaul the system without adding to the deficit, critics on and off Capitol Hill say.

Both independent budget analysts and Republicans say a Senate vote expected this week on a 10-year, nearly $250 billion Medicare reimbursement bill is the perfect example. They say it was sliced out of the reform plans because it would send the cost of Mr. Obama's top legislative priority over $1 trillion.

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