As we mentioned this morning, nobody believes that Congress will follow through on the health care spending cuts used to help pay for the Reid Health Bill. At NRO, Ethics and Public Policy Center fellow James Capretta combs through the CBO report and delivers a true price tag for the Reid Bill:

So, here’s the bottom line. On paper, the Reid plan plus the “doc fix” would increase total federal spending by about $4.9 trillion over 20 years. Senate Democrats would resort to bracket creep and other tax hikes to raise $2.2 trillion over the same period. The balance would be made up with spending reductions, mainly in Medicare, that no one believes can be sustained, and in any event do not constitute “health reform.” In other words, it’s a tax-and-spend bill of the highest order. And only the spending is certain to happen.