I've been reading through the Medicare Trustees Report Summary and am increasingly confused. It seems that there is some merit to claims that there is double-counting to simultaneously pay for health reform and also strengthen Medicare's future. Both the CMS and the CBO have said that we cannot claim that the Medicare cuts enacted will simultaneously finance the new healthcare law, which is supposed to cover 30 million uninsured, and extend the solvency of the existing Medicare program.
As John Goodman points out on The Healthcare Blog, on page 281 of the full report, where Medicare’s chief actuary, Richard Foster's sign-off signature would normally appear, there is instead mention of an alternative report prepared by the office of the Medicare actuaries. This alternative report is below:
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