As to the effect of deficits, it’s hard to pin down, because the White House is relying on different assumptions and there are a lot of moving parts. But just to give an idea, in its most recent estimate in March of last year, the CBO said Obamacare would reduce deficits by $210 billion over this same 10 year period. But those estimates assumed a surplus of $86 billion from the CLASS Act, a program that created the short-term appearance of deficit reduction because it collected five years of premiums before paying out any benefits. It has since been suspended as “unworkable” by the administration. Take away that surplus and add the $111 billion in extra costs, and you end up with just $13 billion in deficit reduction.