Last night, the chief actuary at the Centers for Medicare & Medicaid Services (CMS) released his long-awaited report on the Democrats’ health care spending bill. The report states, “[W]e estimate that overall national health expenditures under the health reform act would increase by a total of $311 billion during calendar years 2010-2019. . . .” This was an assessment that was requested by Senate Republican Leader Mitch McConnell prior to the final votes on health care in the House, but CMS told Republicans that they couldn’t complete an analysis in time for the vote. Given the report’s findings, it’s easy to see why Democrats decided to rush ahead with a vote before the report could be completed.