The New York Times (I know, right?) discusses the real costs of the Healthcare Bill:
The answer, unfortunately, is that the budget office is required to take written legislation at face value and not second-guess the plausibility of what it is handed. So fantasy in, fantasy out.
In reality, if you strip out all the gimmicks and budgetary games and rework the calculus, a wholly different picture emerges: The health care reform legislation would raise, not lower, federal deficits, by $562 billion.
Read the whole thing for the details; there are far too many to excerpt here.
We really need a new tort: legislative malpractice. One possible way to get there would be obscenely dishonest misrepresentations like this.