"3 years after passage of the law, after a few years of (not fully predictable) progress in medicine and IT (and every other kind of technology that effects healthcare) and dealing with states' reactions, the plans get modified/altered. The federal government has had plans (long in advance, as you say) and could base estimates on those plans but it also fine tunes them and alters them all along (mostly with the intention of reducing overall costs and delivering the best service while following the law that was passed), hence the release of a new CBO report on how much it will cost in the long run earlier this year. Like everything else, it will always be evolving."
No, my Engrish is just fine...
No, my Engrish is just fine...