Ryan and Murray claim $23 billion in savings by extending cuts to Medicare providers through 2023. Given that Congress routinely overrides those paper cuts with a "doc fix," that claim is so phony. Bill Hoagland of the Bipartisan Policy Center, which applauds the deal, conceded, "It just adds more complexity to what's already a complex reimbursement scheme for the providers."
Groups such as the Club for Growth urge Republicans to vote no because Ryan-Murray would increase spending. Who cares what they say? They led the GOP into a "box canyon" for an unwinnable stunt. So now a bad compromise looks like a godsend.