(Forbes) In March of 2011, Health and Human Services Secretary Kathleen Sebelius admitted
that the law double-counts its reductions in Medicare spending, by claiming that
the law both reduces the deficit and extends Medicare’s solvency.

Blahous estimates that at least “$470 billion of the Medicare savings under the
ACA scored by CBO through 2021 substitutes for savings required under previous
law.” Whether or not you accept his approach depends on whether or not you think
that Medicare funds should be segregated from the rest of the budget.  Read more.