Republicans are at pains these days to present themselves as the party of fiscal austerity. They're also at pains to advertise themselves as the party that will repeal (or repeal and replace) the Democrats' new health care law.
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The problem for them is that those two platforms are basically mutually exclusive. If Republicans attempt to repeal the health care bill, they'll run headlong into the Congressional Budget Office, which found that the health care bill reduces deficits by over $100 billion over its first 10 years. Repeal that, and Republicans will have to raise taxes or cut spending to keep from driving up the deficit they decry. Or they could simply ignore Congressional scorekeepers -- which is what top Republicans seem intent on doing.
"We all know that it's going to increase the deficit," said Senate Minority Leader Mitch McConnell at his weekly press availability, in response to a question from TPMDC.