To ease concern over costs of health care reform, politicians point to Congressional Budget Office reports that label the legislation as deficit-reducing. But the cost estimates presented by CBO camouflage the true costs. While revenues in the Senate bill begin in the first year, costs do not kick in until 2014, resulting in 10 years of revenues and six years of costs.

Once you look past this accounting gimmick, the gross cost of the Senate bill over a full 10 years of implementation is in excess of $2 trillion, more than twice the current estimate. And even those costs are low-balled.

And while Congress has specified deep cuts in Medicare reimbursements for medical service providers, if implemented as intended the cuts in physician payments will induce more doctors to...