Speaker Nancy Pelosi unveiled the House Democrats' merged health-care bill today. It weighs in at 1,990 pages--you can read them all here. Tevi Troy has compiled a good list of who will be unhappy with the bill here. The bill purportedly costs just under $900 billion over ten years (though the Democrats haven't released the CBO's "preliminary" score yet; UPDATE: Here's the CBO score; the bill would actually cost over $1 trillion). It will be paid for with a 5.4% surtax on individuals making more than $500,000, a 2.5% tax on medical device manufacturers, up to an 8% payroll tax on businesses with more than $500,000 in payroll that don't provide employees health insurance, "between $125 billion and $150 billion" in cuts for pharmaceutical companies -- "almost twice the $80 billion they agreed to under the White House deal" -- and a $2,500 limit on contributions to tax-exempt health flexible spending accounts. The bill is also paid for through Medicare "savings" (read: "cuts"). The Democrats claim that the bill would reduce the deficit by $30 billion over 10 years (after that, things look iffy). The problem is that the Democrats assume that Medicare reimbursement rates will be slashed by 20 percent. But House Democrats introduced separate legislation today to eliminate the scheduled Medicare cuts--the so-called " doc fix" bill. So, if you add that bill with the health-care bill, the health-care bill would add more than $200 billion to the deficit, rather than cut $30 billion, over 10 years. And what do we get in return? A government-run insurance plan or "public option," an expansion of Medicaid to those making 150% of the poverty line, subsidies or "affordability credits" for those making between 150% and 400% of the poverty line, and a raft of coverage restrictions for insurance companies. Best of all, the Washington Post notes that the "insurance industry would face new coverage restrictions," and the bill would "require health plans to allow young adults to remain on their parents' insurance policies until their 27th birthdays." (I'm pleased to know that the Democrats want to extend Ezra Klein's childhood for two more years.) And, of course, the bill provides coverage for elective abortions for those on the public plan as well as for those who purchase federally subsidized plans. The bill includes the language of the Energy and Commerce committee's Capps amendment. President Obama said during his health-care address to Congress that "under our plan, no federal dollars will be used to fund abortions." The (false) talking point from the White House is that the Hyde amendment prevents federal-funding of abortions, but in fact that amendment would not apply to the health-care bill. Pelosi-care is a mess. No wonder the public remains opposed to health care reform.