The Con­gres­sion­al Bud­get Office is an objec­tive means for Con­gress to deter­mine the cost effect of var­i­ous pieces of leg­is­la­tion. Unfor­tu­nate­ly, it has weighed in too often and with even con­tra­dic­to­ry assess­ments of the poten­tial cost of the Afford­able Care Act. Now on the cusp of Con­gres­sion­al action to dra­mat­i­cal­ly change or even elim­i­nate the ACA, the CBO has now said that the GOP led effort for change would cost $42 bil­lion less than pre­vi­ous­ly expect­ed and save more than half a tril­lion (yes tril­lion) over ten years. Of course, that is what they said about the pas­sage of the ACA in the first place, so…