Basically, at least in that hypothetical, both - in that it assumes that 1233 billion, which is by far the most the feds have ever spent on health care there (it was under a billion until 2014, and down around 800 billion during Obama's first term according to the charts on the websites I'm looking at) is not likely to be exceeded going forward. Asking for that budget to be maintained is a big ask, asking for a significant expansion of it is likely to be a non-starter. and even that huge sum of money isn't enough to provide the extremely high standard of health care that some would probably suggest everyone should receive as of right. There isn't unlimited money.
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