That is paid for in the legislation by elevated efficiencies in Medicare, decreasing obligations to insurance companies that sell Medicare Advantage programs, and higher costs on medical device businesses, among other income raising measures . Politico: Democrats Pounce On CBO Repeal Estimate Democrats head into the first House healthcare reform repeal vote today with new ammo: a Congressional Spending budget Workplace estimate that repeal would increase the deficit by $230 billion by 2021 . The Hill: House Dems Slam GOP For Dismissing CBO Estimate On Health care Repeal Home Democratic leaders on Thursday blasted Republicans for dismissing the official cost estimate of health care repeal in favor of their own analysis .Advocates: Robert E. Behrens, REB Investments Inc. Debra Black, Melanoma Study Alliance Roy Doumani, cancer survivor Valerie Guild, Purpose at Melanoma Jonathan W. Simons, M.D., Prostate Cancer Foundation Mary Elizabeth Williams, Salon.com.. Also in global health news: N. Korea An unhealthy grain harvest in 2009 2009 is likely to exacerbate North Korea’s severe meals shortages, Agence France-Presse reports . ‘The North is estimated to possess produced 4.1 million tons of grain this past year, a drop around 200,000 tons in comparison to 2008, the [South Korean] Unification Ministry official said on condition of anonymity,’ Yonhap News reports. ‘The total amount falls about 1.3 million tons short of what the impoverished country needs this full year to feed its 24 million people, the official said’ .