There are no spending programs. Now there are only fully refundable transferable tax credits.
From Senator Coburn's Medi-Choice Proposal.
Under the Act, Americans would be eligible for a tax rebate to purchase health insurance. The “Medi-Choice” rebate would be made directly to a patient’s health insurer and would be worth $2,000. Families would receive a $5,000 tax rebate.
This my look like a "check" and may be payable to someone who is performing a government service, but in reality it is a tax cut. Trust Us.
By the way Senator Coburn's idea does look like a good spending proposal. But it does in fact increase spending.