Spending for 2013 will be 23% of GDP up from 20% historical levels, and revenues will be 18% creating a 5% of GDP deficit to be funded with increased debt.
He has promised that the health care plan he supports will increase access to health services and improve their quality, but simultaneously will not increase the size of the federal deficit or be funded with tax hikes - and this is impossible.
In a challenge to Chancellor George Osborne's central argument, Mr Cable says debt-funded capital spending "would not undermine the central objective of reducing the structural deficit and may assist in reviving growth".