Why don't Republicans want to lower the deficit?

The health care bill LOWERS the deficit by more than $1 trillion in 20 years. It saves money. It reduces spending. It costs less. It's fiscally responsible.

That's good. Right? isn't it what Republicans constantly scream about - fiscal responsibility and deficit reduction?

Obligatory chart that should make everyone who votes Republican because of "fiscal responsibility" never do it again (click to enlarge):