Are Republicans About To Commit Medicare Suicide?
It’s shaping up to be spring 2011 redux. Just under a year ago, Republicans — euphoric after a midterm election landslide, and overzealous in their interpretation of their mandate — passed a budget that called for phasing out Medicare over the coming years and replacing it with a subsidized private insurance system for newly eligible seniors.
The backlash was ugly. But Republicans seem to have forgotten how poisonous that vote really was, and remains…because they’re poised to do it again. This time they’re signaling they’ll move ahead, with a modified plan — one that, though less radical, would still fundamentally remake and roll back one of the country’s most popular and enduring safety net programs.
“We’re not backing off any of our ideas, any of our solutions,” GOP budget chairman Paul Ryan said last week in an interview with Fox.
Why on earth would Republicans put the whole party back on the line? Particularly after a year of serial brinkmanship and overreach that has dragged their popularity down to record lows?
The answers speak as much to the hubris of this GOP majority as it does to the fact that the party’s in thrall to a movement that demands unyielding commitment to a platform of reducing taxes on high-income earners and rolling back popular, though expensive, federal support programs.
That creates a dilemma: Vote against the platform and face a primary. Vote for it, and face constituent backlash.
House Republicans will now have to choose between reigniting that backlash, or admitting to constituents that they erred the first time around.
To make that choice easier, Ryan’s signaling he’ll swap out his old Medicare plan with a new one — one that he actually co-wrote with a Democratic Senator. That’s what Democrats think he’s going to do, and if they’re right, it will allow him and members of his party to claim they’ve moved significantly in the Democrats’ direction.
Here are all the details of the so-called Ryan-Wyden plan. There are two key differences between this plan and the original Ryan plan. The first is that Ryan-Wyden would preserve a Medicare-like public option as a competitor to private plans in its insurance exchange, and allow seniors to buy into it. The second is that it would leave the rate at which the program’s costs are allowed to grow exactly where it is in current law — forcing seniors to pay less out of pocket than would the original Ryan plan.
So substantively it is, indeed, a step or two left for the GOP. But here’s the key: it ultimately hands Medicare’s benefit guarantee over to a whimsical market, instead of keeping it in government hands, where it’s been for nearly 50 years. It would constitute a massive policy shift to the right. And that’s why Democrats abandoned Ron Wyden en masse the day the plan was unveiled.
House leadership and the Democratic Congressional Campaign Committee couldn’t be happier. They think the GOP’s walking right back into a political buzz saw, confident the public won’t be impressed by the technical modifications to the plan, or sympathetic to the fact that a single Senate Democrat endorsed it. It’s a lesson Dems learned the hard way during health care reform — all the hair splitting over specifics didn’t stop Republicans from characterizing every permutation of it as “Obamacare.” And the label stuck. Democrats are betting they can pull the same trick in reverse this year. Indeed, as you can tell from the poster below that’s already being distributed by the Democratic Congressional Campaign Committee, they liked “Ryan Plan 1” so much, they’re lining round the block for the sequel.
http://50.56.28.37/talkingpointsmemo.com/images/GOP-Horror-Movie-660.jpg
By: Brian Beutler, Talking Points Memo, February 7, 2012
Blame Greed, Not Obama For Rise In Health Insurance Premiums
It’s Obama’s fault
Isn’t everything? I can’t believe what I am hearing and reading. Insurance companies are raising their premiums and, of course, that is President Obama’s fault. It’s that damn “Obamacare.” Ah, no, it isn’t.
Insurance companies have been raising their subscriber’s premiums for years before Mr. Obama was president; actually, even before he was “Senator Obama.”
I have a family plan to cover my husband and our two children; but I also own two small businesses and cover my employees’ healthcare at both companies. The large private PPO provider who I won’t name, but has the color of the sky in their title (ahem), has increased my premiums for both group plans and my individual family plan at least once a year for the past five years. And when I phone them and ask why, they don’t have an answer. They certainly don’t say: It’s President Obama’s fault and the passage of the Affordable Care Act.
As a matter of fact, the president of Kaiser also stated that healthcare reform is not the reason for the increased premiums; at best, it might contribute to 1 percent; so what is the other 99 percent? What is the reason these insurance companies keep increasing our premiums?
How can healthcare reform increase our premiums? Due to the increased number of people being covered by the reform act (mostly children and students who may remain on their parent’s plan), there are more people purchasing plans, whether employers or employees, which actually brings more money to those insurance companies. So why the increase?
Every time my plan has been increased, I have phoned to ask what additional benefits I am receiving for that cost increase; and every time the answer is the same: none. When I ask why, no one knows. But I know, it’s greed.
All, not some, all of the heads of these insurance companies earn millions of dollars a year in their paychecks. The insurance companies are one of the few in America not being negatively affected by our economy. Don’t believe me? Check their stock prices, or the stock prices of most medical related companies for that matter.
Actually, the increase in premiums, whether a person has an HMO or a PPO, just helps to support the need not only for healthcare reform, but for further reform, specifically a public option.
These increases are proof that the public needs another option, an affordable option. And the mandate? That drives business to the insurance companies, so they should be reducing the premiums. Insurance companies will say that many people are requesting a higher deductible; of course we are, it’s a bad economy and most of us want to pay less per month, taking the risk that we won’t end up in the E.R. or need surgery, etc.
And according to my doctor-husband, that’s a big risk. He’s an orthopedic surgeon. Patients used to come see him when they were in pain—let’s say their knee hurt. Now they come when their bones are sticking out—when they’re chronic.
So the increased prices by the insurance companies should be blamed on the insurance companies. They are hurting our healthcare system, doctors’ ability to provide proper care, and the economy as well; especially when so many Americans head to the E.R. once they’re chronic, which further bankrupts the system.
Bottom line—don’t blame Obama. Blame the insurance companies. They’re the bad guys this time around.
By: Leslie Marshall, U. S. News and World Report, September 29, 2011
Mr. Obama’s Health Care Challenge-The Ball Is In Your Court GOP
President Obama had a splendid idea this week. He challenged governors who oppose his health care reforms, most of whom are Republicans, to come up with a better alternative. He has agreed to move up the date at which states can offer their own solutions and thus opt out of requirements that they oppose, like the mandate that everyone buy health insurance and that most employers provide it.
Let as many states as possible test innovative approaches to determine which works best.
The president told the nation’s governors on Monday that he supported a bipartisan bill — sponsored by Senators Ron Wyden, Democrat of Oregon, Scott Brown, Republican of Massachusetts, and Mary Landrieu, Democrat of Louisiana — that would allow states to fashion solutions right from the start of full-scale reform in 2014, rather than waiting until 2017, as the law requires.
The catch is that a state’s plan must cover as many people as the federal law does, provide insurance that is as comprehensive and affordable, and not increase the deficit. That won’t be easy for the governors to accomplish, and House Republicans seem unlikely to pass the bill to let them try. They would much rather repeal the reform law — or have it declared unconstitutional by the Supreme Court — than join Mr. Obama in improving it.
The decision to set the date at 2017 was based on a desire to get the reform elements up and coverage greatly expanded before allowing states to start changing the law. There also were concerns that the early start would be more costly. That’s because the states would be given money for alternatives equal to the cost of insuring their citizens under health care reform. Without three years of experience to get firm figures, those block grants would probably be set too high.
Neither rationale still seems compelling. It would be wasteful to require states to set up exchanges and other elements of the reform only to abandon them for an alternative system three years later. The pending bill would wisely allow states to submit proposals in the near future and, if approved, put them into effect in 2014.
Alternative approaches might include replacing the mandate to buy insurance with a system to automatically enroll people in health plans, reformulating tax credits for small businesses and low-income individuals to encourage near-universal coverage, adopting such liberal approaches as a single-payer plan or a public option, and even moving all or part of the enrollees in Medicaid into new health insurance exchanges. These would all have to be done without driving up the federal deficit or reducing benefits, affordability and coverage.
Reaction among Republican governors has been mixed. The vast majority are focused on their immediate need to reduce Medicaid spending to help close their budget gaps, not on fashioning alternatives for 2014. For the near-term budget problems, the administration is already advising states on ways to reduce Medicaid costs and the president asked the governors to form a bipartisan group to work on further cost-reduction.
The president’s new olive branch is not apt to change the legal arguments over whether the mandate in the reform law is constitutional. But it can’t hurt to bring forcefully to everyone’s attention that there are alternatives to the mandate if states want to pursue them. Republicans ought to rise to the challenge.
By: The New York Times-Editorial, Published March 1, 2011
Americans Can Speak for Themselves on Federal Health-Care Reform
Have you voted on any of the Democratic health-care-reform plans? Me neither.
No such vote was ever taken. But with coordination that the Rockettes would envy, Republicans insist that “the American people have spoken” on the matter, and they want the proposals killed.
House Republican Leader John Boehner: “The American people have spoken, loudly and clearly: They do not want Washington Democrats’ government takeover of health care.”
Senate Republican Leader Mitch McConnell: “The American people do not want this bill to pass.”
Republican National Committee Chairman Michael Steele: “The American people have spoken. The White House hasn’t heard their message.”
Quite a coincidence, these guys saying the same thing on the same day. No matter. What they’re saying is nonsense.
All politicians try, but Republicans excel, at creating a fantasy public always marching behind their baton. What the GOP leaders lack in veracity, they make up for in confidence.
They base their public mind-reading on polls showing displeasure with the Democrats’ reform legislation (or what the public thinks is in it). They ignore polls that don’t.
Some Americans are unhappy with the lack of a public option in the Senate bill, others with its inclusion in the House version. Many already have their government-guaranteed health coverage and don’t want to share.
Almost everyone detests the “Cornhusker kickback,” a special deal arranged by Nebraska’s Democratic senator, Ben Nelson.
And how does one count strong opinions by those who don’t have the foggiest idea what’s really in the bills — but who are taking their talking orders from partisan yakkers?
It’s worth noting that President Obama’s proposal, based on the Senate bill, does not include a public option. It eliminates the Cornhusker kickback. It eases up on the controversial tax on so-called Cadillac health plans. And in an appeal to older voters, it does away with the Medicare drug benefit’s “doughnut hole.”
The public option has been the most demagogued item in the entire health-care debate — not because it’s a bad, or even radical, idea but because the deep-pocketed insurance industry opposes it.
Republicans have been portraying it, a government-run insurance plan to compete with private options, as a socialist Satan intent on destroying the American Way. The public option has been burning at their stake for so long, it’s a wonder there’s even an ash left of support for it. But a recent Newsweek poll has 50 percent of Americans still favoring a public option and 48 percent opposed. That the administration refused to strenuously defend a cost-saving device that always enjoyed widespread backing is something I’ll never understand (and may never forgive). Nonetheless, health-care reform must pass, with or without the public option.
The last time “the American people” came close to officially speaking on this subject was in November 2008, when they elected a Democratic president and expanded the Democratic majorities in both the House and the Senate.
It’s mind-boggling that any sophisticated analyst would attribute Republican Scott Brown’s surprise victory in the Massachusetts special senatorial election to public rejection of government-guaranteed health care. As a Massachusetts state senator, Brown voted for a universal coverage plan that’s a lot less conservative than what’s on deck in Washington.
The Newsweek poll also asked for feelings about the job that Obama and Republicans and Democrats in Congress were doing on health care reform. Some 52 percent disapproved of Obama’s performance, 61 percent disapproved of the congressional Democrats’, and 63 percent disapproved of the congressional Republicans’.
No one is walking away from this with an Academy Award, but what’s coming out of Republican leaders’ mouths clearly isn’t what’s coming out of the American people’s. The people will speak definitively on Nov. 2.
By: Froma Harrop-Syndicated Columnist-The Seattle Times-Feb 25, 2010 3:54 pm
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