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From the category archives: privatization

Why Simply Celebrating Medicare's 50th Anniversary Isn't Enough

As we celebrate Medicare’s 50th anniversary this week it’s important to do more than just cut the cake…we must also educate and advocate. That’s because even though the American people clearly understand how vital Medicare and Medicaid are to families, too many politicians (especially those running for the GOP Presidential nod) apparently still don’t get it. 

Economist and New York Times columnist Paul Krugman wrote today about these “Zombies Against Medicare,” including their refusal to acknowledge that all the bad things they’ve predicted about Medicare for five decades have never actually happened, Jeb Bush’s promise to end Medicare and especially the Republican Party’s never-ending quest to repeal the Affordable Care Act.

“And then a funny thing happened: the act’s passage was immediately followed by an unprecedented pause in Medicare cost growth. Indeed, Medicare spending keeps coming in ever further below expectations, to an extent that has revolutionized our views about the sustainability of the program and of government spending as a whole.Right now is, in other words, a very odd time to be going on about the impossibility of preserving Medicare, a program whose finances will be strained by an aging population but no longer look disastrous. One can only guess that Mr. Bush is unaware of all this, that he’s living inside the conservative information bubble, whose impervious shield blocks all positive news about health reform.” 

Medicare advocates briefed the press today on the importance of this 50th anniversary and the ongoing battle to preserve and expand the program. 

“Anyone who thinks these programs aren’t under threat should just look at where the GOP presidential candidates stand on these issues.  Every prediction made by opponents about these programs…from claiming 'socialism' to 'they won’t work'…have been proven wrong.” Brad Woodhouse, President of Americans United for Change 

“It’s time for GOP leaders to stop threatening us with cuts and repeal, and start proposing truly bold ideas that include benefits expansion, raising the wage cap, enacting an affordable long term care program, shifting to a fully-developed consumer price index for the elderly, and negotiating drug prices. That would be a real platform for real Americans.” Max Richtman, NCPSSM President/CEO 

As the 2015 Trustees Report release last week shows, Medicare’s health has greatly improved since health care reform was passed.  Not only did the ACA provide improved benefits for seniors its long-term solvency has been extended by 13 years.  Congress should be building on these reforms to improve the program rather than continuing a politically myopic and factually bankrupt quest to “save” Medicare by killing it.

Jeb Bush Says He'll End Medicare

We suppose we should at least give Jeb Bush brownie points for honesty since he was actually caught saying out loud what the GOP has been trying to do Medicare for years, without actually admitting it.

MSNBC first reported on Jeb Bush's comments made to a room full of Koch Brothers supporters:

"We need to make sure we fulfill the commitment to people that have already received the benefits, that are receiving the benefits," Bush said. "But we need to figure out a way to phase out this program for others and move to a new system that allows them to have something, because they're not going to have anything."

Promising to protect current beneficiaries (because according to the standard GOP meme “greedy geezers” only care about their own Social Security and Medicare benefits not what’s left for their kids or grandkids) is a tried and true GOP strategy. Attempting to destroy Medicare piece by piece is also a strategy we’ve already seen tried by conservatives in Congress.  So it’s likely Bush didn’t even realize he was making news.  Vox described it best this way:

“For years now, Republicans in Congress have been unified around a plan to promise continued Medicare benefits to everyone over the age of 55 while phasing out the program for everyone else. This is the famous — or perhaps infamous — Paul Ryan plan for Medicare. But denying that this is what their plan amounts to has been an important part of the political strategy for getting it done. Except Jeb Bush messed up, and in a talk at an Americans for Prosperity event Wednesday night he said that America needs to "phase out" Medicare.

His argument is that once Medicare is phased out, the GOP can offer the 54-and-under set "something," because the alternative will be to get "nothing."

Recall that back in 2011, the GOP whined endlessly about allegations that they wanted to end Medicare, and PolitiFact dubbed the idea that the GOP wants to end Medicare their "lie of the year."

But as Jeb Bush reveals here, it was never a lie of any sort. Conservatives' preferred answer to the challenge of paying for Medicare in the future is to scrap the program, and that idea has gained wider and wider currency in GOP circles in recent years.”

Bush’s comments were chock-full of other seriously flawed assumptions which MSNBC also breaks down including:

  • The “left” hasn’t done anything to help Medicare – Uhh, how about this week’s Trustees Report which confirms (yet again) an additional 13 years of Medicare solvency thanks to healthcare reform (which the GOP would repeal). 
  • Going door-to-door has shown him the American people support phasing out benefits - We’re not sure what doors Bush is knocking on but there’s not a national poll anywhere (legitimate or otherwise) which shows Americans support ending Medicare.   


Americans Support Traditional Medicare – Say “NO” to CouponCare

A new Kaiser Foundation poll confirms (again) that the vast majority of Americans, of all political stripes, support Medicare and Medicaid and don’t want Washington to replace Medicare with CouponCare.  Kaiser reports:

“A strong majority (70%) say that Medicare should continue to ensure all seniors get the same defined set of benefits. Far fewer (26%) say that the program should be changed to instead guarantee each senior a fixed contribution to the cost of their health insurance – a system known as premium support that has been proposed to address Medicare’s long-term financing challenges.

By at least two-to-one margins, majorities of Democrats, Republicans and independents favor keeping Medicare as is rather than changing to a premium support program. Adults under 65 years old are somewhat more likely than seniors to favor premium support (28% compared to 18%), though large majorities in all age groups prefer Medicare’s current structure.”

In spite of the American people’s strong support of Medicare, Republicans in Congress continue their campaign to end traditional Medicare and replace it with a voucher program that gives seniors a coupon they then have to use to try and buy their own health coverage.  This plan would create a death spiral for traditional Medicare, make it harder for seniors to choose their own doctors while passing more costs to Americans so they’ll pay more for less coverage.  The Congressional Budget Office has predicted the Ryan CouponCare Plan could cost seniors $20,000 more each year. 

The Kaiser poll also found that Americans support reforms designed to improve Medicare’s long-term financial picture.  The most popular reform; however, has consistently been ignored by this Republican controlled Congress.

“By far the most popular change to Medicare is allowing the federal government to negotiate with drug companies. Overall, 87% of the public supports such an option, including majorities of Democrats, Republicans and independents and across generations.

 Smaller majorities favor increasing Medicare premiums for wealthier seniors (58%), which already occurs and was expanded earlier this year as part of Medicare’s physician payment reforms; and reducing payments to Medicare Advantage plans (51%). Fewer support raising Medicare’s age of eligibility from 65 to 67 (39%), raising premiums for all Medicare beneficiaries (31%), or increasing cost-sharing for future Medicare beneficiaries (24%).”

The vast majority of those polled (89%) want Medicare’s funding expanded or at least maintained.  Which is in stark contrast to ongoing efforts in Congress to use Medicare as an ATM by cutting the program to pay for other items such as the Trade Agreement.  

As we celebrate Medicare and Medicaid’s 50th Anniversary on July 30th it’s important we remain vigilant in support of these vital programs.  That means constantly reminding Congress Medicare and Medicaid should be strengthened not cut. 

See the GOP's Plans for Medicare - In One Picture

GOP Budget: Doubling-Down on Their Strategy to Destroy Medicare

Well, the GOP Budget Has Defined its Fiscal Priorities For America Alright...Middle-class Americans, Retirees, Children, People with Disabilities, and the Poor Foot the Bill So That Huge Corporations and the Wealthy Keep Tax Giveaways and Loopholes

Budget plans are about setting priorities and in a grander sense defining the nation’s values.  By the look of next year’s proposed GOP House Budget, that means conservatives in Washington intend to double-down on an economic vision in which our dwindling middle-class, America’s retirees, people with disabilities, the poor and their families continue to do the heavy-lifting so that the richest 1% can keep their tax breaks and loopholes. 

Here's our reaction from NCPSSM President/CEO, Max Richtman:

“Once again, the House GOP’s budget would privatize Medicare with a voucher plan, leaving seniors and the disabled – some of our most vulnerable Americans – hostage to the whims of private insurance companies.  Over time, this will end traditional Medicare and make it harder for seniors to choose their own doctor.  Vouchers will not keep up with the increasing cost of health insurance… that is why seniors will pay more.  Incredibly, the GOP budget also tries to have it both ways by counting the savings in Medicare since the passage of health care reform and then repealing the law that delivered those same savings. Seniors need to pay careful attention to this next fact: if the GOP isn’t stopped from repealing healthcare reform, Medicare beneficiaries would immediately lose billions in prescription drug savings, wellness visits and preventative services with no out-of-pocket costs, and years of solvency will be lost to the Medicare program. 

Social Security disability beneficiaries are also targeted by the GOP’s refusal to allow a routine and temporary reallocation of part of the 6.2 percent Social Security tax rate to the Disability Insurance Trust Fund.  Instead, Republicans in the House would allow a 20% benefit cut for millions of disabled Americans unless there are broader Social Security benefit cuts or tax increases improving the solvency of the combined trust funds.  This GOP budget also call for the creation of commission to study what Republicans claim are ‘structural deficiencies’ in Social Security, even though the program has never missed a payment and currently has $2.8 trillion in its trust fund. 

No doubt, Congressional conservatives feel emboldened by the 2014 elections; however, I suggest the message voters sent wasn’t the message the GOP is touting in this new budget.  The American people do not support gutting Social Security and Medicare and targeting the middle-class to pay for tax cuts and loopholes for corporations and the wealthy – which is the foundation the House GOP budget plan is built upon.” ... Max Richtman, NCPSSM President/CEO

 

 

 

 

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