To listen to the
Romney – Ryan campaign one would think that Mr. Obama’s health care plans
gut Medicare and that their plans keep Medicare costs to current recipients
from rising. The truth, it turns out, is
jut the opposite. If the Romney proposal
to restore cuts in funding for various health care providers are restored, part
of those higher payments will be paid by current recipients of Medicare.
This is a complicated
issue, but the basic
concepts are the following.
- In exchange for obtaining universal health insurance coverage providers agreed to accept reductions in the reimbursements for service they provide under Medicare.
- Restoring those cuts in reimbursements will result in higher Medicare expenses, some of which will be paid for by recipients.
Here is a better
explanation.
Marilyn Moon, vice
president and director of the health program at the American Institutes for
Research, calculated that restoring the $716 billion in Medicare savings would
increase premiums and co-payments for beneficiaries by $342 a year on average
over the next decade; in 2022, the average increase would be $577.
Beneficiaries, through
their premiums and co-payments, share the cost of Medicare with the government.
If Medicare’s costs increase — for instance, by raising payments to health care
providers — so, too, do beneficiaries’ contributions.
And those costs would
be on top of the costs involved with a full repeal of the health care law,
which would eliminate expanded coverage of prescription drugs, free wellness
care and preventive checkups.
So what is going on
here. Politics, not reality nor
integrity.
“One can only wonder what’s going on inside their
headquarters in Boston
and among their policy people,” said John McDonough, the director of the Center
for Public Health Leadership at Harvard. “But there are only two explanations:
Either they don’t understand how the program works, which is hard to imagine,
or there is some deliberate misrepresentation here because they know how
politically potent this charge is.”
But Mr. McDonough is
probably wrong. What is going on
here is both, the Romney people don’t understand the program, and as far as
deliberate misrepresentation is concerned, well that’s the core of their
campaign strategy on every issue.
But not to worry Romneyites, you can easily get away with
all of this. A combination of a
compliant press corps and a complex issue is all you need.
In a rare
circumstance where a politician can summarize things clearly, here is
exactly what is going on.
“The bottom line,” said Representative Chris Van
Hollen of Maryland ,
the senior Democrat on the House Budget Committee, which Mr. Ryan leads, “is that
Romney is proposing to take more money from seniors in higher premiums and
co-pays and hand it over to private insurance companies and other providers in
the Medicare system.”
What, you expected
something else?
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