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Tue Aug 14, 2012, 02:26 AM

Obama/Biden vs Romney/Ryan on Medicare and the Right Wing lies on Affordable Care Act (ObamaCare)

The Medicare cuts, passed in the Affordable Care Act, come in the form of reimbursement reductions to hospitals, Medicaid prescription drugs and supplemental private insurance plans under Medicare Advantage. The Congressional Budget Office projects that they’ll extend the solvency of Medicare by eight years.

AARP, the seniors’ lobby and chief gatekeeper of Medicare benefits, endorsed the Affordable Care Act despite its cuts, arguing that they wouldn’t affect seniors’ access to care. The law expanded benefits by closing the prescription drug coverage gap known as the “doughnut hole.” The hospital and drug industries also endorsed the legislation, believing that the additional customers via the coverage expansion would more than make up for the cuts.


The Congressional Budget Office projects that Ryan’s plan would raise seniors’ out-of-pocket expenses by $6,500 per year.

Obama’s long-term plan to save Medicare, approved under the Affordable Care Act, is to set up a panel of 15 Senate-confirmed experts tasked with issuing proposals to rein in the growth of spending if it exceeds a certain level. The Independent Payment Advisory Board, or IPAB, may only propose cuts to providers, not beneficiaries. Congress may replace the cuts by passing its own or with a three-fifths super-majority.


Here is what the ACA already did. What it DID NOT do is cut Medicare in anyway that would effect beneficiaries negatively, in fact quite the contrary.

The Affordable Care Act makes many changes to strengthen Medicare and provide stronger benefits to seniors, while slowing cost growth. As a result, average Medicare beneficiary savings in traditional Medicare will be approximately $3,500 over the next ten years. Beneficiaries who have high prescription drug spending will save much more – as much as $12,300 over the next 10 years. In comparison, Medicare beneficiaries with low drug costs will save an average of $2,400 over 10 years.

This report provides estimates of savings from the Affordable Care Act to seniors and people living with disabilities enrolled in traditional Medicare. The Affordable Care Act will favorably affect beneficiary expenditures in four ways. First, premiums for Part B physician and certain other services are expected to increase at a slower rate than would have occurred without the Affordable Care Act, resulting in lower Part B premiums over time. Second, beneficiary copayments and coinsurance under Part A and B will increase more slowly because the Affordable Care Act slows the rate of growth in payments to hospitals and other providers. Third, closing the Medicare prescription drug coverage gap, often called the “donut hole,” will lower costs for beneficiaries who otherwise would have been required to spend thousands of dollars out of their own pocket for their prescription drugs. Finally, the Affordable Care Act will provide many preventive services to seniors at no additional cost.

The Affordable Care Act will save approximately $500 billion over the next ten years through reduction in extra subsidies paid to Medicare Advantage plans, reductions in the rate of growth in provider payments, and efforts to make the Medicare program more efficient and to reduce waste, fraud and abuse. These reductions will lead to corresponding savings for beneficiaries through lower copayments and premiums. A slower rate of growth in Medicare is expected to result in a slower rate of growth in beneficiary out-of-pocket payments, and a slower rate of growth in Part B premiums. In addition, the closing of the donut hole will result in large savings for beneficiaries with high levels of prescription drug spending.

Total savings per traditional Medicare beneficiary are estimated to be $86 in 2011, rising to $649 in 2020 (see Table 1). For a beneficiary with spending in the donut hole, estimated savings increase from $553 in 2011 to $2,217 in 2020.

Anyone can go there and read for themselves what was already done. If the summary doesn't satisfy, you can read the actual law, particularly sections 2 and 3. http://www.healthcare.gov/law/resources/reports/affordablecareact.html

Here is Obama's DOJ going after Medicare Fraud:
Medicare Fraud Strike Force Charges 107 Individuals for Approximately $452 Million in False Billing

Medicare Fraud Strike Force Charges 91 Individuals for Approximately $295 Million in False Billing

DOJ Sets Medicare Fraud Enforcement Record

Health Care Fraud Prevention and Enforcement Action Team (HEAT)
In May 2009, DOJ and HHS announced the creation of the Health Care Fraud Prevention and Enforcement Action Team (HEAT). With the creation of the new HEAT team the fight against Medicare fraud has become a Cabinet-level priority.

Secretary Kathleen Sebelius and Attorney General Eric Holder pledge to continue fighting waste, fraud and abuse. As of today, DOJ and HHS continue to make progress and succeed in the fight against Medicare fraud.


12 Things You Should Know About Vice Presidential Candidate Paul Ryan
3. Ryan wants to end Medicare, replace it with a voucher system. Ryan’s latest budget transforms the existing version of Medicare, in which government provides seniors with a guaranteed benefit, into a “premium support” system. All future retirees would receive a government contribution to purchase insurance from an exchange of private plans or traditional fee-for-service Medicare. But since the premium support voucher does not keep up with increasing health care costs, the Congressional Budget Offices estimates that new beneficiaries could pay up to $1,200 more by 2030 and more than $5,900 more by 2050. A recent study also found that had the plan been implemented in 2009, 24 million beneficiares enrolled in the program would have paid higher premiums to maintain their choice of plan and doctors. Ryan would also raise Medicare’s age of eligibility to 67.

4. Ryan thinks Social Security is a “ponzi scheme.” In September of 2011, Ryan agreed with Rick Perry’s characterization of Social Security as a “Ponzi scheme” and since 2005 has advocated for privatizing the retirement benefit and investing it in stocks and bonds. Conservatives claim that this would “outperform the current formula based on wages earned and overall wage appreciation,” but the economic crisis of 2008 should serve as a wake-up call for policymakers who seek to hinge Americans’ retirement on the stock market. In fact, “a person with a private Social Security account similar to what President George W. Bush proposed in 2005″ would have lost much of their retirement savings.


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Reply Obama/Biden vs Romney/Ryan on Medicare and the Right Wing lies on Affordable Care Act (ObamaCare) (Original post)
SunsetDreams Aug 2012 OP
ProSense Aug 2012 #1
SunsetDreams Aug 2012 #2
LineNew Reply .
SunsetDreams Aug 2012 #3
ProSense Aug 2012 #4
closeupready Aug 2012 #5
SunsetDreams Aug 2012 #6
elleng Aug 2012 #7

Response to SunsetDreams (Original post)

Tue Aug 14, 2012, 02:37 AM

1. Sorry,

no takers. Obama has a sinister plan. We need to focus on after the election, when he wins.

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Response to ProSense (Reply #1)

Tue Aug 14, 2012, 02:53 AM

2. yeah well...

I guess the DOJ hasn't done anything either

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Response to SunsetDreams (Original post)

Tue Aug 14, 2012, 03:47 AM

3. .

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Response to SunsetDreams (Original post)

Tue Aug 14, 2012, 10:52 AM

4. Kick! n/t

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Response to SunsetDreams (Original post)

Tue Aug 14, 2012, 11:03 AM

5. K&R Ryan would eliminate all social programs, if he could.


Likely, Romney sympathizes with that view.

For the sake of seniors and the poor who rely upon those programs, the Romney/Ryan ticket must be defeated.

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Response to closeupready (Reply #5)

Tue Aug 14, 2012, 02:46 PM

6. Exactly Romney endorsed it 5 times

1. “Very supportive.”“I’m very supportive of the Ryan budget plan. It’s a bold and exciting effort on his part and on the part of the Republicans and it’s very much consistent with what I put out earlier. I think it’s amazing that we have a president who three and a half years in still hasn’t put a proposal out that deals with entitlements. This president’s dealing with entitlement reform — excuse me — this budget deals with entitlement reform, tax policy, which as you know is very similar to the one that I put out and efforts to reign in excessive spending. I applaud it. It’s an excellent piece of work and very much needed.”

2.”The right tone.” Romney told Talking Points Memo, “He is setting the right tone for finally getting spending and entitlements under control. …Anyone who has read my book knows that we are on the same page.’”

3. “Marvelous.” “I think it’d be marvelous if the Senate were to pick up Paul Ryan’s budgetand to adopt it and pass it along to the president,” Romney once professed while in Wisconsin.

Obama mocked him for this one:

More at the link: http://thinkprogress.org/election/2012/08/11/677861/romney-ryan-buget/

It is both of them. They must be defeated, there is way too much riding on this.

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Response to SunsetDreams (Reply #6)

Tue Aug 14, 2012, 03:02 PM

7. Don't hear 'Marvelous' very often!

But here's one time when it's appropriate: Our President is MARVELOUS!

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