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Thu Aug 16, 2012, 02:15 PM

Paul Ryan Budget: Latest House Republican Budget Threatens Medicare and Shreds the Safety Net

Latest House Republican Budget Threatens Medicare and Shreds the Safety Net
Instead of Reducing Health Care Costs, Blueprint Shifts Costs to Seniors, Providers, Businesses, and States

The latest House Republican budget plan asks low-income and middle-class Americans to shoulder the entire burden of deficit reduction while simultaneously delivering massive tax breaks to the richest 1 percent and preserving huge giveaways to Big Oil. It’s a recipe for repeating the mistakes of the Bush administration, during which middle-class incomes stagnated and only the privileged few enjoyed enormous gains.

Each component of the new House Republican budget threatens the middle class while doing nothing to add jobs or grow our economy. It ends the guarantee of decent insurance for senior citizens, breaking Medicare’s bedrock promise. It slashes investments in education, infrastructure, and basic research, all of which are key drivers of economic growth and mobility. And it cuts taxes for those at the top, asking the middle class to pick up the tab. It’s a budget designed to benefit the top 1 percent at everyone else’s expense.

The Republican majority in the U.S. House of Representatives released its proposed budget for fiscal year 2013 today, taking particular aim at our nation’s health care programs. This latest House Republican budget would fundamentally alter these programs, setting us on an uncharted path that would have adverse consequences for tens of millions of Americans.

Major consequences of the House Republican budget

Many seniors would be forced to pay sharply higher premiums to stay in traditional Medicare and keep their current choice of doctors.
New Medicare beneficiaries could pay more than $1,200 more by 2030 and more than $5,900 more by 2050.
More and more seniors would gradually shift to private health insurance plans over time, increasing the privatization of Medicare.
Hundreds of thousands of seniors would become uninsured.
Premiums would increase for most Medicare beneficiaries.
More than 47 million Americans would lose health insurance coverage in 10 years.
Tens of millions of Americans would lose consumer protections that are essential for health and economic security.
States would be forced to slash Medicaid eligibility, benefits, and payments to health care providers.

Much More here: http://www.americanprogress.org/issues/2012/03/house_budget_medicare.html

Center For Medicare Advocacy
Medicare Under Threat: Health Reform Versus the Ryan Budget

Impact of the Ryan/Republican Budget

On March 29, 2012, the House of Representatives passed the 2013 budget plan proposed by Budget Committee chairman, Rep. Paul Ryan (R-WI). This plan makes dramatic changes to the Medicare program and to the entire federal budget.[3] As noted by Robert Greenstein, President of the Center on Budget and Policy Priorities (CBPP), the Ryan Budget:

s Robin Hood in reverse — on steroids. It would likely produce the largest redistribution of income from the bottom to the top in modern U.S. history and likely increase poverty and inequality more than any other budget in recent times (and possibly in the nation's history).[4]

The Ryan budget would transform Medicare from a community of people guaranteed the same standard benefits into a voucher program in which each individual would be required to attempt to find adequate coverage. Beneficiaries would incur more out-of-pocket health care costs because the proposed vouchers will not be large enough to cover the rising costs of health care. In addition, the Ryan/Republican budget would also raise the Medicare eligibility age to 67, and likely lead to the demise of the traditional Medicare program by "making its pool of beneficiaries smaller, older, and sicker."[5]

What's at Stake

The following chart illustrates the devastating impact of repealing ACA and of implementing the Ryan/republican budget.[6]

(Please visit site for chart, it's a real eye opener)


The Supreme Court Decision on the Affordable Care Act:
What it means for Seniors


Medicare Facts & Fiction

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 Paul Ryan Budget: Latest House Republican Budget Threatens Medicare and Shreds the Safety Net (Original post)
SunsetDreams Aug 2012 OP
SunsetDreams Aug 2012 #1
cr8tvlde Aug 2012 #2
SunsetDreams Aug 2012 #3

Response to SunsetDreams (Original post)

Thu Aug 16, 2012, 02:36 PM

1. Sorry so long

and I had to pick and choose too lol

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Response to SunsetDreams (Reply #1)

Thu Aug 16, 2012, 02:56 PM

2. Thanks for the research...well done. n/t

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Response to cr8tvlde (Reply #2)

Thu Aug 16, 2012, 03:34 PM

3. No Problem thank you :) nt

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