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During a recent trip to New York, Democratic Senators Mary Landrieu and Patty Murray lamented one aspect of the U.S. deficit talks that they say may cloud the outcome: No women lawmakers have been at the table.It's been called Ryan's war on women. More from Bloomberg:
It’s a concern shared by some female colleagues, who say programs that disproportionately serve women and children are at risk in negotiations over where to cut federal spending. Several of the programs were targeted by Representative Paul Ryan in a budget that passed the U.S. House in April and which he and many other Republicans see as a road map for shrinking the government.
The budget called for reductions in food stamps, two-thirds of whose adult recipients are women; Pell grants, about two- thirds of which go to female college students; Medicaid, about 70 percent of whose beneficiaries are female, and child care. This month, House Republicans voted to cut nutritional aid to low-income pregnant women by about 12 percent....
The Republican budget also called for reducing Medicaid spending by more than $700 billion over the next decade by converting the program into block grants to the states. Twice as many females as males benefit from the insurance system for low- income Americans, according to the Kaiser Family Foundation.
Medicaid is generally restricted to poor children, pregnant women, parents of dependent children, the disabled and those 65 and older. In 2003, seven of the top 10 hospital services billed to the program were maternity-related, Kaiser says, including cesarean sections, fetal monitoring and labor inductions.
Another $127 billion in savings in the Ryan budget would come from food stamps.
“When women are at the table, the debate changes,” said Senator Jeanne Shaheen, a New Hampshire Democrat. “We bring to whatever the discussion is the experiences we’ve had as women, and they’re different than men.”
The House budget would convert Medicare to a voucher program in 2022, when the government would start providing a set amount of funds for purchasing private insurance. Women make up 56 percent of Medicare recipients, and they are more reliant on the program’s system of defined benefits because they have more chronic health conditions and live an average of about five years longer than men, according to the Census Bureau.
Under the Ryan plan, “if there’s a health catastrophe, “you’re on your own,” said Terry O’Neill, president of the Washington-based National Organization for Women. Many women “have no savings, no ability to pay for this.”
"I'm not here to say he's (Ryan) right or he's wrong, but at least he's got a plan."Not exactly a vote of confidence, even though Sensebrenner, like almost every other Republican in the House, voted for Ryan's budget plan which included the Medicare changes.
Democrats are winning the messaging war on Rep. Paul Ryan’s bid to overhaul Medicare, with a new Bloomberg poll finding 57 percent of Americans believe they would be worse off under his plan.
Only 34 percent said they would be better off if Congress replaced “traditional Medicare” with a program to purchase private insurance with government subsidies, as Ryan has proposed.
The poll also found Ryan is now the nation’s third most disliked Republican, with net unfavorable ratings that trail only former House Speaker Newt Gingrich and former Alaska Gov. Sarah Palin. But more than half surveyed said they have no opinion of the Wisconsin Republican.
“I’m not a U.S. senator. If I were a U.S. senator, yes, I would vote yes or no on it.”That's George Allen, Virginia Republican candidate for US Senate, evading an answer on whether he supports Paul Ryan's Medicare plan.
Bloomberg’s pollers asked this question in three different ways. First, they asked whether respondents were more worried that Republicans would take Congress and “implement their proposed cuts to Medicare, Medicaid and many other domestic programs” or Democrats would hold onto power and “continue their current spending policies.” Republicans proved scarier by eight points.Numbers here.
Then they asked about whether a proposal “to replace traditional Medicare so that individuals buy their own private insurance with the help of government subsidies” would make you better or worse off. Worse off led by 23 points.
Then they asked whether knowing a Republican candidate “wants to change Medicare to a private pay system with government subsidies” would make him or her more or less attractive. Less attractive took it in a 14-point landslide. So whether you speak about the plan vaguely or specifically, whether you mention its Republican roots or not, it’s very, very unpopular.
The Republican budget proposal, introduced by House Budget Committee Chairman Paul Ryan, would subject Medicaid to some of the largest cuts in the history of the program. This proposal would cut federal Medicaid funding significantly—not by reducing underlying health care costs, but simply by shifting those costs to already overburdened state governments. It would do this by converting the program to a block grant that would provide considerably less federal funding with each passing year. The Republican budget proposal would cut federal funding to the states by 5 percent in 2013. In 2014, the cut would be 15 percent. Over the coming years, these funding cuts would get larger and larger, until, at the end of the 10-year period, the cut in federal funds would approximate 33 percent.The report's conclusion:
As options to reduce the federal deficit are weighed and balanced, the discussion should
include recognition of the powerful economic stimulus that federal spending has on state Medicaid programs. This report quantifies the potential business activity and jobs that would be put at risk if federal Medicaid spending is cut dramatically. Less easily quantified, but equally important, is the impact on the lives of state residents who rely on Medicaid for their health care. Medicaid provides a vital health care safety net in every state. It is a lifeline for children, people with disabilities or chronic illnesses, and low-income elderly people. It is there to help families that have been hit by job loss or other unexpected economic hardships. And Medicaid is the only source of financial help for millions of families who are struggling to pay for nursing home or other long-term care for parents or family members.
Medicaid is good medicine for state economies and for families as our nation recovers from the recession. This is exactly the wrong time for Congress to cut a program that stimulates the economy while also providing a boost to individuals and families who are facing hard economic times.
Republican primary voters are evenly split on the Medicare aspects of Rep. Paul Ryan’s (R-Wis.) budget plan, with 41 percent supporting it and 43 percent opposing it, according to a national telephone poll [Dick Morris] conducted on June 18-19 among 700 likely Republican primary voters...Anything the sleazeball Morris is associated with leaves a bad taste, but his polling has always seemed legit.
The survey’s findings suggest that even among the base Republican voters, the Ryan plan is vulnerable to attack on the Medicare issue.
However, voters strongly supported an alternative to the Ryan plan that would combine its flat fee approach with a safety net feature to protect against catastrophic illness. This additional feature might well provide a way for House Republicans to mute the potential of this issue as a negative in the 2012 elections.But remember, those are only Republicans. It's going to take quite a sales job to keep the Medicare issue from sinking the GOP next year.
Told that “some say that a better plan would be to use the Ryan model of a flat payment but to include a safety net so that the government would pay all of a senior citizen’s medical costs if the illness was severe and their health insurance coverage would not pay for it,” Republican primary voters approved of the alternative plan by 53-29. Men agreed by 58-28 and women overcame their opposition to the Ryan plan, agreeing with the new proposal by 49-29.
When House Budget Committee Chairman Paul Ryan unveiled the GOP blueprint for cutting government spending, he asked Americans to make sacrifices on everything from Medicare to education, while preserving lucrative tax subsidies for the booming oil, mining and energy industries.
It turns out a constituency within his own personal investments stood to benefit from those tax breaks, Newsweek and the Daily Beast have learned.
The financial disclosure report Ryan filed with Congress last month and made public this week shows he and his wife, Janna, own stakes in four family companies that lease land in Texas and Oklahoma to the very energy companies that benefit from the tax subsidies in Ryan's budget plan.
Ryan's father-in-law, Daniel Little, who runs the companies, told Newsweek and The Daily Beast that the family companies are currently leasing the land for mining and drilling to energy giants such as Chesapeake Energy, Devon, and XTO Energy, a recently acquired subsidiary of ExxonMobil.
Some of these firms would be eligible for portions of the $45 billion in energy tax breaks and subsidies over 10 years protected in the Wisconsin lawmaker’s proposed budget. “Those [energy developing companies] benefit a lot from these subsidies,” explained Russ Harding, an energy policy analyst with the Mackinac Center for Public Policy, when presented with the situation, without reference to Ryan. “Without those, they’re going to be less profitable.”
To ethics watchdogs, Ryan’s effort to extend the tax breaks creates the potential appearance of a conflict of interest.
“Sure, senior citizens should have to pay more for health care, but landholders like [Ryan] who lease property to big oil companies, well, their government subsidies must be protected at all costs,” says Melanie Sloan, the director of the nonpartisan Citizens for Responsibility and Ethics in Washington. “It smacks of hypocrisy.”
...Rep. Dan Boren, a Democrat from Oklahoma who has announced his retirement next year, also owns stakes in three of the four same companies as Ryan. The two lawmakers are related through marriage. Boren is the first cousin of Ryan’s wife.
Boren aligned with his party and voted no on Ryan’s budget. But a month prior, Boren voted with Republicans (and only 12 other Democrats) to oppose an amendment that would have financially constrained major oil companies.
In a written statement, Boren told Newsweek and the Daily Beast, “It should come as no surprise the way I voted because the oil and gas industry is the largest private employer in Oklahoma.”
In addition to the tax breaks, Ryan’s family has benefited in recent years from another form of federal largesse-- farm subsidies. Federal records show his father-in-law and great-aunt have collected more than $50,000 in agriculture subsidies on lands owned by the family.
Ryan’s budget had proposed cutting $30 billion in farm subsidies over the next 10 years, although some conservatives criticized the number for being too low.
The committed moderate and former Obama administration ambassador to China kicks off his campaign today, and according to previews, he plans to make strong support for Rep. Paul Ryan's (R-WI) proposal to end Medicare as we know it a key component of his kick off speech.He was non-commital about the Ryan plan in May, basically saying, Well, it's an idea," but he has warmed to it considerably since then.
Politico's Mike Allen spilled the beans about Huntsman's Reagan-themed kickoff in Jersey City, NJ.
"Huntsman will lean into his support for the Ryan budget, and will say that defense spending should be on the table, including base closures," Allen reports. He writes the opening week of Huntsman 2012 will include taking on Obama over foreign policy, too, specifically, "his contention that Obama's plan for getting out of Afghanistan is too slow, and that intervening in Libya was not in our national interest."
Huntsman was one of the first to wrap both hands around Ryan budget, telling ABC a couple weeks ago that he'd vote for the Medicare changes contained in it if he got the chance.
According to the Tax Policy Center, the largest tax expenditures, in order, are the breaks for employer-provided health care, pension contributions, mortgage interest, depreciation of capital equipment, state and local tax payments, and charitable contributions. We're not talking ethanol credits here, and we're not even talking about tax breaks for special interests. We're talking about tax preferences for the middle class.
So far, the discussion over raising revenues by cleaning out the code has used comfortably vague language about "tax breaks" and "loopholes" and "expenditures." But to see serious money from this effort, these are the sorts of breaks, loopholes and expenditures we'll have to go after.
"Republicans will lose if they support the Ryan Medicare plan. Americans do not support the Ryan plan." If Democrats make big gains in 2012, Wilkinson's email says, "Expect the GOP to then blame the Tea Party for losses."
On nine separate votes, Ryan was MORE extreme than his Republican colleagues:Here's how Joe Conason frames the vote:
Most Extreme: Ryan votes for Broun Amendment (H Amdt 438) to cut funding for the Women, Infants, and Children (WIC) nutrition program by $604 million. (RC 430, Jun 15)
By cutting ... WIC, according to the experts at the Center for Budget and Policy Priorities, the subcommittee will deprive hundreds of thousands of indigent women and children of program services, which include healthy foods, nutrition counseling and referrals to health care providers when necessary. The exact number of victims will depend on how fast food prices go up. But there will surely be many more infants and children who must cope with the ill effects of low birth weight and anemia, and all the other ills arising from bad nutrition in this wealthy and verdant nation.Republicans reject this extreme budget cutting 64-173. Ryan votes YES.
As usual, the mean impulse to save money by punishing the poor is short-sighted, since the obvious result is a growing population that is either crippled at birth or ruined in youth, requiring expensive hospitalization, special education or, eventually, prison cells.
The archbishop has been ferocious in fighting against marriage between same-sex couples, painting it as a perversity against nature.And she was just getting warmed up.
If only his church had been as ferocious in fighting against the true perversity against nature: the unending horror of pedophile priests and the children who trusted them.
"You have a plan that looks to be politically motivated," said [Michael] McDonald, a [redistricting scholar] political scientist at George Mason University in northern Virginia.What they're talking about is a proposed redistricting plan for Wisconsin's Congressional seats, drawn in secret by Ryan and discussed behind closed doors by GOP members of the Wisconsin delegation.
Democrat Dave Obey calls it "highly manipulative" and "crassly political."
Republican Paul Ryan calls it a "status-quo map" with "clean lines."
Duffy's seat needs to grow by a little more than 20,000 people to meet the legal requirement that all eight House seats have the same population. On paper, that could be done by simply expanding Duffy's district a bit southward into Democrat Ron Kind's 3rd District, which needs to lose almost the same number of people.Redistricting is done by the legislature, not incumbent members of Congress, in theory, and the Ryan plan has not been introduced in the legislature yet. But look for it to be done and rubber-stamped sometime soon, before the recall elections in August which may well cost the GOP their State Senate majority and give Dems a voice in the proceedings.
Instead, the GOP plan shifts about 150,000 of Duffy's current constituents out of the 7th, and replaces them with about 170,000 people who now live in neighboring districts.
These big population swaps affect 13 different counties, and involve one notable example of creative line drawing. The plan carves out of Duffy's district a sizable Democratic chunk of central Wisconsin (Portage County and eastern Wood County) and splices it to Kind's western Wisconsin seat, using Adams County as a connecting corridor.
Rep. Paul Ryan (R-Wis.) said Thursday that he is open to reforming Medicare in a way that would leave a traditional fee-for-service system as an option for future seniors.Really? Even President Obama's? Even the Democrats' ideas? Ryan and the GOP majority in the House were in a no-amendment, no-compromise, take-no-prisoners mode when they passed the budget.
Ryan, speaking at a policy discussion hosted by The Hill and sponsored by No American Debt, an advocacy group, said that he has consistently been open to an optional version of his controversial Medicare plan, which Democrats have seized upon as a campaign issue.
“I have always said all along all of those ideas are ideas we should be considering when it comes to legislation,” the House Budget Committee chairman said. “When you are down in the details, there should be a fee-for-service option alongside premium support.
“They are all good ideas,” Ryan said.
"Republicans are not fooling anyone. They voted to end Medicare and now they can’t take the heat,” Pelosi spokesman Nadeam Elshami said. “The only plan Americans want is called Medicare and we must strengthen it, not weaken it. What you’re hearing now is a lead balloon crashing to the ground.”
Ryan’s father-in-law runs the companies that are currently leasing land for mining and drilling to Chesapeake Energy (NYSE:CHK), Devon (NYSE:DVN), XTO Energy, and a subsidiary of ExxonMobil (NYSE:XOM). Ryan’s stake in these companies immediately poses a conflict of interest, especially when Ryan is lining his pockets with big oil money while expecting senior citizens, children, and the disabled to endure cuts to already underfunded programs.Of course.
Of course, Ryan’s office says he hadn’t even considered his own interests when drawing up the budget plan, overlooking the $117,000 the properties earned him and his wife just last year, as well as the $60,000 from the year before that. According to Ryan’s financial disclosure, he has assets worth somewhere between $590,000 and $2.5 million, and he owns minority stakes in four of his wife’s family companies, including Ava O Limited Company, which holds mining and mineral rights, and Little Land Company, which is an oil and gas corporation.
Democratic House Members are lashing out at Republican leadership over rejected mass mailings, saying their messages lambasting the GOP budget plan and its effect on Medicare are being censored...
They say Republicans on the House franking commission, which screens the content of mass mailings paid for with Congressional funds, have become more sensitive since the May 24 special election in New York. Democrat Kathy Hochul made opposition to the plan authored by House Budget Chairman Paul Ryan (R-Wis.) a central element of her successful campaign for the New York seat...
The commission returned a flier to Rep. Gerry Connolly on May 29 over objections to language stating that the GOP budget would “end” Medicare. The commission asked the Virginia Democrat to rephrase the passage to say the plan could “change” or “could privatize portions” of the federal health insurance program for seniors and the disabled.
Connolly called the action “Orwellian in nature.”
“It is the most extreme censorship I have ever encountered,” he told Roll Call. “And it’s all because they have been taking heat on Medicare.”
Similarly, the commission asked Rep. Ed Perlmutter to strike the words “eliminate” and “dismantle” in favor of the word “change” in a flier about the Medicare proposal. The commission also asked the Colorado Democrat to remove references to Ryan, replace “voucher” with “premium support system” and change “privatize” to “revise government program with support from private insurance companies.”
Suddenly, none of the other candidates would be praising him; indeed, it’s not unlikely that candidates currently willing to say nice things about his Medicare and budget ideas without fully endorsing them would get off the fence and actively turn against them.And guess what? Ryan has a voting record that no one's looked at yet:
Questionable votes he took in the past (TARP, anyone?) would suddenly be raised just as often as his supposed courageousness is now praised. Serious People outside of the GOP who like him now would shy away once he was forced to spend time on abortion and marriage and the other things that Republican presidential candidates have to talk about (and there’s plenty of ammunition for them on purely budget matters, for whatever that’s worth).Ryan's not running, from all indications. It makes you kind of wish he would.
Depending on who you listen to these days, the Paul Ryan/GOP plan to change Medicare either: “ends Medicare,” “ends Medicare as we know it” or “saves Medicare for the future.”Nolan's seven terrible truths about the Ryan/GOP Medicare plan come with links to their sources. As Nolan says, "This is not some stuff I just made up."
The truth is, the Ryan plan would still provide a plan called “Medicare,” but the program would be changed so substantially that it would be like the loveable Medicare you once knew went face first through a plateglass window. It might still be called “Medicare,” but you would hardly recognize it.
GOP House member Paul Ryan took the lead in crafting it, according to sources.The plan is designed to protect incumbent freshman Republican Sean Duffy, Gilbert says. [UPDATE: The new map would take heavily Dem Portage County out of the 7th CD, helping Duffy. It also would take part of Chippewa County, possibly moving former State Sen. Pat Krietlow, a Dem who's already launched a campaign against Duffy, out of the district. It's not clear which side of the line he lives on.]
"Wisconsin's redistricting process has never gone forward under such a dark ethical cloud. Conceived in darkness and obscured from the voters, this heinous redistricting plot now is foisted on Wisconsin as a fait accompli.Stay tuned.
Never before in Wisconsin's modern history has the process taken place without local participation and the creation of wards. Never before have the people of this state had so substantial a decision made in such an absence of democratic principle.
Paul Ryan and Scott Walker and his lapdog Legislature have normalized the outrageous. In saner times, any of the many activities undertaken by Ryan, Walker and the Fitzgerald Brothers would be cause for alarm and righteous anger. Now, it's merely Monday."
Politifact has now updated its work on the claim, universal on the right-- and repeated often by Paul Ryan-- that discretionary non-defense spending is up 80 percent under Obama.
It’s completely false. As anyone who knows how to read federal statistics should have known, the real number-- including the stimulus-- is 26 percent. And it’s now in the process of falling off.
The discretionary spending falsehood is a key part of the claim that Obama has presided over a vast expansion of government; as I’ve tried to explain, the only real area of rapid growth has been in safety net programs that spend more when there is high unemployment.
So, two questions.
First, why wasn’t this obvious to everyone? I mean, where are those huge new government programs?
Second, why did I have to be the one pointing out this falsehood? Doesn’t the White House have any kind of response team? Or are they so eager to be bipartisan that they don’t want to point out that Ryan is talking nonsense?
One fascistic congressman was Republican John Schafer from Wisconsin. His congressional record was one of complete opposition to any defense measure. In speaking with Carlson, an investigative reporter posing as a pro-fascist, Schafer spoke of a revolution against democracy: "The Bloody kind. There will be purges and Roosevelt will be cleaned right off the earth along with the Jews. We’ll have a military dictatorship to save the country."
... Ryan is a desperate man, as are his partners in crime. Under pressure to deliver for their paymasters in the insurance industry — who have made Ryan one of his party’s prime recipients of corporate campaign cash — they decided to take a hostage.Read it here.
Faced with a routine request to raise the nation’s debt ceiling, Ryan and the Republicans balked. Even when they were told by business analysts that cutting off America’s credit would wreck the U.S. economy, they held firm, declaring that they would back a debt-ceiling increase only if it was accompanied by massive spending cuts in the form of “entitlement reform.”
Translation: Give us the Medicare money or we tank the economy...
This is serious business. The Republicans are desperate, they’re motivated, and they want Medicare.
No matter what you read in today's paper, here is the real fact: the Paul Ryan plan ends the promise of guaranteed health care for seniors who rely on Medicare for health care.
46 million Americans rely on Medicare for health care, and about half of those live on incomes of less than $30,000/yr. For these seniors, Medicare is relied upon and is essential for health care, which is incredibly expensive, is getting more expensive, and which is even more expensive for seniors.Read Pasch's well-documented response here.
Ryan has changed his tune regarding the debt ceiling significantly over the last several months. Back in January, Ryan admitted that failing to raise the debt ceiling was “unworkable.” “Yes, you can’t not raise the debt ceiling. Default is the unworkable solution,” he said during an appearance at the National Press Club. Earlier this month, he began to take a more radical line, saying that the ceiling wouldn’t be raised without concessions from Democrats. “It won’t happen, I’m serious about this,” he said. Now it seems he’s gone full-in with the fringe of his party in actually inviting a default.
Williams says the "anxiety and anger" felt by voters is a result of the coalition's failure to expose its policies to "proper public argument."
He writes: "Government badly needs to hear just how much plain fear there is around such questions at present."
...The archbishop challenges the government's approach to welfare reform, complaining of a "quiet resurgence of the seductive language of 'deserving' and 'undeserving' poor."
In comments directed at the work and pensions secretary, Iain Duncan Smith, Williams criticises "the steady pressure" to increase "punitive responses to alleged abuses of the system."
In a somber Congressional ceremony, Rep. Paul Ryan (R-WI) eulogized the late Dr. Jack Kevorkian today, vowing to “honor his legacy by continuing his good work.”
“Dr. Kevorkian tried to ease the transition of seniors into the great beyond,” an emotional Rep. Ryan told his colleagues in the House of Representatives. “Here in Congress, we have the opportunity – one might even say the obligation – to continue Kevorkian’s work on a grander scale.”
As a first step to memorialize the work of Dr. Kevorkian, Rep. Ryan said that his new budget plan would replace Medicare with a system of so-called “Kevouchers” that could be redeemed for cyanide pills, nooses and bullets.
If a bondholder misses a payment for a day or two or three or four — what is more important is you are putting the government in a materially better position to better pay its bills going forward.To put it into context, it may simply be a hard-line negotiating position being taken by more Republicans as we approach Aug. 2, the date on which Treasury Secretary Tim Geithner estimates the U.S. will begin to default on some obligations unless Congress agrees to raise the debt ceiling.
Tensions rose as Wisconsin Congressman Sean Duffy held an open town hall meeting in Superior on Monday. With several outbursts, the debate over Medicare took the spotlight.Duffy, along with other Republican Representatives, are under attack for their support of a plan essentially eliminating the Medicare system.Duffy never mentions Ryan in the video footage, but it's the Ryan plan that has people riled up. Duffy and Reid Ribble, who also won a House seat in a GOP landslide in November, will have to come up with some much better answers if they expect to keep those seats.
Duffy is just another shifty empty suit in a long line of shifty Republican empty suits who are now running as far away as they can from their "Care Killing" budget vote in the House. It's like it never happened.
Here's the clincher. Some of Duffy's "repeal Obamacare" constituents seemed to have no idea that Paul Ryan's "Path to Prosperity" was actually a deal resolution that would eventually terminate their Medicare in exchange for repealing Obamacare. One couldn't happen without the other. What a deal - eh?! Things were bad enough as it stood so Duffy wasn't going to tell them the truth about it. Instead he says republican leadership offered nothing for repeal and replace and lunatic constituents call him a liar for it. He got off easy
I decided to run for Congress because I believe Ryan needs to take his "Hands off My Grandma." I'm choosing to run because I believe we should save and strengthen Medicare. I believe Ryan must be stopped. His plan to end Medicare to pay for tax cuts for the very rich on the backs of our seniors and our most vulnerable is just plain wrong. The people of Wisconsin deserve a representative who has spent time in the working world and whose values mirror their own.Zerban got a warm reception from Wisconsin Democrats at their weekend convention in Milwaukee, which drew a huge turnout of delegates fired up by the fight to take back Wisconsin.
"Congressman Ryan's focus right now is on doing his job representing his employers in Congress and preventing a national debt crisis, not on campaigning for the next election," Susan Jacobson, Ryan's campaign manager, said in a statement.Seventeen months out and Ryan has a campaign manager? He clearly is taking Zerban very seriously, too.
Think Progress Excerpt:
Freshman Rep. Sean Duffy (R-WI) promised during his campaign that he would only repeal health reform after finding a solution to replace it. However, he told a town hall meeting in his district this week that GOP leaders had convinced him to vote for repeal first, ensuring him that a replacement would be on its way. GOP leaders, Duffy said, told him that a replacement bill would be ready by the Spring. The fact that nothing has been proposed or debated all year has Duffy “very concerned”
Path to Prosperity excerpt:[underline highlights added]
KEY OBECTIVES
PATIENT-CENTERED HEALTH CARE: Repeals and defunds the President’s health care law, advancing instead common-sense solutions focused on lowering costs, expanding access and protecting the doctor-patient relationship.
Think Progress Excerpt:
Duffy’s frustration is understandable. As Jared Bernstein has noted in March, Republicans still had not brought up a bill outline or even begun the steps in the relevant committees to propose a comprehensive health bill.
The budget proposal put forth by Paul Ryan is a vicious and cruel all-out attack on everyone under the age of 55, but the cuts to Medicare and Medicaid that the Ryan plan proposes would be felt acutely by women, who make up more than half of the beneficiaries of both programs, and women retire closer to the poverty line than men do. Women who are alone, who either never married or who are divorced or widowed and never remarried would be particularly vulnerable....
Here is the bottom line: Ryan's plan would amount to transfering the entire monthly Social Security benefit for female seniors to private health insurance companies.
For some reason, many commentators seem to believe that accurately describing what the G.O.P. is actually proposing amounts to demagoguery. But there’s nothing demagogic about telling the truth.Read it here.
Start with the claim that the G.O.P. plan simply reforms Medicare rather than ending it. I’ll just quote the blogger Duncan Black, who summarizes this as saying that “when we replace the Marines with a pizza, we’ll call the pizza the Marines.” The point is that you can name the new program Medicare, but it’s an entirely different program — call it Vouchercare — that would offer nothing like the coverage that the elderly now receive. (Republicans get huffy when you call their plan a voucher scheme, but that’s exactly what it is.)
"Paul Ryan's Roadmap for America's Future ... utilizes a rusty chain saw to perform major surgery on Medicare without benefit of anesthetic. And don't even think of staying overnight: this is an outpatient procedure." -- Comedian Will Durst tees off on Ryan and the Republicans.And he's just getting warmed up. Good stuff. Read more.
"Why did you choose to model your budget on the extreme ideology of Ayn Rand rather than the faith of economic justice in the Bible?" the blond, 20-something male asked. He said he wanted to "present" Ryan with a Bible to teach him how to help the "most vulnerable."
Four members affiliated with the religious group Faith In Public Life held a brief press conference during FFC’s afternoon intermission to denounce the GOP’s adherence to the philosophies of anti-government, anti-religion author Ayn Rand. The leaders-- Rev. Jennifer Butler, Jim Wallis, Rev. Derrick Harkins, and Father Clete Kiley-- asserted that the GOP efforts to cut funding from many anti-poverty programs while balancing the budget on the backs of the poorest Americans were not in line with Christian values:
"...[P]oor and low income people are not the ones to make hurt more when you’re making tough decisions. … They don’t bear the brunt of our fiscal irresponsibility because they didn’t cause it. We did not get into fiscal trouble because of poor people. … The poor didn’t cause this. Let’s not make them pay for it."
What we’re saying in the faith community, across the spectrum, is that a nation is judged-- our Bible says-- by how we treat the poorest and most vulnerable. Period. That’s what God says to us. That’s God’s instruction to us. To be faithful to God, we have to protect poor people.
Wallis and Butler repeatedly asserted that political leaders could not adhere to the teachings of both Rand and the church. “This budget has more to do with the teaching of Ayn Rand than the etchings of Jesus Christ,” Butler said. “I read [Rand] in high school, and she said, ‘You have to choose me or Jesus,’” Wallis added. “And so I did. She lost.”
Religious leaders have recently spoken out to House Budget Committee Chair Paul Ryan (R-WI) and House Speaker John Boehner (R-OH)-- both of whom are practicing Catholics-- telling them that the cuts in their budget disproportionately target poor Americans and are thus out of line with Christian and Catholic teaching. Early in May, a group of Catholic bishops sent Boehner a letter denouncing the budget cuts. Ryan, meanwhile, has attempted to persuade Catholic bishops that his budget is in line with religious teaching. Kiley was skeptical today, however, saying Ryan handpicked phrases from Catholic teaching in attempts to justify his budget cuts, largely ignoring the majority of Catholic teaching.
Republicans are convinced that burnishing the public’s view of their unpopular proposal to overhaul Medicare depends on assuring today’s seniors that they won’t be affected.
“The retirees are going to be taken care of; there’s no ifs, ands, or buts about it,” House Speaker John Boehner vowed in an interview with CBS last month. The plan’s architect, Rep. Paul Ryan of Wisconsin, has said time and again that the changes wouldn’t affect anybody getting close to retirement. “We propose to not change the benefits for people above the age of 55,” Ryan, chairman of the House Budget Committee, insisted last week.
There’s only one problem with the strategy: It’s not true.
The policies in the House GOP budget, if enacted, would begin affecting millions of seniors almost immediately by increasing their costs for prescription drugs and probably long-term care. Further, Medicare costs could rise over time if healthier seniors choose to abandon the traditional benefit program.
Exploiting the fear of change is a constant in health care politics, so nearly every reformer tries to play down the dislocation inherent in plans to make the system fiscally sustainable. During his own reform push, President Obama promised citizens they could keep their existing health insurance plans if they liked them. That was not exactly true: Although the new law doesn’t eliminate the current insurance system, it does put in place new incentives that experts predict will significantly change individuals’ health care options.
Republicans capitalized on the fear of those potential changes, as well as of hundreds of billions in genuine cuts to Medicare spending that were part of last year’s law, and they won heavily in November’s midterm elections. The president’s party lost seniors by more than 20 percentage points after splitting their vote 50-50 with the GOP in the prior midterm election. This year, however, it is the Republicans’ turn to be nervous, as opinion polls and their surprising loss in a special election in upstate New York revealed voter anxiety about their plan.
In response, the GOP is doubling down on the idea that today’s seniors won’t be affected. That’s partly true. Ryan’s plan to convert Medicare into a limited insurance subsidy, the most controversial aspect of the budget, wouldn’t take effect until 2022.
But the proposal would also repeal last year’s health care law, which means reopening a coverage gap in Medicare’s prescription-drug benefit that the statute closed. The gap, commonly called the “doughnut hole,” requires seniors to pay 100 percent of any prescription costs after the annual total reaches $2,840 and until it hits $4,550. Those who spend more or less have at least three-quarters of the costs covered. Under the 2010 health law, Medicare will pay 7 percent of the cost of generic drugs and 50 percent on name-brand pharmaceuticals; by 2020, the doughnut hole will be closed.
If Congress were to pass Ryan’s plan and repeal the law, as House Republicans want, the 3 million to 4 million seniors left in the doughnut hole each year would immediately face significant out-of-pocket costs. They and all other Medicare beneficiaries would also lose access to a host of preventative-care benefits in the health care law, including free wellness visits to physicians, mammograms, colonoscopies, and programs to help smokers quit.
Perhaps more jolting, the Republican budget would cut spending on Medicaid-- health care for the poor-- much of which goes to long-term care for the elderly. Some 9 million seniors qualify for both Medicare and Medicaid benefits, and about two-thirds of all nursing-home residents are covered by Medicaid. The GOP budget proposes cutting some $744 billion from Medicaid over 10 years by turning the system into block grants that limit federal contributions and give states more choice in structuring benefits. No one knows exactly which Medicaid services states would choose to cut back, but senior citizens account for a disproportionate share of Medicaid outlays and would almost certainly bear some of the burden.
“We know that two-thirds of the dollars in Medicaid go to people who are disabled or over 65, so this is the big funder of long-term care in this country,” said David Certner, AARP’s legislative-policy director. “We also know this could have an impact on home- and community-based care, which is the kind of care individuals prefer the most [and] often the ones that will be cut first.”
The plan to grandfather traditional Medicare for those older than 55 could also have negative consequences for current seniors: In 2022, when the limited-subsidy program would be introduced, seniors who qualified for traditional Medicare would be allowed to switch to the new program. If healthier or younger beneficiaries make the change to lower their out-of-pocket costs, those still participating in Medicare would be part of an insurance pool that is less healthy and more expensive. To cover those higher per-person costs, Medicare might well be forced to either raise premiums or limit reimbursements to health care providers-- which could prompt many to stop taking Medicare patients.
Republicans say that comparing their plan with the projected costs of unsustainable programs is an exercise in magical thinking. They have a point. But the idea of cutting benefits deeply without affecting anyone over 55 is almost as fantastic.