Keep Your Hands Off My Medicare

Red and Blue

How many low-information voters regret their votes for economy-destroying, Medicare-ending, environment-despoiling Republicans now? Even some of the Teabaggers wish they had paid a bit more attention to the lying Republicans who asked for their votes…

Katrina Vanden Heuvel reports:

It’s been a common refrain of politicians in Washington for as long as the capitol has been unpopular: “It’s good to get outside the beltway, good to go get back to the real America.” But in recent days that cliché might feel a bit stale for Republican House members, who voted last month for Rep. Paul Ryan’s budget proposal. Inside the beltway, Ryan is called “courageous,” a “visionary,” a “serious man,” for having the bravery to put forth a budget that pays for tax cuts for the wealthy by ending Medicare as we know it. Back home in his district, he’s becoming known as the leader of the most serious assault on seniors since President Bush’s attempt to privatize Social Security.

In April, Ryan was greeted, not with the outsized praise of New York Times columnist David Brooks at his town hall in Milton, Wisconsin, but instead, with sustained boos. On Friday, according to Politico, he asked police to remove a man from his town hall because the man refused to stop yelling about the impact the Ryan budget would have on Medicare.

He’s not alone. In New Hampshire, the first six questions posed to Rep. Charlie Bass (R-NH) were about his vote in favor of Ryan’s budget. “I’m not surprised it’s controversial,” said Bass of his vote. But for a man who won his seat during the 2010 Republican wave by a little more than 3,000 votes, it’s an open question as to whether his career can afford such controversy.

In addition to Ryan and Bass, at least six other GOPers have faced pointed questions and outright protest at town halls, reminiscent of the tea party anger seen at Democratic town halls in 2009. Rep. Daniel Webster (R-FL) arrived at his town hall greeted with signs that said “Hands Off Medicare.” The meeting became so contentious that police officers intervened to quiet the crowd. The New York Times described one such town hall as approaching “near chaos.” The Orlando Sentinel described another as reaching the level of “bedlam.”

Already, some members are backing away from their votes. By the end of Charlie Bass’s town hall, he already seemed to be wavering. “If there are certain facets of the budget that are manifestly unpopular, I think that should be taken into consideration… this is the beginning of a long conversation.” How manifestly unpopular is Ryan’s plan for Medicare? A recent Washington Post-ABC News poll showed that more than 80 percent of all Americans disapprove of cuts to the program. A whopping 70 percent of Republicans opposed them, as well, making it one of the most unpopular positions supported by a national party in modern memory.

(click here to continue reading Keep Your Hands Off My Medicare! | The Nation.)

Amusing to contrast/compare the media and fake media1 response to contentious Town Halls in 2008 versus now. I don’t recall any police throwing out teabaggers.

Keene Block

Still waiting for Harry Reid to schedule a Senate vote on the Ryan ridiculousness so that Senate Republicans can face similar tough questions.

And the Ryan plan doesn’t do much, really, besides shift the burden the state level…

Enter the House Republicans’ budget proposal. Instead of a commitment to insure as many people as meet the criteria, it would substitute a set amount per state. Starting in 2013, the grant would probably equal what the state would have received anyway through federal matching funds, although that is not spelled out. After that, the block grant would rise each year only at the national rate of inflation, with adjustments for population growth.

There are several problems with that, starting with that inflation-pegged rate of growth, which could not possibly keep pace with the rising cost of medical care. The Congressional Budget Office estimates that federal payments would be 35 percent lower in 2022 than currently projected and 49 percent lower in 2030.

To make up the difference, states would probably have to cut payments to doctors, hospitals or nursing homes; curtail eligibility; reduce benefits; or increase their own payments for Medicaid. The problems do not end there. If a bad economy led to a sharp jump in unemployment, a state’s grant would remain the same. Nor would the block grant grow fast enough to accommodate expensive advances in medicine, rising demand for long-term care, or unexpected health care needs in the wake of epidemics or natural disasters. This would put an ever-tightening squeeze on states, forcing them to drop enrollees, cut services or pump up their own contributions.

This is not the way to go. The real problem is not Medicaid. Contrary to most perceptions, it is a relatively efficient program — with low administrative costs, a high reliance on managed care and much lower payments to providers than other public and private insurance.

The real problem is soaring medical costs. The Ryan plan does little to address that. The health care law, which Republicans have vowed to repeal, seeks to reform the entire system to deliver quality care at lower cost.

(click here to continue reading The Ryan Plan for Medicaid –


  1. aka Fox News []

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