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Krugman on the GOP's 'Vouchercare' Plan

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Rachel Maddow sat down with The New York Time's Paul Krugman to discuss a topic from one of his recent op-eds, which was now vice presidential candidate Rep. Paul Ryan's lie packed speech at the Republican National Convention this week, whether he should be considered a Very Serious Person by our Villager chattering class that seems to love him despite the fact that the man wants to turn Medicare into a voucher system for our seniors.

Republicans keep pretending this is palatable because it won't affect current seniors, but I've got to wonder if they're really so cynical to believe that current seniors don't care about their children and grandchildren, or that they won't find out that if we would follow through on Romney's plans to revoke the Affordable Care Act, current seniors would be harmed. The sad conclusion is that the GOP is planning on the stupidity of low information voters to carry them along this election. Here's to hoping they are proven wrong if they really think running on privatizing Medicare and turning it into a voucher system is a good idea and that most people won't figure that out once it's said and done.

Here's Krugman's latest on the topic from the NYT: The Medicare Killers:

Paul Ryan’s speech Wednesday night may have accomplished one good thing: It finally may have dispelled the myth that he is a Serious, Honest Conservative. Indeed, Mr. Ryan’s brazen dishonesty left even his critics breathless.

Some of his fibs were trivial but telling, like his suggestion that President Obama is responsible for a closed auto plant in his hometown, even though the plant closed before Mr. Obama took office. Others were infuriating, like his sanctimonious declaration that “the truest measure of any society is how it treats those who cannot defend or care for themselves.” This from a man proposing savage cuts in Medicaid, which would cause tens of millions of vulnerable Americans to lose health coverage.

And Mr. Ryan — who has proposed $4.3 trillion in tax cuts over the next decade, versus only about $1.7 trillion in specific spending cuts — is still posing as a deficit hawk.

But Mr. Ryan’s big lie — and, yes, it deserves that designation — was his claim that “a Romney-Ryan administration will protect and strengthen Medicare.” Actually, it would kill the program.

Before I get there, let me just mention that Mr. Ryan has now gone all-in on the party line that the president’s plan to trim Medicare expenses by around $700 billion over the next decade — savings achieved by paying less to insurance companies and hospitals, not by reducing benefits — is a terrible, terrible thing. Yet, just a few days ago, Mr. Ryan was still touting his own budget plan, which included those very same savings.

But back to the big lie. The Republican Party is now firmly committed to replacing Medicare with what we might call Vouchercare. The government would no longer pay your major medical bills; instead, it would give you a voucher that could be applied to the purchase of private insurance. And, if the voucher proved insufficient to buy decent coverage, hey, that would be your problem.

Moreover, the vouchers almost certainly would be inadequate; their value would be set by a formula taking no account of likely increases in health care costs.

Why would anyone think that this was a good idea? The G.O.P. platform says that it “will empower millions of seniors to control their personal health care decisions.” Indeed. Because those of us too young for Medicare just feel so personally empowered, you know, when dealing with insurance companies. Read on...



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Rep. Jason Chaffetz (R-UT) has become the latest Republican to go up against CNN host Soledad O'Brien on the issue of Medicare and lose.

During an interview on Friday, O'Brien called out Chaffetz after he tried to claim that that Medicare plans offered by presumptive Republican presidential nominee Mitt Romney and his running mate, Rep. Paul Ryan (R-WI), would not turn the program into a voucher system.

"Let's keep to the facts that President [Barack] Obama did take $700 billion out of Medicare," Chaffetz told O'Brien.

"We've now had this conversation 15 times at least," O'Brien noted, shaking her head. "As you know, it's not taking money out of Medicare, right? It's a decrease in spending over time and it's a decrease that you yourself, I assume, voted for, right? In Paul Ryan's budget in 2011 and 2012, he had that same number in his budget. Didn't you vote for that?"

"It's not exactly the same number," Chaffetz replied. "I did vote in favor of the two budgets."

"But now you're criticizing something that you voted for twice, right?," O'Brien observed.

"It's a totally different approach," the Utah Republican maintained. "For instance, the Independent Payment Advisory Board -- IPAB -- is not something that I support, but is something that takes that $700 billion that Obama took and puts it into the control of these bureaucrats in Washington, D.C."

"At the end of the day, that same number crunching was voted on by virtually every single Republican in 2011 and then again in 2012. That is fair to say," O'Brien pointed out, adding that both Romney and Ryan had promised to "save" Medicare by turning it into a "voucher program."

"No, it's not!" Chaffetz objected.

"It's not a voucher program?" O'Brien wondered.

"It is not a voucher program," Chaffetz insisted. "It is a premium support, and that is totally different than a voucher program. And every time somebody says, 'Oh, it's a voucher program,' it's false, it's misleading, it's derogatory and it's inaccurate. That is not what it does."

"You will give people money to go and buy their own insurance, right?" O'Brien pressed. "But we're arguing over symantics. At the end of the day, isn't it -- you would give someone money to buy their own insurance."

"No, a premium support program is different than a voucher program," Chaffetz repeated.

"Walk me through how it's different," O'Brien dared the congressman.

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It looks like someone is getting cold feet on Paul Ryan's draconian budget plan that would basically turn Medicare into a voucher program. On Fox News Sunday, Michele Bachmann now says she's worried about the burden that the plan would place on seniors.

From Think Progress -- Bachmann Backs Away From GOP Medicare Plan: ‘I’m Concerned About Shifting The Cost Burden To Seniors’:

But even Rep. Michele Bachmann (R-MN) — perhaps Congress’ most outspoken conservative and most sincere promoter of the anti-government Tea Party movement — seems to be backing away from the plan. Appearing on Fox News Sunday today with host Chris Wallace, Bachmann refused to back everything in the GOP budget, saying there should be an “asterisk” next to her vote for the plan because she is concerned about how it would shift healthcare costs to seniors:

WALLACE: What do you tell people nearing retirement who say I can’t afford to pay more of my own healthcare costs out of pocket? Which is what the Ryan and Republican Study Committee plans would do.

BACHMANN: And I understand that. I put an asterisks on my support, I put a blog posting up that said just as much. That is my area of concern, I support this bill with that proviso. … One position that I’m concerned about shifting the cost burden to senior citizens. Seniors are saying, look, I’m not in a positon to be able to handle that. I also share that real fear, that’s why I put that asterisks out there. [...]

WALLACE: So you’re not wedded to the idea of a voucher program for Medicare?

BACHMANN: I’m wedded to the idea of efficiencies and cost cuttings and savings in healthcare, but how we get there is open to discussion.