The quiet implications of Paul Ryan’s Medicaid plan

Three hard realities about the health-care debate in which we are now engaged:

Reality One: The cost of caring for millions of elderly Americans in nursing homes — an estimated 60 percent of those housed in such facilities — are covered through Medicaid.

Reality Two: The budget proposed by Paul Ryan and passed in the House in 2011 would slash Medicaid funding by $800 billion over the next 10 years. Medicaid spending would be cut by 35 percent over currently projected levels by 2022, and by 49 percent by 2030.

Reality Three: Although a lot of us may not want to think about it, by 2022 and certainly by 2030, many of today’s baby boomers will be prime candidates for nursing home care.

So … what’s going to happen when those three realities collide?

If you slash Medicaid by almost 50 percent, as Ryan proposes, who is going to pay the bill for the increasing number of people who will need nursing home care? After all, most senior citizens — and most families of senior citizens — lack the resources to cover that financial cost for any extended period of time.

Back during the ObamaCare debate, we were treated to highly irresponsible claims about the program leading to “death panels” with patients being condemned to die by a government out to cut costs. But please … will someone explain to me how these Medicaid cuts — if allowed to take place — will not dramatically cut back care to millions of Americans physically and financially unable to care for themselves?

Where will those people go? What will happen to them?

I am not sure that Ryan understands that fact. I’m not sure that he has thought through what happens when his cold hard numbers are applied to warm living people. But we are not going to kick millions of elderly Americans out of long-term care facilities to die. We are not that country, and I hope that we will never be that country.

469 comments Add your comment

USinUK - pro-gay-marriage thug and former Girl Scout

August 22nd, 2012
10:00 am

“Where will those people go? What will happen to them?”

well, they’re all going to get VOUCHERS, doncha know … that will fix EVERYthing!

Erwin's cat

August 22nd, 2012
10:03 am

I didn’t think Romney was running on the Ryan plan…and Ryan isn’t running for President…so
what’s with the distraction?

Doggone/GA

August 22nd, 2012
10:04 am

“well, they’re all going to get VOUCHERS, doncha know … that will fix EVERYthing!”

Nah. Ryan will make his stand on the “grandfathered” in bit. He’ll say nothing will change for the baby boomers. What he won’t say is: if you’re younger than that WATCH OUT!

Kamchak ~ Thug from the Steppes

August 22nd, 2012
10:05 am

Why does the thread count say one comment when there are clearly two?

Welcome to the Occupation

August 22nd, 2012
10:05 am

Where will those people go? What will happen to them?

They’ll go into attics and basements and extra bedrooms of houses of family members, mostly children and in-laws, who will have to find a way to juggle their increasing demands in their already harried existences with the responsibility of caring for their elderly parents and in-laws. Job will have to be given up, of if not that, sleep and other activities, to make this happen. Things will be as they were back before the New Deal which these people are obviously trying to roll back lock, stock, and barrel. And these people are right on the verge of succeeding.

I’m sorry, but if the American people really understood this these people would not be currently polling in the mid-40s as they are. Which is a sad testament.

Doggone/GA

August 22nd, 2012
10:06 am

“so what’s with the distraction?”

Check around and see what the vote outcome was in the House on his plan. It’s only the “Ryan plan” because his name is on it. It’s actually the REPUBLICAN plan. They just can’t get it passed in the Senate.

Doggone/GA

August 22nd, 2012
10:07 am

“They’ll go into attics and basements and extra bedrooms of houses of family members, mostly children and in-laws”

And never mind all of us who have none of those to fall back on.

stands for decibels (SfBA)

August 22nd, 2012
10:07 am

Here’s another reality most don’t want to consider:

http://www.taxpolicycenter.org/taxfacts/displayafact.cfm?Docid=549&Topic2id=49

The numbers are from 2007, and I suspect that the median net worth of Americans hasn’t exactly skyrocketed since then.

Yes, those of us who’ve been able to scrimp and save and put aside what we can for our dotage, who’ve been blessed with good health (knock wood), who are above that median level can act all high and mighty and blame our fellow citizens for some kind of imagined “bad choices” all we want.

That is not going to make the presumptions of the Ryan plan look any less moronic than they did to me, the first time I ever beheld them.

USinUK - pro-gay-marriage thug and former Girl Scout

August 22nd, 2012
10:08 am

“They’ll go into attics and basements and extra bedrooms of houses of family members, mostly children and in-laws, who will have to find a way to juggle their increasing demands in their already harried existences with the responsibility of caring for their elderly parents and in-laws”

with global warming, there aren’t any more ice floes.

Bhorsoft

August 22nd, 2012
10:11 am

Two words – Soylent Green.

Recon 0311 2533

August 22nd, 2012
10:14 am

The implications of Obumacare is that providers are dropping Medicaid patients and will soon be dropping Medicare patients. The Democrats want to take the finest health care delivery in the world and relegate it to a 3rd. world level, while driving the country into bankruptcy.

Erwin's cat

August 22nd, 2012
10:15 am

and I thought the right were the fear monger..ers

lovelyliz

August 22nd, 2012
10:15 am

Nothing quiet about this

USinUK - pro-gay-marriage thug and former Girl Scout

August 22nd, 2012
10:16 am

“finest health care delivery in the world”

???

most expensive, anyway … but finest??? I think that’s subject to interpretation.

Peadawg

August 22nd, 2012
10:16 am

One day Jay says we need to make the tough decisions. Raise taxes and cut spending.

The next day Jay whines about possible spending cuts.

Which is it?

stands for decibels (SfBA)

August 22nd, 2012
10:16 am

the finest health care delivery in the world

for a Saudi prince.

Granny Godzilla - Union Thugette

August 22nd, 2012
10:16 am

Erwin’s cat

August 22nd, 2012
10:03 am
I didn’t think Romney was running on the Ryan plan…and Ryan isn’t running for President…so

it ain’t rocket science fella’

he’s a heartbeat away from the Oval Office….so trying to avoid what he stands for, what he supports is the real distraction.

Why would you not want us to have a full and complete understanding of his positions?

What would you like him to keep hidden from us?

Paul

August 22nd, 2012
10:17 am

Jay, Jay, Jay

Republicans don’t propose Death Panels. They propose Budget Efficiencies.

We just bought a long-term health care policy for Mrs. Paul. Never going to qualify for Medicaid – and before anyone goes on about that program, they really ought to check and see the low resources you have to have to qualify for it – but at $50k-$75k a year now, a policy seemed prudent.

This is another of those points I hope makes its way into theVP debates. And I hope the moderator says “Rep Ryan, you did not answer the question. Here it is again…”

Steve-USA "None of the Above"

August 22nd, 2012
10:18 am

“Two words – Soylent Green”

:)

stands for decibels (SfBA)

August 22nd, 2012
10:19 am

The next day Jay whines about possible spending cuts.

PD, if you don’t understand what Ryan’s actually proposed (and legislated, as far as the House, anyway), just say so, ok?

Here’s a good place to start.

http://www.slate.com/articles/business/moneybox/2011/12/the_ryan_wyden_medicare_proposal_if_obama_loses_this_will_be_the_future_of_seniors_health_care_.html

kayaker 71

August 22nd, 2012
10:20 am

Bozo’s plans for the “affordable health care act” cut just as much from the Medicare budget as does Ryan’s proposals. Our national debt is nearly 16T dollars and has risen over one trillion in each of the four years since Bozo took office. And Bozocare will now cost the American taxpayer 1.9T dollars more. We are spending ourselves into an economic disaster from which there is no recovery.

East Lake Ira

August 22nd, 2012
10:22 am

The answer is that the burden will fall to families wholly unprepared for the expense, time, and responsibility.

Hard choices will be made and bad things will happen.

Generation$crewed

August 22nd, 2012
10:22 am

Welcome to the Occupation
August 22nd, 2012
10:05 am

My family does that. We have for generations.
There are more blessings than your self centered self may be able to process right now.

How is it too much to ask that we return the favor to our parents that they gave to us. You know when they raised you and took care of you?

Unless you are simply unappreciative for all they did for you, or somehow see yourself as above making the same concessions your parents did to ensure your current existence.

I just find it odd that you and others would make the argument that the government should do this for it citizens, but based upon your comments you are unwilling to do this for your own family.

That is an argument I simply can’t understand

Paul

August 22nd, 2012
10:23 am

Erwin’s cat

” what’s with the distraction?

The other element is that a regular feature of Rep Ryan’s stump speech is about how “Pres Obama cut $700 billion from Medicare.”

We’ve already discussed how Ryan ignores his own real Medicare cut proposal. This topic illustrates another of those contradictions Rep Ryan will sooner or later have to answer with something other than sound bites and buzzwords.

Keep Up the Good Fight!

August 22nd, 2012
10:25 am

We are not that country, and I hope that we will never be that country.

We are that country if the conned have their way.

Peadawg

August 22nd, 2012
10:25 am

We must make the tough cuts, the touch decisions, tax increases, etc.!!!

But don’t cut this, this, this, this, or this.

That’s what you sound like Jay.

:roll:

Paul

August 22nd, 2012
10:25 am

Recon

“The implications of Obumacare is that providers are dropping Medicaid patients and will soon be dropping Medicare patients. ”

If you look at the data you will see that doctors are dropping Medicaid and Medicare patients (not soon, but now) not because of ObamaCare but because of the lowering reimbursement rates approved by both Democrats and Republicans in the last several years.

Joe Hussein Mama

August 22nd, 2012
10:26 am

K71 — “Bozo’s plans for the “affordable health care act” cut just as much from the Medicare budget as does Ryan’s proposals.”

Wrong and misleading.

The ACA cuts those expenditures because the government squeezed waste out of the system and got providers and hospitals to AGREE to reduced payments for the SAME services.

Ryan’s plan simply cuts the money, doesn’t remove waste and explicitly envisions further cuts.

commoncents

August 22nd, 2012
10:28 am

Jay- Reality Two: The budget proposed by Paul Ryan and passed in the House in 2011 would slash Medicaid funding by $800 billion over the next 10 years.

EXECUTIVE SUMMARY
“…Because of its enormous size and complexity, Medicaid is susceptible to substantial amounts of waste, fraud, abuse and mismanagement. No one knows how much of Medicaid’s budget consists of waste, fraud, and abuse, but it may exceed $100 billion a year. Policymakers in favor of increased taxation and growing government should first look inward at how government is functioning, and focus first on curtailing the excessive waste, fraud, abuse and mismanagement that is pervasive throughout programs such as Medicaid.

http://oversight.house.gov/wp-content/uploads/2012/04/Uncovering-Waste-Fraud-and-Abuse-in-the-Medicaid-Program-Final-3.pdf

Hmm… Cut the program by $800 billion, and at the same time we could eliminate almost as much in the fraud we are paying out. Sounds like a wash

ZoSo

August 22nd, 2012
10:28 am

stands for decibels (SfBA)

August 22nd, 2012
10:29 am

I hope the moderator says “Rep Ryan, you did not answer the question. Here it is again…”

[...]

This topic illustrates another of those contradictions Rep Ryan will sooner or later have to answer with something other than sound bites and buzzwords.

from the United States Press Corpse?

go on, Paul, pull the other one.

This nation is likely to get Grand Bargained into peonage after the election if we rely on corporate media to educate Americans on these issues. It’s really up to decent, rational people to hold Obama’s feet to the fire during the lame duck session, and to kick Simpson and Bowles in the balls, repeatedly, until we stop hearing what a fan-tabulous deal that bloody abortion would be.

(now it’s time for YOU to say, “go on, sfd, pull the other one…” I guess.)

Peadawg

August 22nd, 2012
10:30 am

I’ll save this moaning thread in my favorites for the next Jay says “we need to raise taxes AND cut spending”. You’re all bark, Jay.

Keep Up the Good Fight!

August 22nd, 2012
10:30 am

Hmmmm, seems that some suggest Jay may only advocate for across the board cuts without thought as to consequences and not for smart intelligent cuts. :roll:

independent thinker

August 22nd, 2012
10:30 am

According to Paul’s mother it is only that black communist.Muslim foreigner in the white house who is frightening the old folks. Her son would never do such a thing. he is a good boy-isn’t he?

Peadawg

August 22nd, 2012
10:30 am

Granny Godzilla - Union Thugette

August 22nd, 2012
10:30 am

kayaker 71

August 22nd, 2012
10:20 am
Bozo’s plans for the “affordable health care act” cut just as much from the Medicare budget as does Ryan’s proposals.

It does. Yep sure does.

And reinvests it in health care expanding benefits for seniors – stuff like free wellness visits, closing the donut hole….

That mean old meanie.

stands for decibels (SfBA)

August 22nd, 2012
10:30 am

Ryan’s plan simply cuts the money, doesn’t remove waste and explicitly envisions further cuts.

…because Paul Ryan is a flaming @sshole who hates people.

(You left out that part.)

getalife

August 22nd, 2012
10:31 am

So, we are reduced to talking about reality now.

The reality is we are falling further behind because of the cons.

Peadawg

August 22nd, 2012
10:31 am

Alright Keep, I’ll play. What do YOU consider “smart intelligent cuts”?

Generation$crewed

August 22nd, 2012
10:32 am

ZoSo
August 22nd, 2012
10:28 am

Jay, please explain the difference?

http://blog.heritage.org/2012/08/01/obamacare-robs-medicare-of-716-billion-to-fund-itself/

- Paul Ryan is a Republican, President Obama is a democrat.

Do you honestly need further clarification on the difference Or are you new to Jay’s writing?

East Lake Ira

August 22nd, 2012
10:32 am

Important distinction in the $700M folks – the ACA removes COST and Ryan’s plan removes BENEFITS.

Fly-On-The-Wall

August 22nd, 2012
10:33 am

The Republicans have their own death panels – Romney, Ryan, The House. You own it.

ZoSo

August 22nd, 2012
10:33 am

Great answer Generation. Really enlightening. Did you come up that all by yourself or did you need help?

Doggone/GA

August 22nd, 2012
10:34 am

“How is it too much to ask that we return the favor to our parents that they gave to us”

My parents are dead. And I have no children and no spouse.

Keep Up the Good Fight!

August 22nd, 2012
10:35 am

Awww Pea, I have no interest in trying to debate with you my thoughts at this point. I’ve got things to do. Why don’t you try to engage Jay in some thoughtful discussion of his thoughts since he has been very open with them.

Don't Tread

August 22nd, 2012
10:35 am

The quiet implications of Paul Ryan’s Medicaid plan are far better than the quiet (or not-so-quiet) implications of a second 0bama term.

Mr Smiley

August 22nd, 2012
10:35 am

I don’t care where they cut the spending as long as they cut it back big time. And I don’t believe offsetting the spending by raising taxes is the answer either, because let’s be honest…who in here actually trusts big government that they will spend our dollars wisely?? Can you say “first family vacations”??

Normal Free...Pro Human Rights Thug...And liking it!

August 22nd, 2012
10:35 am

Finn McCool (The System isn't Broken; It's Fixed)

August 22nd, 2012
10:35 am

We are going to bring back the draft for anyone over the age of 64. Then we just need to fight ground wars in-perpetuity.

Paul

August 22nd, 2012
10:36 am

kayaker 71

“Bozo’s plans for the “affordable health care act” cut just as much from the Medicare budget as does Ryan’s proposals. ”

That is a true statement, one Ryan avoids acknowledging. Because the difference is, Pres Obama steered the funds back within health care. With Ryan, they’re gone, gone, gone.

“Our national debt is nearly 16T dollars and has risen over one trillion in each of the four years since Bozo took office. And Bozocare will now cost the American taxpayer 1.9T dollars more. We are spending ourselves into an economic disaster from which there is no recovery”

Yes, and as a military retiree with nearly free to you health care, I’m sure you are aware that exSecDef Gates said health care costs are eating the lunch of the Defense budget. They are unsustainable and prevent the services from acquiring the next-generation weapons systems they need. He proposed changes – and the retiree lobby fought them tooth and nail. Same with SecDef Panetta.

So why don’t you contact your representative and tell them you don’t want to be part of the problem of “bankrupting ourselves into an economic disaster” and tell him you’ll support severe cuts and cost shifts to beneficiaries?

Welcome to the Occupation

August 22nd, 2012
10:36 am

Generation$crewed: “My family does that. We have for generations.
There are more blessings than your self centered self may be able to process right now”

Of course, the way traditional families took care of their elderly now strikes us as noble, but people were simply doing what they had to do, often making huge compromises and sacrifices. But even when the New Deal was signed into policy there were already tremendous tensions between those traditional ways where people were “closer to the land” and the realities of a modern, mobile, individualistic society (one which is brought on by CAPITALISM, and nothing else, I should hasten to add) was already reaching a breaking point. That’s one of the reasons Roosevelt did it.

Your call for a return to traditional ways — impossible by the way — would however ring much more true were it not in service of one thing and one thing only: almost unlimited enrichment of a tiny segment of the population. THIS is what this is really about. And if you don’t see that, well, what can I say, you’re blindly working in the service of those who would en-serf you.

Finn McCool (The System isn't Broken; It's Fixed)

August 22nd, 2012
10:36 am

We’ll make them fight in wheelchairs with swords or maybe lances.

Peadawg

August 22nd, 2012
10:37 am

Funny how when I ask Keep for his thoughts on smart intelligent cuts he runs away with his tail between his legs.

Run Forrest. Run.

Cosby

August 22nd, 2012
10:37 am

Waht a crock First, the so called death panel is in place in Obama Care see Canada and England about that – second, the Ryan plan puts into place a new funding mechanism for Medicare in an attempt to SAVE the program. third, Obama Care steals over $700 billion from medicare funding to support Obama Care to cover those who have never paid into any program much less medicare. Damn, keep uo the propaganda Jay…but I am not buying it. Currently, Medicare is broke..get that broke and under the current system will not be around in the next ten years…so tell me Jay…how cdo you propose to save it…at least Ryan has the guts to put a plan on the table and is willing to discuss it…more than Obama, Harry and Nancy who use one liners and ignore the coming fiasco.

Butch Cassidy (I)

August 22nd, 2012
10:37 am

Wow, sounds like Titanic:

“Mr. Ryan, if you make those cuts, there won’t be enough in Medicaid to care for half the population. Half the population of this country will die if you cut Medicaid”

Mr. Ryan: “Not the better half” :)

getalife

August 22nd, 2012
10:37 am

Pea,

They could not even cut big oil welfare when they are making profits.

Reality pea.

Normal Free...Pro Human Rights Thug...And liking it!

August 22nd, 2012
10:37 am

“Where will those people go? What will happen to them?”

We will have to commit crimes and get put in prisons so we will have a place to stay and be fed.

the cat

August 22nd, 2012
10:38 am

Where did the dumb ass idea there are death panels in Canada and England come from?

Joseph

August 22nd, 2012
10:39 am

How about we talk about something that already happened and the quiet implications of Obama and its cutting of $716 trillion. Ryan’s medicare plan is not law… Obamacare is!!!

independent thinker

August 22nd, 2012
10:39 am

Granny- I assume you had no problem with your boy Paul voting for Medicare Part D with no funding source so George W could get reelected in 2003- even got gasbag Newt to push his buds to vote for it. Those free gym memberships that Bush gave away with Medicare Advantage were sure a nice touch too. That communist in the White House had the nerve to require those programs get funded and that Big pharma and the insurers kick back all the profits they were making off Medicare- can you imagine that -the nerve of him. Your boys willard and paul would never do something like that – would they?Only a communist would do something like that.

Doggone/GA

August 22nd, 2012
10:40 am

“Where did the dumb ass idea there are death panels in Canada and England come from?”

You really have to ask?

Generation$crewed

August 22nd, 2012
10:40 am

Doggone/GA
August 22nd, 2012
10:34 am

You are more the exception than the rule.

I could also argue that without kids you have not had many expenses of raising said children therefore have been given an advantage in savings.

I’m not calling for the removal of nursing homes. But the use of them as simple convince and looked at as a right is incorrect to me as well.

Reduce the demand reduce the cost, so for your own benefit you should be on board with my position….. It would save you money

the cat

August 22nd, 2012
10:40 am

Joseph

August 22nd, 2012
10:39 am
How about we talk about something that already happened and the quiet implications of Obama and its cutting of $716 trillion. Ryan’s medicare plan is not law… Obamacare is!!!

To which we are very thankful!

Mr Smiley

August 22nd, 2012
10:40 am

Some generation will be screwed by our screwed up gov’t, it’s just a matter of time. It’ll either be the elderly with Medicaid cuts, the Baby Boomers with Medicaid cuts, or Young Adults who have to pay for the elders’ mistakes of being greedy. My bet is on the young adults. There won’t be ANY government programs in 30 years because we’ll collapse due to unbalanced budgets. Unbalanced budgets are due to the greedy who depend on the government for well-being. Greedy pigs…

Joseph

August 22nd, 2012
10:40 am

Peadawg

August 22nd, 2012
10:40 am

David Shivers

August 22nd, 2012
10:41 am

Ryan is an ideologue. Little distractions like reality and compassion don’t enter into his thinking.

stands for decibels (SfBA)

August 22nd, 2012
10:41 am

see Canada and England about that

yeah, why don’t you, cosby? why don’t you ask those citizens if they’d swap healthcare policies with our “greatest-in-the-world” system?

I’m sure you’d get perhaps two or three percent who’d jump at the chance.

Doggone/GA

August 22nd, 2012
10:41 am

“You are more the exception than the rule.”

got proof?

USinUK - pro-gay-marriage thug and former Girl Scout

August 22nd, 2012
10:41 am

“How about we talk about something that already happened and the quiet implications of Obama and its cutting of $716 trillion.”

Oh, ffs …

go back and reread the dozen posts that already address this

Bibb County Cleaners

August 22nd, 2012
10:41 am

Joseph

Try starting your own blog. You can pick the subjects and rules.

Let us know it goes….. spoofer man

the cat

August 22nd, 2012
10:41 am

Normal-thanks for that laugh. Looks like Lyin Ryan and Boner have been spending time together in the spray tan booth.

stands for decibels (SfBA)

August 22nd, 2012
10:41 am

Dems rack up another $1.1 trillion debt

who’s in charge of the House, again, Jo-jo?

Normal Free...Pro Human Rights Thug...And liking it!

August 22nd, 2012
10:42 am

Pea,
I like the red one… :)

Peadawg

August 22nd, 2012
10:42 am

“They could not even cut big oil welfare when they are making profits.”

Agreed. I don’t trust either side to make the tough decisions.

Mr. Holmes

August 22nd, 2012
10:43 am

“Alright Keep, I’ll play. What do YOU consider “smart intelligent cuts”?

Defense. There is simply no good reason for us to spend as much on defense as the rest of the Western world combined.

Bibb County Cleaners

August 22nd, 2012
10:43 am

Peadawg

Are you obsessed with Jay?

Jay this

Jay that

Jay, Jay, Jay, jay

damn son, show are a little pride and wipe that brown off of your nose

Steve Atl

August 22nd, 2012
10:43 am

One Loud Implication of Obamacare…

Obamacare will take $716 Billion dollars from Medicaid…from Grandma and Grandpa…cue the video of Obama throwing Nana and Papa off the cliff.

Dirty Dawg

August 22nd, 2012
10:43 am

Jay, of course he knows what this will mean…what he hasn’t revealed as yet is his ‘Final Solution’.

Peadawg

August 22nd, 2012
10:44 am

Bibb County Cleaners
August 22nd, 2012
10:43 am

Is that you Keep? Hiding behind another name? Really?

Bless your heart.

Stevie Ray..Clowns to the Left of me Jokers to the Right, here I am...

August 22nd, 2012
10:44 am

80% of all healthcare expense occurs in the last 10 years of life. Both plans have potential to work with tweaking…don’t discount that under ObamaCare, the cuts will also be deep for post-acute providers (Skilled Nursing, Home Health, Durable Medical Equipment and the like) so we may see another round of huge bankrupties akin to 1998-2000 for many in this space..

Making decisions today based on some 10-20 year projection of plans that haven’t even been vetted and finalized is ridiculous….

Jay, what would you say is the CBO’s batting average for 10 year plus projections???

Someone is getting screwed no matter what…oh lest we forget, between SS and Medicare there exists a 100 TRILLION in unfunded liability…can’t imagine the payroll rates needed as the baby boomers swamp these programs…

Granny Godzilla - Union Thugette

August 22nd, 2012
10:44 am

Peadawg

August 22nd, 2012
10:45 am

“Defense. ”

And? Or is that it?

Stevie Ray..Clowns to the Left of me Jokers to the Right, here I am...

August 22nd, 2012
10:45 am

I wouldn’t mind seeing Nancy Pelosi in a wheel chair pushed off a cliff….

getalife

August 22nd, 2012
10:45 am

congress spends the money cons.

You are not new to politics but new to reality.

Good grief.

Dirty Dawg

August 22nd, 2012
10:46 am

Wait a minute, it just occurred to me..whatayabet Rmoney is puttin all his spare change into Crematory Futures?

deegee

August 22nd, 2012
10:46 am

When someone makes the statement, “I paid into Medicare so I should get something out of it,” it’s clear to me that they don’t understand Medicare. You pay into Medicare today so that a retiree can have a benefit today. You can send your kids to college and go on a cruise because the taxpayers are subsidizing the cost of your retired relatives’ health care. That’s what you get out of it.

wahoo

August 22nd, 2012
10:46 am

Jay, perhaps you should also write a corresponding blog post about the quiet implications of doing nothing to reform Medicare as it currently exists. The sobering and unfortunate reality is that the current program, with its current funding mechanisms, have trillions of unfunded liabilities. The amount of the unfunded liabilities are subject to debate and of course are estimates of the future, but I have not seen anyone say that they do not exist and that they are not substantial (i.e. tens of trillions). Therefore, over the long term this means that absent changes to the benefits or the funding (or both), the Federal has made promises that it simply will not be able to keep. It would appear that this has the most profound implications for today’s middle-aged Americans that will face this challenge in a few decades as they approach old age. With that view as a backdrop, I think you err in your view on Ryan not “getting it”. I think he does “get it” and hence his desire to reform the program for the future. You and others on this thread may have reasonable disagreements with how Ryan would propose to reform Medicare, but it appears obvious (at least to me) that there need to be structural changes to Medicare in order to improve its financial profile. In my opinion this is a debate that we should be having as a people, with the facts and the projections for the future at our disposal and without the demogoguery that has been so pervasive on this subject from both political parties. I have no expectation that this will happen, but I think we need to have an “adult” conversation about Medicare.

Generation$crewed

August 22nd, 2012
10:47 am

Welcome to the Occupation
August 22nd, 2012
10:36 am

Please do not tell me why i feel a way or what the motive is for my choice.

No need to guess just ask I will answer you.

We do it out of a feeling of gratitude, and also a sense of fiscal responsibility. Kinda like a family tradition passed down.

Also who is more like to find themselves in serfdom?

Me the one who relies on the Feds for as little as I can or, you the one who from your comments calls for the government to be given more power over us by calling for us to become more and more reliant upon the gov?

Granny Godzilla - Union Thugette

August 22nd, 2012
10:47 am

independent thinker

August 22nd, 2012
10:39 am

My Boy Paul?

You new here?

Your post is something of a mish mash.

ZoSo

August 22nd, 2012
10:47 am

congress spends the money cons.

Must have been true when Bush was in office then, huh?

fed up

August 22nd, 2012
10:47 am

Maybe the government will stop giving so much Medicaid to the refugees that are coming to this country and have the organizations bringing them pay for all of their care. If they keep Medicaid for the people that have paid into it or are US citizens, that would be a big help. How come you never hear this part of Medicaid being cut.

Mr. Holmes

August 22nd, 2012
10:47 am

Have you seen the numbers, Pea? We can fund quite a few nursing homes with the loose change under DoD’s sofa cushions.

But to answer your question, I think a needs-based assessment of entitlements like SS also is in order.

getalife

August 22nd, 2012
10:47 am

The gop cut nothing pea.

Man up and admit this fact.

Peadawg

August 22nd, 2012
10:50 am

“Man up and admit this fact.”

I have many times before. Not sure what you’re trying to argue….

MM

August 22nd, 2012
10:50 am

Bookman,

This is exactly how we got to 16 trillion in debt. Everyone is afraid to cut any programs. Paul Ryan has the guts to tell us what must happen. Liberals don’t want to hear it.

Peadawg

August 22nd, 2012
10:51 am

Mr. Holmes
August 22nd, 2012
10:47 am

Thank you.

kayaker 71

August 22nd, 2012
10:51 am

“You can keep your doctor” Riiiiiight. “You can keep your health care plan”. Riiiight. “This plan will only cost the taxpayer 940B dollars”. Riiiiight!! “That 750B dollars that I cut from Medicare will be re-invested in the health care of all Americans”. Some people will believe anything.

Doggone/GA

August 22nd, 2012
10:51 am

“You pay into Medicare today so that a retiree can have a benefit today”

Just like ANY other insurance plan, no different

getalife

August 22nd, 2012
10:52 am

The reality is the same ole gop crap.

Cut from the poor and middle class so the wealthy get tax cuts.

Admit this reality cons.