If Mitt Romney and Paul Ryan had values They Would Stop Their Medicare Lies

If Mitt Romney and Paul Ryan had values They Would Stop Their Medicare Lies

When formulating public policy, evidence should be accorded more weight than ideology, and facts should matter more than shibboleths. The Romney-Ryan plan for Medicare reform depends on assertions that are ideologically consistent. But the Republicans plan is not supported by the evidence and does not survive serious scrutiny.

Perhaps that's why the Romney campaign has been deliberately misrepresenting President Obama's Medicare record.

Mitt Romney characterizes the $716 billion of Medicare savings over the next 10 years, contained in the Affordable Care Act, as President Obama's "raid" on the Medicare program to pay for his health care program. This fear-mongering is simply untrue. These savings result from reforms to slow the growth of Medicare spending per enrollee - there are no cuts in Medicare benefits.

The reforms include both voluntary and mandatory changes in how providers deliver health care to promote better care coordination at lower cost, reward the quality and outcomes of services rather than their volume and reduce fraud and abuse.

For example, the law fosters the creation of accountable-care organizations, i.e., groups of providers willing to accept a flat fee for the integrated care provided to their Medicare patients. Accountable-care organizations represent a major step away from the unsustainable fee-for-service model that rewards the number of procedures rather than the quality of care.

Health experts believe that these organizations will significantly improve care and lower costs not just in Medicare but throughout the health care system. This belief is based on evidence, not ideology.

Medicare beneficiaries will also benefit from reforms that penalize hospitals for preventable re-admissions reflecting complications from previous procedures and that require hospitals to post their rates of medical errors, with penalties for those with the highest rates.

Both Governor Romney and Representative Paul D. Ryan have promised to repeal the Affordable Care Act and with it the reforms behind the $716 billion in Medicare savings (although Mr. Ryan duplicitously counts the savings from these reforms in his deficit-reduction plan). Medicare beneficiaries would be the losers. They would lose the benefits of better care at lower cost. They would lose the plan's expanded Medicare coverage for prevention benefits and prescription drugs, and they would be forced to pay higher premiums and co-pays as a result of faster growth in Medicare costs.

Same on Romney and Ryan for being yet more examples of the moral corruption and anti-Americanism of the Republican party.