Romney and Ryan Lack The Courage and Morals To Honestly State Their Plans To Detroy Medicare

The Venal, Morally Corrupt Serial Liar and Corporate Socialist Mitt Romney Tries To Explain His Medicare Magic Trick

Mitt Romney offered a white board presentation during a news briefing in South Carolina on Thursday morning that sought to untangle the campaign’s contradictory message about Medicare. Over the last week, Romney and Ryan have twisted themselves into a pretzel to attack President Obama for “stealing” $716 billion from Medicare, while trying to explain why Paul Ryan included the savings in his FY 2013 budget. Romney had previously pledged to sign the document into law.

During the presentation, Romney tried to lay out the differences. Obama takes the money out of seniors’ Medicare Advantage plans and cuts payments to providers, causing some to lose his coverage, he argued. The program’s trust fund would go bankrupt by 2024, under Obama, and seniors would lose access to the care they need. His plan, alternatively, would preserve the program for current retirees and keep it solvent indefinitely.

ThinkProgress explains why this is wrong:



The Obamacare savings slow the growth of Medicare over the next decade by, in part: eliminating overpayments to private insurers in Medicare Advantage, reforming provider payments to encourage greater efficiency, tying reimbursements to improvements in economic productivity, and reducing fraud and abuse. The law does not impact patient benefits.

As a result of these savings, “growth in spending will be restrained” and the life of the Medicare trust fund is expanded by eight years, the government estimates. Sixteen million seniors are also benefiting from the savings by receiving preventive benefits without deductibles or co-pays and saving more than $3.9 billion on prescription drugs.

Should Romney restore the $716 billion — and unless he institutes other yet to be specified reforms — we would move back to the old system of overpaying private insurers and providers. He’d be re-inserting inefficiency back into the system, jeopardizing the benefits that seniors are currently enjoying, and shrinking the solvency of the Medicare trust fund from 2024 under current law to 2016.

 Romney vs. Ryan On Medicare’s Solvency

Via Twitter, David Phillippe pointed out today that Paul Ryan has directly contradicted Mitt Romney on how to extend the solvency of Medicare. At issue are cuts to Medicare included in both Obamacare and the House GOP budget engineered by Ryan, which now total $716 billion over the current budget window. Mitt Romney told CBS on Wednesday he would undo those cuts and restore Medicare’s payments to their prior level, and claimed this move would extend the program’s solvency:

    ROMNEY: The president’s cuts of $716 billion to Medicare, those cuts are going to be restored if I become president and Paul Ryan becomes vice president… My commitment is, if I become president, I’m going to restore that $716 billion to the Medicare trust fund so that current seniors can know that trust fund is not being raided and we’re going to make sure – and get Medicare on track to be solvent long-term on a permanent basis.

Meanwhile, Ezra Klein notes that back in July, Paul Ryan told ABC’s George Stephanopoulos that the exact opposite approach would extend solvency:

    STEPHANOPOULOS: Your own budget, which Governor Romney has endorsed, would also have [$716 billion] in Medicare cuts.

    RYAN: Well our budget keeps that money for Medicare to extend its solvency. What Obamacare does is it takes that money from Medicare to spend on Obamacare.

Paul Ryan has the right of it — maintaining these cuts will extend the solvency of Medicare’s trust fund, while undoing the cuts as Romney insists will shorten its solvency. That’s because the cuts do not target seniors’ benefits, but rather the payment rates to health care providers. Overpayments to private insurers in Medicare Advantage are trimmed, overall provider payments are reformed to encourage efficiency, and reimbursements are tied to improved economic performance.

Since the securities flowing into the trust fund come from the payroll tax, which is not cut, the funding remains the same while the services-per-dollar those funds can purchase goes up. As a result, the solvency of Medicare’s trust fund is extended, and the gap over the next 75 years between Medicare’s funding and its expected payments shrinks.

Of course, Ryan’s implication that Obamacare uses the money from the cuts to pay for its own spending instead of extending Medicare’s solvency is also wrong. Trust fund accounting, which deals with Medicare’s solvency, is a conceptually separate framework from the unified budget accounting under which Obamacare’s spending falls. It’s perfectly feasible for the same cut to make room for new spending under the latter, while simultaneously improving Medicare’s solvency under the former. As Paul N. Van de Water put it, “That’s no different than when a baseball player hits a home run: it adds to his team’s score and also improves his batting average.”

So Romney contradicts Ryan on whether these cuts extend Medicare’s solvency, and both incorrectly claim Obamacare fails to do so. Welcome to politics.

Romney, Paul Ryan and sate level Republicans are in an absolute panic trying to get seniors to believe they are not going to cut Medicare. At the same time these gutless conservatives are lying about how Democrats and Obama strengthened the Medicare program.  No, “ObamaCare” Doesn't Cut Medicare

I’m sorry, but do Republican politicians have no shame? They’ve been running with the bold faced lie that “ObamaCare”, aka the Affordable Care Act, “cuts Medicare” since the day it was signed into law. Jesse Kelly pasted signs that “Gabby voted to cut $500 Billion Medicare” on his campaign signs in 2010. What do you do when a lie doesn’t stick? Tell a bigger lie. Now that Mitt Romney has selected Paul Ryan as his running mate Ryan’s “Path to Prosperity” Budget Plan that converts Medicare into a voucher system that will result in much high medical cost for future retires has become a campaign issue. So Romney figures the best defense is a good offense and has dusted off the old “Obamacare cuts Medicare” lie and upped the ante – now he claims the Affordable Care Act “cuts Medicare” by an absurd $700 Billion.

Whatever amount you want to use, the Affordable Care Act doesn’t “cut Medicare” – it saves Medicare by reducing expenses. Let SeniorCorps.org explain:

    Despite the doom and gloom tactics of some members of congress and talking heads, the cuts will come from two prime sources; (1) eliminating Medicare fraud, and (2) a reduction in the amount of payments that are paid into Medicare Advantage programs that are offered by private insurance companies.

Medicare fraud cost the program an estimated $60 Billion every year. By beefing up the enforcement of fraud detection, the Affordable Care Act enables the Medicare Administration to significantly reduce this waste. As for Medicare Advantage program, that was a program passed by a Republican Congress under the theory that private business can always do something better than government. Enron anyone? Medicare Advantage benefits typically cost much more than benefits directly from Medicare. As my blogging colleague Denise in her Medicare and More blog explains so well in her Paul Ryan’s Medicare Plan article today, Medicare administrative costs average 3-4%, while private insurance companies’ administrative costs average around 15%. One reason is that the Medicare Administration doesn’t pay hundreds of millions in salaries & benefits to CEOs like the big insurance companies do. And private insurance companies don’t like to lose money, so they got the Republicans to include a “risk adjustment” factor into the Medicare Advantage program that guarantees the insurance companies will always get paid more than their actual cost. It doesn’t matter if their higher costs are from bloated administrative costs or actual benefits paid out to enrollees, they always get paid more. The Affordable Care Act remedies that by reducing and capping payments to insurance companies offering Medicare Advantage policies. The leaner, more efficient companies will do just fine and continue to offer policies, while the companies with bloated costs will abandon the market. Capitalism at its finest. And seniors don’t lose a single benefit – if they don’t fine find a Medicare Advantage policy that meets their needs they simply re-enroll to get those benefits directly from Medicare.