Their last budget would’ve killed the Medicare guarantee, replaced it with coupons, and doubled health care costs for our parents and grandparents. Their latest plan is more of the same. They know it’s not popular so they’ll call it something else, but nothing’s new: It would end the Medicare guarantee and shift the cost to retirees who invest in Medicare their entire working lives.
When you’re standing at the gas pump watching those numbers roll by, just remember: they’ll demand that we give up Medicare we pay into with every paycheck, but refuse to ask oil company CEOs to give up their tax giveaways.
The Say:
"Medicare must be reformed to be saved."
We Know:
- Actually, just like the military, Medicare cannot run out of money. Medicare’s trust fund is in better financial shape today than for most of its history thanks to the new health care law.
- The real threat to Medicare is Republican politicians who keep trying to take it away.
- If they really want to protect Medicare, guess what: the health care law they oppose and want to repeal is already doing it. That’s what preserving Medicare looks like.
They Say:
We Know:
- Old scare tactics won’t fool anyone. The Affordable Care Act creates a consumer watchdog team to help Medicare provide better care at lower costs and to make sure seniors and taxpayers aren’t getting ripped off.
- This team of consumers and doctors know what care should cost and make sure we don’t overpay, getting rid of waste and abuse in the system. That will help us finally contain health costs without cutting access to needed care.
- Independent boards are nothing new — the Independent Payment Advisory Board will make recommendations based on what’s best for patients, not politics or whose lobbyists spend the most money in Washington.
- Republican leaders actually admit that private insurers are the ones that "ration care for profit," but they’re trying to put their campaign donors back in charge anyway. The IPAB by law cannot ration care, increase taxes, or make changes to Medicare benefits.
WHAT YOU NEED TO KNOW
- In their previous budget plan, Republicans in Congress proposed to end Medicare as we know it by creating a voucher system that directly ends original Medicare and forces older Americans to turn to private health insurance companies — doubling their costs.
- More than 80% of Americans opposed this Republican Medicare plan. At the time, over 75% also said government has the responsibility to provide health care coverage for the elderly.
- Now, 70% of Americans, including the majority of Republicans, say they want to keep Medicare as it is today instead of changing it to what Rep. Ryan and Mitt Romney have proposed.
- House Budget Committee Chairman Paul Ryan recently proposed another voucher plan that would still end Medicare as we know it by:
- Making the original Medicare we know eventually go away by siphoning away its members into wasteful private health insurance companies.
- Ending the Medicare guarantee of access to a specific set of defined benefits that you can count on and predictable costs.
- Breaking up Medicare’s ability to spread risk and leverage the bargaining clout of its millions of members to negotiate better prices.
- Shifting those risks and costs to individual people with Medicare and making them bear the brunt of all the added costs unless Congress chose to intervene.
- Giving seniors a coupon to spend on health insurance outside Medicare and leaving them in a system in which they must fend for themselves against private insurers – even though the business model of the commercial insurance industry was the point of establishing Medicare in the first place.
- Campaign contributions from the private health insurance industry overwhelmingly favor the GOP, including the Republicans in Congress now actively trying to gut Medicare and repeal the health care law.
- This week is the two-year anniversary of the enactment of the Affordable Care Act. For state-by-state data on how the health care law is already working for older Americans, please click here.