Medicare was designed as a guarantee that citizens over 65
will have adequate medical care regardless of how healthy or wealthy they
are. The Romney/Ryan plan would change
this.
Romney and
Ryan both call for turning Medicare into a voucher system. Seniors would be given a certain amount of money each year
to buy health insurance on their own. If that amount isn’t enough to pay for
the kind of coverage you need, you pay the difference out of pocket. According
to the non-partisan Congressional Budget Office, this will force seniors to pay
an average of $6,500 a year more for their insurance.
Because of the system in place today, Medicare's size allows the
government to negotiate its rates. However, if it loses many of its healthier
enrollees to private insurers (because they feel they can do without insurance),
Medicare will likely lose bargaining power with its providers, making it harder
and costlier for seniors who need healthcare.
Unlike the Romney-Ryan plan, President Obama’s plan
actually achieves billions in savings without cutting payments to Medicare
beneficiaries.
Prior to the new healthcare law –under the
Medicare Part D program—seniors initially paid 25 percent of their medication
costs while Medicare paid the rest. However, once they reached a certain spending
limit (the coverage gap commonly known as the “donut hole”), beneficiaries were
required to pay the full costs of their prescription drugs out of pocket.
What Obama’s Affordable Care Act (ie. Obamacare)
does is make the program more affordable by gradually closing the donut hole
and reducing wasteful spending by private insurers. This will lower premiums,
increase savings, and extend the life of Medicare ( click here for more details ).
The Romney-Ryan plan, by contrast, achieves its savings by
turning Medicare into a voucher whose value doesn't keep up with expected
increases in healthcare costs -- thereby shifting the burden onto Medicare
beneficiaries.
Mitt Romney and Paul Ryan want to turn Medicare over to the private
market. And as was the case before Obamacare, where private insurers dropped
coverage for patients who had preexisting conditions and were deemed “risky”,
seniors would face the same fate.
The
underlining message is who should bear the burden. Time and time again, whether
it is with Romney’s plan to lower the tax rates for the top percent (which
means that taxes on the middle-class will be higher); or with Romney’s plan to
decrease the size of the federal government (even when states are barely able
to keep teachers police officers on payroll), we have seen the Republican Party
shift greater burdens to people with less bargaining power.
But what Republicans need to understand is that we’re all
interdependent on one another in all walks of life.
That is the choice in this election.
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