As we get more clarity on the menu of options in the upcoming budget debate, we’re seeing a narrowing of differences between the two parties. The Republicans may not want to admit it, but they’ve given up on changing the structure of Medicare. You can be sure of this by looking at the proposal of the Republican Study Committee, the far-right rump in the House (and it’s much more than a rump, including 3/4 of the entire House GOP caucus), which created a list of demands for increasing the debt limit. Even THEIR plan doesn’t mess with Medicare.
The plan calls for immediate spending cuts, spending caps at about 18 percent of GDP and a balanced-budget amendment similar to the plan unveiled by Senate Republicans in March, according to an aide with knowledge of the plan. The proposal does not include Medicare reforms, said the aide, who was not authorized to talk publicly about the plan.
“We’re putting together what we think makes sense at the RSC,” Rep. Jim Jordan (R-Ohio), RSC chairman, said in a brief interview Thursday. “We will plan to have some guidelines in place next week. We had a couple of meetings this week. We had our regular meeting; we had our steering committee meeting this morning. So we will plan to have that out next week.”
Now the RSC plan is absolutely crazy. An 18% spending cap is nearly 3% below the austere McCaskill-Corker plan. It’s well below the Ryan plan, which sets discretionary spending to the level of the Coolidge Administration. The balanced-budget amendment would turn all recessions into depressions in short order. And there are at least $180 billion in spending cuts in the 2012 budget year. And even they beg off the Medicare privatization. They claim to be “focusing on the pure spending aspects of the budget” for the time being.
On the other side, Kent Conrad is about to release his budget proposal, abandoning the Gang of Six but advancing their policy preferences anyway. Again, almost nothing on Medicare.
Conrad told The Hill that he will suggest only modest cuts to Medicare to pay for the so-called doctors’ fix — the scheduled cuts to doctors’ Medicare payments that Congress delays annually.
A Democratic source briefed on the proposal said the health savings in Conrad’s budget plan would offset the cost of a multi-year doctors’ fix. Conrad would not cut Medicare significantly to pay for deficit reduction, the source said.
“There are savings in Medicare, modest savings to pay for the doc fix,” Conrad told The Hill.
He said he would leave it up to Senate Finance Committee Chairman Max Baucus (D-Mont.) to decide the specific cuts.
“We don’t specify them because we don’t decide that, the Finance Committee decides that,” Conrad said.
So on the one side, Medicare gets left on the cutting room floor; on the other, “modest” and completely unspecified cuts to pay for the doc fix, which if you think about it is actually an net neutral change in Medicare spending, because the doc fix concerns provider reimbursement rates.
It’s time to stop talking about Medicare. Nothing’s happening in the next year and a half on it. If you’re a Medicaid recipient, watch your wallet. And there will be significant spending cuts between the Ryan plan, the RSC’s far-right nonsense, Conrad’s mock-cat food commission, and whatever the President brings to the table. There’s a lot that will hurt people here. But Medicare remains the third rail. Social Security, too (nobody’s talking about it).




17 Comments

Support this site!
Subscribe to the newsletter
Advertise on Firedoglake
Send
us your tips
Make us your homepage
About FDL News Desk
Well golly. Stop the presses!
I’m sure they’re busy studying the demographics of a MedicAID destruction bill
I’m guessing that those who had town hall meetings got their arses handed to them!
Republicans like to Beat Their Chests over entitlement cuts but really do not have the stomach for that suicide mission.
Democrats on the other hand like to look like they are protecting The Little Guy, but are really only interested in protecting their own sorry little political asses.
Typical Washington theater. Always poorly written and badly acted.
So the turkey just slipped off the platter and landed on the floor.
Why do I have a queasy notion it will noticed, picked up, and put back where it was after the 2012 election?
I’d love to see the plan for how these Medicaid cuts would be allocated. There’s certainly some waste and abuse in the program (see New York state) but overall it’s a pretty lean machine.
When Obamacare comes online in 2014 there will be lots of incentive for providers to drop low-reimbursing Medicaid patients and send them to community clinics where the taxpayer picks up the cost. So it has the potential to be a giant shell game which helps no one.
Is there any chance at all that the Progressive Caucus budget proposal will even get a hearing?
Dear Republicans: What are the rich ‘entitled’ to? Everything, right? Scumbags.
That is just what they think! Greedy pricks!!
damn.
Maybe they thought the congressional plan was run by medicare?
My guess is that the Conrad savings to be used to pay doctors more – the repeal of the 1990′s cut the payment to doctors law for a 10 year period – will be a simple make the aged pay more via a Part B premium increase.
It’s important to note that Republicans haven’t really “dropped” the ambition to gut medicare. They just changed strategy – now they plan to gut medicare after winning the white house and the senate. E.g.:
http://www.nationalreview.com/corner/266637/no-retreating-health-care-ramesh-ponnuru
Ramesh Punnuru: No retreating on health care. The Corner @ National Review Online
>>
As far as I can tell, the plan all along was to propose a budget that showed how Medicare reform would contribute to, well, a path to prosperity, defend that reform, and try to get more supporters of reform elected in 2012. I don’t see how sticking to the plan can be seen as a retreat. But I also haven’t seen any Republicans make this point in this week’s news stories.
<<
IOW, win the senate, win the precidency = mandate for medicare reform
Our old “ally” National Public Radio still wants Medicare gutted. http://www.npr.org/2011/04/30/135844222/medicares-math-problem-taxes-benefits-trouble
They’re not only “serious people” over there at NPR, they’re dead-enders.
NPR was taken over a long time ago.
they still have a few good shows, but nothing justifies their “balance” that they now have. cut their funding? got no problem with that.
as for Medicare or even Medicaid, in Canada, the national health plan (not sure what it’s called) charges approximately 50-75 per person per month (I’m told there are discounts for families and children).
so if they can get their plan 50-75 per month, why can’t we?
just give everyone the CHOICE to buy into Medicare. the more people, the more cost sharing, and cheaper premiums.
just let us have the CHOICE!
but who didn’t allow it? who didn’t even allow the CHOICE?
one party, the Corporatist party. two branches, R and D.
If the Republicans were concerned by the deficit, then why does Medicare Part D prohibit the government from negotiating drug prices? The truth is that the Republican party is a white collar criminal organization that transfers wealth from the people to a small collection of cronies.
Obama brought us the Obama-Peterson Cat Food Commission, giving it life after Congress refused to vote for it. Conrad is pushing a version close enough to Simpson-Bowles’ recommendations to the Cat Food Commission to be the real thing.
So, Obama already has two forces working for the Cat Food Commission, and the Republicans could certainly get behind it, with the usual sweeteners Obama is usually prepared to give them.
Obama is going to get almost exactly what he wanted.
We, the people, get screwed.
And Obama has more chances to go after Medicare, but he may realize he can’t get that through and get reelected. Right now he probably thinks he can do Medicare “reform” in his second term.