THINK
PROGRESS
Yesterday,
we discussed the Romney campaign’s attempt to distract from the
Romney-Ryan plan to end Medicare as we know it and replace it with a
voucher system that will increase seniors’ health care costs by
thousands of dollars. The Romney campaign was also under fire for
attacking the $716 billion in Medicare savings found in Obamacare,
despite the fact that Romney himself had repeatedly endorsed plans
including those
exact same savings and even promised just this week that he’d sign the Ryan plan that included them into law.
As we noted, Obamacare uses that money to expand benefits and
strengthen Medicare by extending its solvency for an additional 8 years,
while the Romney-Ryan plan would simply steal the $716 billion and use
it to pay for new tax cuts for the wealthiest Americans and huge
corporations.
Now Mitt Romney is arguing that he’ll put all of those savings back in to Medicare. ThinkProgress’
Igor Volsky explains how that will actually make the system less efficient and hasten Medicare’s demise:
“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 the trust fund is not being raided and get
Medicare on track to be solvent long-term on a permanent basis,” Romney
told CBS on Wednesday morning. But in replenishing the funds, Romney
would actually be making the program worse off, not better.
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. CMS offers a partial breakdown:
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.
And you don’t have to just take our word for it. An
independent Medicare expert told us that Romney’s do-over plan will “definitely” make Medicare insolvent in just four short years:
“All of the demonstration and pilot programs
aimed at payment and delivery system reform would also be eliminated,”
Steve Zuckerman of the Urban Institute told ThinkProgress. “Definitely,
the 8 year extension in the life of the Medicare HI trust fund would be
gone.”
He added, “If I could ask Romney-Ryan one question on this topic it
would be: After you repeal the ACA and restore the cuts in Medicare
payments, would you then reinstate the Medicare cuts as part of your own
budget plan?”
BOTTOM LINE: In an attempt to get out from under one
problem, Mitt Romney has only succeeded in making things worse by
admitting that he’ll let the Medicare trust fund run dry in just four
years. Any way you slice it, Mitt Romney and Paul Ryan plan to end
Medicare as we know it and leave seniors with steeply increased health
care costs.
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