View Poll Results: Which Plan?

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  • Libertarian: End All Entitlements

    8 47.06%
  • Republican: Reduce Medicare Expenditures starting in 2022, but let Seniors decide where

    4 23.53%
  • Democrat: Reduce Medicare Expenditures in 2014, and let an unelected political board decide where

    4 23.53%
  • Suicidal: Continue to bicker, leave the system as it is, and it all crashes.

    1 5.88%
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Thread: Between the Medicare Cutters

  1. #1
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    Between the Medicare Cutters

    As I've pointed out a couple of times, here, both sides are admitting that we need to cut medicare. The President's plan is to give authority to an independent board to make one-size-fits-all decisions and imposing them on seniors. Ryan's plan is to give Seniors the choice of how to allocate their Medicare dollars so that they have control over where and what to cut and emphasize. The President's plan has been scored by the CBO as saving no money, Ryan's plan does save money, and looks like it would lower healthcare costs aside.

    But that is debatable, to be sure. between the two options, which is better for seniors?


    The Medicare Cutters

    The debate over Paul Ryan's Medicare reform ideas has largely been healthy, even amid the liberal distortions. But why has there been so little scrutiny of President Obama's new Medicare proposal? Anyone worrying about more individual choice and responsibility in health care might be interested to learn that the alternative is turning every one of these decisions over to a 15-member central committee.

    It sounds absurd, but there the President was last week, gravely conceding Mr. Ryan's analysis of Medicare's balance sheet and then claiming that the solution is to give a lot more political power to an unelected board to control health costs. Democrats believe this board will play doctor and actuary and allocate health resources better than markets, so allow us to fill in some of the details of this government-planned future...

    Starting in 2014, the board is charged with holding Medicare spending to certain limits, which at first is a measure of inflation. After 2018, the threshold is the nominal per capita growth of the economy plus one percentage point. Last week Mr. Obama said he wants to lower that to GDP plus half a percentage point.

    Mr. Ryan has been lambasted for linking his "premium support" Medicare subsidies to inflation, not the rate of health cost growth. But if that's as unrealistic as the liberal wise men claim, then Mr. Obama's goals are even more so. Medicare grew 2.1 percentage points faster between 1985 and 2009 than Mr. Obama's new GDP target. At least Mr. Ryan is proposing a workable model for bringing costs down over time by changing incentives.

    Mr. Obama, by contrast, is relying on the so far unidentified technocratic reforms of 15 so far unidentified geniuses who are supposed to give up medical practice or academic research for the privilege of a government salary. Since the board is not allowed by law to restrict treatments, ask seniors to pay more, or raise taxes or the retirement age, it can mean only one thing: arbitrarily paying less for the services seniors receive, via fiat pricing...

    Messrs. Ryan and Obama agree that Medicare spending must decline, and significantly. The difference is that Mr. Ryan would let seniors decide which private Medicare-financed insurance policies to buy based on their own needs, while Mr. Obama wants Americans to accept the commands of 15 political appointees who will never stand for election.

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    Re: Between the Medicare Cutters

    Orr we could seize the oil revenues from Iraq and Afghanistan that are owed for saving their sorry asses and give our seniors better wheel chairs and bingo boards.

  3. #3
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    Re: Between the Medicare Cutters

    Quote Originally Posted by sazerac View Post
    Orr we could seize the oil revenues from Iraq and Afghanistan that are owed for saving their sorry asses and give our seniors better wheel chairs and bingo boards.
    that wouldn't even begin to be enough to cover our current baseline entitlement expenses.

    and Afghanistan has no oil that I am aware of; though there are pipelines that run through her.

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    Re: Between the Medicare Cutters

    I think that if we're going to have some kind of mandatory medical care, it should be a mandatory HSA, with less restrictions on what type of insurance you can get.

    Seriously, I don't need to be covered for pregnancy, I don't have a vagina.
    I was discovering that life just simply isn't fair and bask in the unsung glory of knowing that each obstacle overcome along the way only adds to the satisfaction in the end. Nothing great, after all, was ever accomplished by anyone sulking in his or her misery.
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    Re: Between the Medicare Cutters

    Quote Originally Posted by Harry Guerrilla View Post
    I think that if we're going to have some kind of mandatory medical care, it should be a mandatory HSA, with less restrictions on what type of insurance you can get.

    Seriously, I don't need to be covered for pregnancy, I don't have a vagina.

    You are a human being. Of course you have a vagina. How else could you be fruitful and multiply? And medical care must be mandatory because humans do not let other humans suffer or die.

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    Re: Between the Medicare Cutters

    Afghanistan doesn't have any oil!? Then why the hell did we rescue them? There's so much I don't know.

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    Re: Between the Medicare Cutters

    Quote Originally Posted by Harry Guerrilla View Post
    I think that if we're going to have some kind of mandatory medical care, it should be a mandatory HSA, with less restrictions on what type of insurance you can get.

    Seriously, I don't need to be covered for pregnancy, I don't have a vagina.
    Indiana is in the process of switching it's Medicaid recipients over to HSA's, having already offered that option to it's public employees. Going to be interesting to see how it works out and what it tells us for public policy.

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    Re: Between the Medicare Cutters

    Quote Originally Posted by cpwill View Post
    Indiana is in the process of switching it's Medicaid recipients over to HSA's, having already offered that option to it's public employees. Going to be interesting to see how it works out and what it tells us for public policy.
    And think, if we swapped out the Medicare tax to contribute to the HSA, it would be golden.
    I was discovering that life just simply isn't fair and bask in the unsung glory of knowing that each obstacle overcome along the way only adds to the satisfaction in the end. Nothing great, after all, was ever accomplished by anyone sulking in his or her misery.
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    Re: Between the Medicare Cutters

    Quote Originally Posted by sazerac View Post
    You are a human being. Of course you have a vagina. How else could you be fruitful and multiply? And medical care must be mandatory because humans do not let other humans suffer or die.
    Just checked, I still do not have a vagina.
    I was discovering that life just simply isn't fair and bask in the unsung glory of knowing that each obstacle overcome along the way only adds to the satisfaction in the end. Nothing great, after all, was ever accomplished by anyone sulking in his or her misery.
    —Adam Shepard

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    Re: Between the Medicare Cutters

    Quote Originally Posted by Harry Guerrilla View Post
    And think, if we swapped out the Medicare tax to contribute to the HSA, it would be golden.
    geez. combined with swapping Social Security over to a ROTH-style plan... and saved up against your retirement...

    ....our biggest retiree issue would be that housing prices in Florida would be skyrocketing. we would literally be retiring entire generations of millionaires in real money.

    we could means-test Medicare and join it with Medicaid to cut redundancy - both of which would just subsidize the 'Low Income / High Risk HSAs', everyone would still be provided for; and we could concentrate what few dollars we have to spend on that exceedingly small percentage seniors who would actually need it....

    Long Term, we could lower government spending to 15% of the economy. 10%. Easily. Good God, can you imagine the economic boom?
    Last edited by cpwill; 04-25-11 at 05:26 AM.

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