Weekly Pulse: GOP Would Privatize Medicare, Gut Medicaid


By Lindsay Beyerstein, Media Consortium blogger

On Tuesday, Rep. Paul Ryan (R-WI) unveiled a draft budget resolution for 2012. Ryan’s program would privatize Medicare and gut Medicaid.

“Rep. Paul Ryan, R-Wisconsin, is waging radical class warfare and ideological privatization schemes and selling it as a debt reduction plan,” writes Karen Dolan in AlterNet. Indeed, Ryan’s plan is larded with tax cuts  for wealthy citizens and profitable corporations, which according to the non-partisan Congressional Budget Office (CBO), would actually increase the national debt over the next decade. The CBO projects that the debt would reach 70% of GDP by 2022 under Ryan’s plan compared to 67% under the status quo.

At TAPPED, Jamelle Bouie predicts that Ryan’s budget plan will become the de facto platform for the GOP in the 2012 elections. Presidential hopeful Tim Pawlenty is already gushing about the plan. He notes the irony in Republicans seizing upon a plan to eliminate Medicare when they campaigned so hard to “protect” the program during the fight over the Affordable Care Act.

Attacking Medicare is politically risky. The conventional wisdom is the program is all but invulnerable because it is so popular with the general public, and especially with senior citizens–who reliably turn out to vote in large numbers.

Suzy Khimm of Mother Jones argues that, in order to win this political fight, the Democrats need to emphasize what they’re doing to grapple with the rising costs of Medicare–such as creating an independent board to regulate the reimbursement rates for all procedures covered under Medicare. Republicans have harshly criticized such a board as an example of health care rationing. Their proposed plan, however, would ration care far more severely, based on ability to pay. Ryan’s plan would give seniors a voucher to defray part of the cost of buying private health insurance. The voucher wouldn’t cover care equivalent to that which is offered under Medicare. So, under Ryan’s plan, care would be rationed based on each person’s ability to pay for extra coverage.

In a separate piece, Khimm notes that the GOP is taking a further political gamble by proposing massive cuts to Medicaid. She cites a recent study by the Kaiser Family Foundation which found that only 13% of respondents favored major cuts to Medicaid. Republicans may be betting that they can cut Medicaid because they associate it with health care for the very poor, a constituency with little political capital and low voter turnout. But while Medicaid does serve the poor, a large percentage of its budget covers nursing home care for middle class retirees and services for adults with major disabilities–care that their families would otherwise have to pay for.

How to save $15 billion in health care costs

New research suggests that the federal government could save $15 billion by reducing unnecessary emergency room visits through investment in community health centers, Dan Peterson of Change.org reports:

This week, new research, from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative, pinpoints just how much we stand to lose in health care efficiency savings if the funding is cut as proposed; $15 billion. Put another way, for every $1 invested in CHC expansion, there is a potential savings in health care costs of $11.50.

Peterson reports that money to expand the CHC program may be cut from the budget. The report explains that if the funding is lost, then CHCs will not be able to serve the 10-12 million additional patients who were supposed to get care through expanded CHCs under the Affordable Care Act. If Congress refuses to allot $1.3 billion for cost-effective primary care, $15 billion in projected savings will evaporate.

If Republicans are serious about balancing the budget, they should happily expand the Community Health Center network.

Danish Antibiotic Resistance Education

D.A.R.E. to keep pigs off drugs. The U.S. hog industry is heavily dependent on low-dose antibiotics to keep its swine infection-free. This practice comes at the cost of increased antibiotic resistance. Sixteen years ago, the government of Denmark, the world’s largest exporter of pork, took the bold step of asking its pork industry to reduce the amount of antibiotics given to pigs. Ralph Loglisci of Grist notes that the experiment has been a huge success: The industry has slashed antibiotic use by 37%, antibiotic resistance is down nationwide, and production has held steady or increased.

Gay-bashed, uninsured

Twenty-nine-year-old Barie Shortell’s face was shattered in an apparent anti-gay attack in Williamsburg, Brooklyn in February. Joseph Huff-Hannon reports on AlterNet on an obstacle in Shortell’s already-long road to recovery:

After blacking out, and spending 10 hours in surgery and five days in the hospital, Shortell is now taking another whipping from one of the insidious antagonists of 21st-century American life—the private health-care system. Shortell, like many of his fellow American twentysomethings, is uninsured.

Up to 30% of people in their twenties are uninsured. The Affordable Care Act should reduce the number of uninsured twenty-somethings, but as Huff Hannon notes, the number of uninsured young adults is expected to continue to rise for some time. The ACA allows young people to stay on their parents’ health insurance until age 26, but this reform is of little help to the millions of families who lost job-linked health coverage during the recession.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

 

 

Weekly Pulse: The New Hunger Epidemic, Making CPCs Come Clean, and Smoking Hipsters

by Lindsay Beyerstein, Media Consortium blogger

As some Americans obsess over whether to brine or deep-fry their Thanksgiving turkeys, others are going hungry. Seth Freed Wessler reports for ColorLines that 50 million Americans went hungry in 2009, according to the latest figures from the U.S. Department of Agriculture.

Astonishingly, more than 36% of female-headed households suffered from food insecurity last year, in spite of a massive expansion of federal food stamp benefits as part of the economic stimulus. Forty-two million families received food stamps last year, 10 million more than the year before. Congress gutted the food stamp program this summer. If something isn’t done, families of four will lose $59 a month in food stamp benefits at the end of 2014. At the time of the cuts, House Democrats promised to restore food stamp benefits during the lame duck session of Congress, but Freed notes there’s been little sign recently that they plan to follow through on the promise.

Making Crisis Pregnancy Centers come clean

The New York City Council is preparing to vote on the legislation to force so-called “crisis pregnancy centers” (CPCs) to disclose that they are not health care facilities and that they do not provide birth control or abortions. CPCs are anti-choice ministries that deliberately mimic abortion clinics in order to trick women who might be seeking abortions. It’s all a ruse to bombard these women with false information about abortion under the guise of health care. As we discussed last week in the Pulse, CPCs also serve as incubators for more extreme forms of anti-choice activism, from clinic obstruction to violence.

In RH Reality Check, Dr. Lynette Leighton explains why she supports New York City’s proposed bill to require so-called “crisis pregnancy centers” to disclose that they aren’t real clinics staffed by health care providers:

As a family physician, I provide comprehensive health care for all of my patients, including safe abortions for women who decide to end a pregnancy. I’ve cared for many women who came to me in crisis when they learned they were pregnant. The last thing my patients need is to be misled by anti-abortion organizations masquerading as health clinics. I’m strongly in favor of the New York City bill requiring crisis pregnancy centers to disclose that they do not provide abortions or contraception, or offer referrals for these services.

New York CPCs are claiming that the requirement to disclose violates their freedom of speech, Robin Marty notes in RH Reality Check. In other words, they are claiming a First Amendment right to bait and switch. The executive director of the New York Civil Liberties Union (NYCLU) is scheduled to testify before the City Council that the free speech claim is baseless.

See you in court!

In other reproductive rights news, the Center for Reproductive Rights took the FDA to court on Tuesday over access to the morning after pill. The FDA has been ignoring a court order to make emergency contraception available over the counter to women of all ages, and the Center is going to court to spur the agency to comply, Vanessa Valenti reports for Feministing.

Look at this smokin’ hipster

Tobacco giant R.J. Reynolds is courting hipsters with a new “Williamsburg” cigarette, Brie Cadman reports for Change.org. “[Smoking Camels is] about last call, a sloppy kiss goodbye and a solo saunter to a rock show in an abandoned building… It’s where a tree grows,” according to the online ad copy. Mmm, kissing smokers.

It’s all part of an online marketing campaign in which users are invited to guess where brand mascot Joe Camel will show up next week. Interestingly, the contest’s name is “Break Free Adventure,” a twist on the Camel brand’s “Break Free” tagline. Odd that they’d pick a slogan usually associated with quitting smoking, rather than feeding the addiction. Those hipsters sure love irony.

Blowing the whistle on health insurers

On Democracy Now!, health insurance executive turned whistleblower Wendell Potter predicts that the Republicans will back off their grandiose campaign promises to repeal health care reform and instead try to dismantle the bill’s provisions that protect consumers. Potter notes that health insurers are major Republican donors, and that parts of the law are very good for insurers, notably the mandate forcing everyone to buy health insurance.

Apparently, some true believers haven’t gotten the memo. Steve Benen of the Washington Monthly notes that some Republican members of Congress are still gunning to shut down the government over health care reform and other spending.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

 

 

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