The Last Paul Ryan Medicare Piece You’ll Ever Need to Read
Paul Ryan may have finally figured out a way to sell his Medicare plan. He got help from his mom. This past Saturday, Ryan made a campaign visit to The Villages, a sprawling retirement community in central Florida. And he brought along his mother, who cherishes her Medicare as much as every other retiree in America. “Medicare was there for my family, for my grandma, when we needed it,” Ryan told the crowd. “And Medicare is there for my mom when she needs it now, and we have to keep that guarantee.”
Of course, it’s entirely possible that Ryan’s proposal could end the Medicare guarantee—that, if implemented, some seniors might not be able to get comprehensive insurance. But that’s pretty much the way the Medicare debate in this campaign has unfolded.
Ryan and Mitt Romney have called for the most profound, radical changes in the program’s history. But rather than clarifying the differences between their position on Medicare and President Obama’s, they’ve done their best to obscure them. They’ve accused Obama of “raiding” Medicare when Ryan’s own budget calls for reducing the program’s funding by the same amount of money. They have insisted they won’t do anything to affect current retirees, even though they have pledged to repeal the Affordable Care Act, which bolsters Medicare’s drug coverage and makes preventative care available without out-of-pocket expenses.
Romney and Ryan have also been less specific than you might have heard. That’s particularly true for Romney, whose “proposal” consists of a fact sheet, plus a few speeches, statements, and op-eds. This allows them to escape responsibility for the inevitable trade-offs that their vision, like every effort to reform Medicare, would require. And it gives them a political advantage over President Obama, who must defend reforms of Medicare in the Affordable Care Act and his latest budget—right down to the last legislative clause and dollar figure.
Yes, I keep reading that Romney and Ryan have been “brave” and “serious” about Medicare, while Obama has ducked hard choices. I would say it’s the other way around.