Fix Budget Problems With Medicare-For-All

(Post title changed…)

Nate Silver has a much-discussed post today in the NY Times, What Is Driving Growth in Government Spending?. Silver goes over the numbers and writes,

To clarify: all of the major categories of government spending have been increasing relative to inflation. But essentially all of the increase in spending relative to economic growth, and the potential tax base, has come from entitlement programs, and about half of that has come from health care entitlements specifically.

The growth in health care expenditures, for better or worse, is not just a government problem: private spending on health care is increasing at broadly the same rates and is eating up a larger and larger share of economic activity. It’s an immensely complicated problem, but the arithmetic is simple: if we can’t slow the rate of growth in health care expenditures, we’ll either have to raise taxes, cut other government spending or continue to run huge deficits. Or we could hope to grow our way out of the problem, but health care expenditures may be impeding private-sector growth as well.

Continue reading

Romney, Tobacco and Kids

Somehow no surprise: Mitt Romney’s Bain Helped Philip Morris Get U.S. High Schoolers Hooked On Cigarettes,

When Mitt Romney served as CEO of Bain & Co., his consulting firm helped tobacco giant Philip Morris develop a groundbreaking sales strategy that researchers say has been linked to an unprecedented spike in youth smoking.
… Philip Morris stunned Wall Street and tobacco experts by the slashing price on its flagship Marlboro brand by 40 cents a pack, to $1.80. It was a landmark day for the tobacco industry, one that became known as “Marlboro Friday” to public health experts.
… A year later, Philip Morris stock had fully recovered, and continued to make steady gains over the coming four years. Marlboro Friday ultimately proved to be the tobacco industry’s most successful effort to increase domestic profit in the face of heavier regulations.
The profit was the result of soaring sales that coincided with an unprecedented jump in smoking among high school- aged youth. The Centers for Disease Control and Prevention’s Youth Risk Behavior Survey, found that the portion of young people who had smoked at least one cigarette in the previous month rose nearly 20 percent from 1993 to 1997. Youth smoking increased in all categories from that occasional user to the regular user.

Obamacare Ignorance

How many misconceptions can you spot in this letter to the editor from July 2 Readers’ letters – San Jose Mercury News?

Roberts shouldn’t have imposed another tax
Thank you, Chief Justice John Roberts, for imposing another tax on the American populace. I have health insurance — it costs me the princely sum of over $1,300 a month. I have no choice (due to pre-existing conditions); but to pay the piper every month and am unable to qualify for any other health coverage.
I have to wonder what we, the taxpayers (and believe me, my husband and I pay taxes — in proportions that are sickening) are indirectly billed for your guaranteed and unfettered health care coverage. Please allow me to add, that neither my husband or I are employed. We have been “involuntarily” retired.
You crossed the line and you know it. Shame on you. And here I thought you were a solid and steady captain in the rocky Supreme Court waters.

This is what Republicans depend on. Everything this person has been led to believe is wrong. And the news media of course does nothing to help, they just report who is “winning” and “both sides are to blame.”
The cost of this person’t health insurance is about to go WAY down, possibly to zero since they are unemployed. She can’t get any other insurance because of a pre-existing condition, and that restriction is about to go away.
But she thinks that on top of what they pay now they are going to have to pay a huge tax.
The newspaper of course does nothing to provide readers with the correct information, they just publish the letter.

7 Ways Obama Lied About Your Health Coverage

President Obama promised that if you have health insurance now, it won’t change. Here are 7 ways he lied:
1) Under the new law your insurer can’t drop your coverage after you get sick. This is a change in the coverage you already have. Obama lied.
2) Your children can continue to be insured under your plan until they are 26. (Click and read this.) This is a change in the coverage you already have. Obama lied.
3) New coverage is added, including preventative care like mammograms and colonoscopies with no “out of pocket” like charging a deductible, co-pay or coinsurance. This is a change in the insurance you already have. Obama lied.
4) If you pay for your own insurance and your income is below a certain level, you will receive subsidies to help pay for your insurance. Even if you earn four times the federal poverty rate, or currently about $93,000 for a family of four, you will have to pay no more than 9.5 percent of your income. This is a change in the coverage you already have. Obama lied.
5) The law prohibits insurance companies from placing a “lifetime cap” on the amount of coverage you have. Many people were discovering that they reached this cap right when they needed insurance the most. This is a change in the coverage you already have. Obama lied.
6) The cost of your insurance will be lower than it would be without this law. There are several ways the new law will lower the cost of your insurance. First, by requiring people to have insurance, people can’t “free load” by showing up at the emergency room without insurance. Currently when this happens hospitals charge more to everyone else. So the new law’s “mandate” stops the “free loaders” — the cause of these extra charges — from running up your insurance cost. Also, the new law’s “80/20 Rule” says insurers have to use 80% of their revenue for health care. This even means you might get a rebate. This is a change in the coverage you already have. Obama lied.
7) Insurers won/’t be able to keep you from getting insurance or charge you more based on a pre-existing condition. This is a change in the coverage you already have. Obama lied.

Therefore

So President Obama lied when he said that if you already have health coverage you don’t have to worry about changes! Therefore we need to get rid of the law so insurers can cut you off after you get sick, charge you for preventative care, cut your children off from having insurance, keep you from getting insurance if you have a pre-existing condition, place a lifetime “cap” on your coverage and make you pay more! It’s time to put some teeth into “let him die!”
This post originally appeared at Campaign for America’s Future (CAF) at their Blog for OurFuture. I am a Fellow with CAF.
Sign up here for the CAF daily summary

Health Care

I’m curious what could lead anyone to think the Supreme Court isn’t going to strike down the health care law, probably with the usual 5-4?
Seriously, we know Thomas will vote to strike it down, because his wife is being paid hundreds of thousands of dollars by its opponents. That one is a given, and has nothing to do with the Constitution, law or ethics.
We know Roberts, Scalia and Alito will vote to strike it down because they come out of the conservative movement, and the conservative movement sees killing it as a strategic step against Obama. That one is also a given, and also has nothing to do with the Constitution, law or ethics.
So on the right side of the court it comes down to Kennedy, appointed by Ronald Reagan. He will vote to strike it down.
But don’t bet that the “liberal” minority will vote to keep this law. Many non-right-wingers might be boxed into reflexively hoping the court upholds this law, but don’t forget what this law does. This law orders all of us to purchase insurance from the giant insurance near-monopolies. It was the “corporate/centrist” solution to keeping us from getting Medicare-For-All, and preserving private corporate health insurance. We shouldn’t be hoping the “liberals” vote to confirm that is OK.
Private health care has been proven to not work without the government ordering us to buy it. So if the Court strikes down the law, the only alternative left is Medicare-For-All. Hope for that.

Cuts and Consequences – How Budget Cuts Hurt The Economy

Is smaller government really better for the economy? Conservatives chant that taxes and government “take money out of the economy” and we need to “cut and grow,” meaning if government spending is cut way back the economy will grow as a result. Europe’s conservatives are also forcing cuts in the things their governments do for regular people, claiming “austerity” will bring “confidence” that grows their economies. How is this experiment working out? What are we learning about the effect on the larger economy when government is cut?
What Does Government Do?
Almost everything the government does is because it needs to be done. We need roads, bridges, schools & colleges, dams, courts, police & fire departments, water management, etc. (We can discuss the need for military spending another time.)
These are all needed and contribute to the functioning of the economy. So if government is cut back and doesn’t do something that is needed, then how does it get done? Or does it just not get done? Either way, the real question we should be asking is what is the effect on the larger economy when our government cuts back on or stops doing needed things? If you save the “government” a bit of money but cost the economy a lot of money, are you saving money? Or are cuts in government really just shifting and even increasing the costs in the larger economy of doing these things?
Who Is Our Government For?
In the United States, our Constitution says that government is supposed to be of, by and for We, the People. The country was established after the colonists rebelled against the aristocracy of England — a few people who had all of the wealth and power and would not let the colonists have a say in how things were run and who would benefit. So they fought the Revolutionary War and established a country where “We, the People” all have an equal say, and to “promote the general welfare.” In other words, a country that aspires to be of, by and for the good of all of us.
So cutting back on government means cutting back on We, the People doing things for the good of all of us. It means cutting back on the things we have a say over. It means relinquishing the wealth and power that we hold in common to … well, just where does our common wealth and power go if our government is cut back?
Medicare, For Example
Republicans say we need to cut back on what the government spends on Medicare. But if you cut Medicare the health problems of elderly people and the larger problem of fast-rising health care costs in the larger economy don’t disappear. In fact, both problems just get worse.
The “Ryan Budget” that Congressional Republicans voted to approve actually converts Medicare into a program that gives seniors a voucher that pays for part of a private medical insurance policy that seniors have to shop for. The Center for Economic and Policy Research (CEPR), in Cost of Medicare Equivalent Insurance Skyrockets under Ryan Plan, took a look at that plan and explains what happens to the cost of health care. Summary: it shifts the costs to us, except each of us ends up paying as much as seven times as much as the same care costs under Medicare. From the CEPR explanation:

[The Republican] plan to revamp Medicare has been described as shifting costs from the government to beneficiaries. A new report from the Center for Economic and Policy Research (CEPR), however, shows that the [Republican] proposal will increase health care costs for seniors by more than seven dollars for every dollar it saves the government, a point missing from much of the debate over the plan.
… In addition to comparing the costs of Medicare to the government under the current system and under the [Republican] plan, the authors also show the effects of raising the age of Medicare eligibility. The paper also demonstrates that while [the Republican plan] shifts $4.9 trillion in health care costs from the government to Medicare beneficiaries, this number is dwarfed by a $34 trillion increase in overall costs to beneficiaries that is projected …

Repeat, the Republican plan to cut Medicare would cost the larger economy seven times as much as it cuts government spending.
Social Security, For Example
Conservatives have been trying to cut or gut Social Security for decades. While this might mean government has to pay out less of what is owed to seniors, such cuts would have a negative effect on the larger economy.
Social Security allows working people to retire with at least a minimal income. If this is cut many could not retire for many more years (if ever), which would increase the unemployment rate because their jobs would not open up. The same is true as the retirement age is increased – fewer job openings. If it is cut, the spending (on cat food) at local grocery stores and other necessities is reduced by the same amount. And the effect on children of retirees is increased, if they contribute to make up the difference.
This is why cutting Social Security or raising the retirement age only shifts costs onto the larger economy, dragging it down (and cruelly hurting our elderly).
Cutting Disease Control, For Example
One of the clearest examples of the way government helps us all, rich and poor, is the government’s Center for Disease Control (CDC). One of the jobs of the CDC is to help prevent the spread of infectious diseases. If an epidemic is spreading and killing people it doesn’t matter if those people are rich or poor. And if a serious outbreak spreads this can damage the economy as people are too sick to, or decide not to show up for work. So of course cutting back the budget of the CDC could cause damage to the economy in any given year and is certain to cause damage eventually. (The CDC budget was cut back 11% last year.)
Budget Cuts Hurt The Economy
The above are only a few examples.
A government budget cut is like a huge tax increase on regular people because it increases what each of us pays for the things government does — or forces us to go without. This is because cuts in government spending don’t actually cut the cost or the need for those things, they just shift those costs onto the larger economy. But because these shifts attack the economy-of-scale, transparency, integrity and public-good management that government provides, they almost always increase the costs and harms to the larger economy.

  • As government health care is cut (or not provided in the first place) each of us must take on those costs on our own, and as demonstrated, pay up to seven times what the same care would/could have cost.
  • As infrastructure maintenance and modernization is cut, our economy becomes less competitive, unemployment increases and our wages and spending power fall.
  • As spending on education is cut, our costs of educating ourselves and our kids increase. College costs soar. And the overall education level of our people will decrease, making our country less competitive in the world.
  • As environmental regulation and enforcement is cut the costs of the resulting health problems and cleanups increase and our quality-of-life will decrease.
  • As enforcement of labor laws is cut, our wages and protections fall.
  • As etc. is cut, the costs of etc. are shifted to the larger economy, and the total costs of accomplishing etc. actually increase.

As budgets are cut, the costs are increased and shifted to the larger economy.
Austerity In Europe
Several countries in Europe are severely cutting budgets. The result is that the economies in those countries are slowing. Reuters: Euro zone’s slump in late 2011 points to recession.

A collapse in household spending, exports and manufacturing sucked the life out of the euro zone’s economy in the final months of 2011, the EU said on Tuesday, showing the scope of the downturn that looks set to become a fully fledged recession.
… The European Commission forecasts a recession of the same magnitude this year. That would be the euro zone’s second contraction in just three years as the bloc’s debt crisis drags on a region that generates around 16 percent of the world’s economic output.
[. . .] The battle between austerity and growth was already evident in the fourth quarter. Euro zone government expenditure fell 0.2 percent, while industry contracted 2 percent and imports were down 1.2 percent, making for some of the worst readings since the world was dragged into the 2008/2009 financial crisis.

The austerity experiment is making the case: cutting government budgets just shifts costs and hurts the larger economy.
Who Benefits From Cuts?
Governments dance with the ones that brung ‘em. Whoever controls government is naturally going to direct government to benefit them – and only them. We-the-People democracies do things for We, the People; plutocracies do things for plutocrats. So when, as now, plutocrats are running government, you will get a government that only does things that benefit plutocrats. And when We, the People were running government, we did things that benefit We, the People — all of us.
The plutocrats now demanding government budget cuts obviously understand that this will result in slowing economies, but don’t care — they are already fabulously wealthy. What they want is reduced taxes and increased power. They say that cuts will bring growth, in order to persuade people to accept cuts. Blocking governments from providing things that don’t directly benefit them and only them is a means to that end. And cutting government cuts government’s ability to reign them in.
What We, the People Want
When We, the People are running government we insist that government increases overall prosperity. We demand laws and regulations that bring us good wages, benefits and safe working conditions. We demand good public schools & colleges, parks, safety and opportunities for our smaller businesses to fairly compete. We insist on a clean environment, consumer protections, regulations on business behavior, rules against monopolies and (after learning the hard way) rules that keep banks from taking risks that threaten the economy. And we want controls and limits on the use of wealth and power by the 1%ers.
Plutocrats — the 1%ers — of course see all of these protections of regular people as hindering their power and ability to make as much for themselves as they can grab. Plutocrats just don’t see how public parks benefit them. They just don’t see why they should have to pay for public schools. What good do public schools do them, today? Plutocrats don’t see why it should be anyone else’s problem if old people don’t have health care — health care for seniors certainly isn’t their problem.
They explain that things for anyone other than themselves and their interests just “wastes money.” Things for regular people are not their problem. And when plutocrats run government, it isn’t their problem.
The fact is a public park “costs money.” Schools and infrastructure are just more “government spending.” Things like that just “redistribute income” because taxes on the income of plutocrats is used to build that park or school that anyone can use. The basic message of the plutocrat is, “Why should I pay for anything that benefits you?”
You and I might argue that this kind of austerity, cutting schools, Medicare, infrastructure, etc. slows the larger economy, hurting the plutocrats, too. But that doesn’t hurt the ones who are already rich, which is the definition of plutocrat. It puts more in their pockets, today, by lowering their taxes. They want out of taxes and they don’t want government (We, the People) interfering with their power.
What We, The People Need
Democracies where We, the People make decisions demand things that are good for regular people and their small businesses: pensions, health care, modernized infrastructure, good schools & colleges, child care, regulations on the behavior of giant corporations… This is why strong democracies have proven to be more prosperous for regular people and for longer than other forms of government that leave people on their own against the wealthy and powerful and drive all of the income and wealth to a few at the top. This is why so many regular working people in our country were so much more prosperous in the decades before the plutocratic 1%-favoring policies of Reagan steered us toward plutocracy.
Understand what is going on here. Demands for budget cuts and austerity are really about shifting from democracy to a system where regular people — the 99% — are on their own, up against the wealthy and powerful. This is about shifting from a system where regular people can be prosperous together, to a system where a few — the 1% — have all the wealth and power.
We, the People need democracy restored. We need to be in charge again, before the economy can improve.
This post originally appeared at Campaign for America’s Future (CAF) at their Blog for OurFuture. I am a Fellow with CAF.
Sign up here for the CAF daily summary.

Single-Payer Supporters Urge Supreme Court To Strike Down Mandate

Fifty Medical Doctors for Single Payer Urge Supreme Court to Strike Down Individual Mandate,

Fifty medical doctors who favor a single payer health insurance system today urged the US Supreme Court to strike down the individual mandate.
In a brief filed with the Court, the fifty doctors and two non-profit groups – Single Payer Action and It’s Our Economy – said that the Patient Protection and Affordable Care Act’s (ACA) individual mandate is unconstitutional.
The individual mandate is the provision of the ACA that requires Americans to purchase health insurance from private insurance companies if they do not otherwise have coverage.
… “It is not necessary to force Americans to buy private health insurance to achieve universal coverage,” said Russell Mokhiber of Single Payer Action. “There is a proven alternative that Congress didn’t seriously consider, and that alternative is a single payer national health insurance system.”

We went into this trying to find a way to do something about the terrible, corrupt monopoly insurance companies, lying, cheating, scamming, denying coverage after you got sick, overcharging, bankrupting people, etc. etc. etc… and we came out of it ordered to buy insurance from those companies.
Except I can’t understand why they insist on calling this “single payer” which sounds to most people like it means you are going to have to pay for all your health care yourself. “Medicare For All” is a much better way to explain it.

NY-26 Lesson: Don’t Mess With Medicare — Or Social Security!

In 2010 Republicans and corporate front groups ran ad after ad after ad after ad claiming that Democrats had “Cut 500 billion from Medicare.” Those ads brought them the senior vote, and they took the House. Confident in their ability to “create their own reality” they came out with a plan to privatize Medicare and told the public it would save Medicare. Well, last night’s win by Kathy Hochul in the NY-26 special election — with pretty high turnout in a Republican district — shows that the American people are smarter than they look, and figured out what was what. The lesson: don’t mess with Medicare.
Soundly Defeated
Yesterday’s NY-26 Congressional election turned on Medicare and the candidate who supported Medicare won. The candidate who supported the Republican plan to privatize Medicare was soundly defeated.
House Republicans voted to change Medicare from a single-payer plan to a private-insurance voucher plan as a measure to “cut government spending.” Republicans had talked themselves into believing the public hates government as much as they do and therefore gutting it is what the public wants. Instead of working to control health care costs they just shifted those costs away from the government into “personal responsibility” land. In plain non-propagandized English personal responsibility means each of us on our own, alone, instead of all of us watching out for and taking care of each other.
The public figured it out and voted to keep the Medicare-gutter out.
American Majority
The American Majority understands what is going on. They know that our budget problems come from tax cuts, military spending and the lack of jobs. Those are the things the public wants the Congress to fix.
Where the deficits come from:

What the public wants:

Gallup Poll, January 14-16, 2011

  • 64% oppose spending cuts to Medicare.

The Wall Street Journal/NBC News Poll, February 24-28, 2011

  • 54% believe it will not be necessary to cut spending on Medicare to reduce the national deficit.
  • 76% believe cutting Medicare to help reduce the budget deficit is mostly or totally unacceptable.
  • 60% oppose turning the Medicare system into a government-issued voucher program, which would require the beneficiary to purchase private health insurance.

First Focus and Greenberg Quinlan Rosner Research Poll, April 13-18, 2011

  • 70% oppose cuts/changes to the Medicare system as described in the House Republican Budget.
  • 49% support not reducing funds to Medicare.
  • 53% believe replacing the current Medicare program with a voucher system in which retirees will receive vouchers to use to purchase subsidized insurance from private insurance companies for those 55 or older is totally or mostly unacceptable.

CBS News/The New York Times Poll, April 15-20, 2011

  • 61% believe that Medicare is currently “worth the costs.”
  • 76% think government has the responsibility to provide health care coverage to the elderly.
  • 49% believe higher-income beneficiaries should pay more in taxes.

Bloomberg News Poll, March 4-7, 2011

  • 54% oppose replacing Medicare with a system in which government vouchers would help participants pay for their own health insurance.
  • 76% oppose reducing benefits for Medicare.

Pulse Opinion Research for The Hill Poll, April 28, 2011

  • 53% said they would oppose a reduction in Medicare benefits in order to get the deficit/debt under control.

Pew Research Poll, March 8-14, 2011

  • 65% oppose changes to Social Security as a way to reduce the budget deficit.

More recent polling shows the public has moved to an even strong support for Medicare, and will remove from office anyone who votes to cut it.
Social Security The Same
Those polls don’t just test public support for Medicare, they test support for Social Security as well. The public feels just as strongly that politicians had best keep their hands off our Social Security.

In order to reduce the national debt, would you support or oppose cutting spending on Social Security, which is the retirement program for the elderly?
Ohio: 16% support, 80% oppose
Missouri: 17% support, 76% oppose
Montana: 20% support, 76% oppose
Minnesota: 23% support, 72% oppose

Reality Restored
During the Bush years the idea of a “reality-based community” circulated after an article by Ron Suskind about a meeting he had with “a senior advisor to Bush.” In the article he described how the aide scoffed at people who bother with reality:

The aide said that guys like me were “in what we call the reality-based community,” which he defined as people who “believe that solutions emerge from your judicious study of discernible reality.” … “That’s not the way the world really works anymore,” he continued. “We’re an empire now, and when we act, we create our own reality. And while you’re studying that reality—judiciously, as you will—we’ll act again, creating other new realities, which you can study too, and that’s how things will sort out. We’re history’s actors…and you, all of you, will be left to just study what we do.”

Republicans and their corporate money tried to create a reality that let them gut Medicare without the public rising up to do something about it. It didn’t work.
Do The Right Thing
Well, reality is coming back. The public is figuring things out. Politicians should learn the lesson of NY-26: don’t mess with Medicare — or Social Security. To fix the deficit fix the causes of the deficit: invest in jobs through maintaining and modernizing our infrastructure, restore top tax rates to where they were before we had huge deficits and, by the way, the Soviet Union is long gone so cut military spending back to maybe only twice our nearest potential competitor.
This post originally appeared at Campaign for America’s Future (CAF) at their Blog for OurFuture. I am a Fellow with CAF.
Sign up here for the CAF daily summary.

Corporate Propaganda Response To Town Hall Medicare Anger

The Republican plan for Medicare “cuts government spending” by shifting the cost of old-age health care directly to the middle class and poor. (I’ll explain below.) Here’s the thing: someone is going to get that $34 trillion. (I’ll explain below.) And that someone (the Supreme Court thinks corporations are “someone”) is fighting hard for it. They’ll say whatever it takes. It is up to you and me to get the word out about this. (I’ll explain below.)
Say Whatever It Takes
Here is an example of what I mean by “say whatever it takes.” Click through and listen to this commercial. Cheerful, uplifting music. Positive voice tones. Flat-out lies.

- TRANSCRIPT -
ANNOUNCER:
Something unusual happened last week…in Washington, DC of all places.
Elected officials actually did what they said they would.
The House passed a budget that protects and preserves Medicare for years to come.
And our Congressman, Allen West, voted to protect Medicare and keep it secure for future retirees.
Our national debt is $14 trillion…America is literally spending money we don’t have and future generations won’t be able to afford.
With 10,000 Baby Boomers reaching retirement age every day, important programs like Medicare are being crushed – and could collapse if we don’t act to strengthen and improve them.
No changes for seniors on Medicare now or those who will soon go on it.
Control costs by targeting waste, fraud and abuse – so current and future seniors receive the quality care they have earned.
Call Allen West at (954) 202-6211. Thank him for voting to protect Medicare and tell him to continue keeping his promise to seniors.
Paid for by the 60 Plus Association.

What’s This About?
Last week all of the Republicans in the House except a few voted to approve a plan to phase out Medicare and replace it with “premium support” – vouchers – for private insurance, that only cover part of the cost of the private insurance. (As if any company would insure a 75-year-old with health problems. And as if an 80-year-old with cognitive disabilities can pick and choose which insurance scam policy is best.)
Yes, that’s right, it phases out Medicare and replaces it with private insurance, as in, “What do you mean you won’t cover that procedure, test, drug, operation? My doctor says I need it!” Right, that private insurance.
Medicare Costs Shifted To Middle Class
This plan shifts costs away from the government and on to We, the People. But it ends up adding trillions in total costs because private insurance costs so much more, and because of co-pays, and because of so many other reasons that are the cause of our country paying so much more per capita than other for health care. It actually makes the cost problem much worse. But it cuts “government spending” by shifting those costs to us individually.
Economist Dean Baker writes that the Republican Medicare phase-out costs us more than $30 trillion (over 75 years) above what we would pay without this phase-out,

[The Republican plan] to replace the current Medicare system with a system of vouchers or premium supports has been widely described as shifting costs from the government to beneficiaries. However, the size of this shift is actually small relative to the projected increase in costs that would result from having Medicare provided by private insurers instead of the government-run Medicare system.
The Congressional Budget Office’s (CBO) projections imply that the Ryan plan would add more than $30 trillion to the cost of providing Medicare equivalent policies over the program’s 75-year planning period. This increase in costs – from waste associated with using a less efficient health care delivery system – has not received the attention that it deserves in the public debate.

And economist Mark Thoma writes that the phase-out leaves many seniors without the means to get health care at all,

The [Republican] plan would reduce Medicare payments far below what is currently available, and this would leave many without the means to obtain the care they need. But even if the vouchers were adequate, I would still not be in favor of a voucher system for health insurance.

The public will have to shell out trillions of dollars more because of the phase-out shifts seniors to private insurance. It saves the government money by shifting the cost to you and me, but adds $34 trillion more in total costs this way. So high-end taxpayers and corporations will pay lower taxes, the rest of us make it up.
Town Hall Anger
People are starting to hear about what the Republicans did and have been turning out at local “town hall” meetings where members of Congress talk to constituents. And, not surprisingly, they are angry.
Here is Republican Congressman Ryan being boo’ed by constituents:

Who Gets That Money?
They always say, when you are trying to figure out who is behind some scheme or scam, to “follow the money.” Sure, in this case wealthy and corporate interests are pushing for even more huge tax cuts by “cutting government spending” with this scheme to phase out Medicare. But wait, there’s more. The scheme goes beyond that because when you privatize government functions someone gets the money. That is the point of privatization — to shift public wealth to private profit. They always claim privatization cuts costs, but in reality it actually costs more with what was formerly something We, the People held in common now going to a few for their own gain. So this costs us more because government doesn’t pay CEOs huge salaries, and doesn’t give million-dollar bonuses to the rest of the executives. Government doesn’t pay out a profit. And government’s job is to work in the interest of the public. Not so with private companies. Not so at all.
Privatizing means taking something away from us, so a few can benefit from it instead. And that is what is happening to Medicare under the Republican plan.
Enter The Corporate Front Group
In response to the town hall anger, a corporate front-group named 60 Plus is blanketing the radiowaves in Republican districts with these soothing ads thanking them for “preserving and protecting” Medicare. This is part of a campaign they named Seniors Thank Congress for Protecting Medicare.
60 Plus is one of the groups that spent millions and millions of dollars running campaign ads for Republicans last year, telling people Democrats “cut $500 billion from Medicare.”
Thanks to the wisdom of our elected officials and Supreme Court, we don’t get to find out just who is behind 60 Plus. Is it corporations? Billionaires? Foreign Governments? SourceWatch has some clues.
Muddy The Waters
This ad is part of a strategy to “muddy the waters,”

The GOP official added that the party “can fight the Medicare issue to a tie” by “muddying the waters” and painting Democrats as choosing status-quo options that would have Medicare “die a slow death.”

Go back and read the transcript of the 60 Plus ad again, see how closely it follows this strategy.
Regular people have jobs, drive to work (and listen to the radio where these ads are playing), work hard, come home, maybe take care of kids… They are busy. They are not experts on the issues. If they tune into the news they are told that “both sides” are “squabbling” and maybe that there is a plan to “reform” Medicare. So as much as Republicans can “muddy the waters” and keep the reporting on a “both sides” and horse race focus, this plan can succeed.
This organization is not put together by people who care if you and me get Medicare. This is put together as a front for the corporations that will get the money from privatizing Medicare, and the wealthy few who get the money from tax cuts. They count on regular people being busy and not well-informed.

The GOP official added that the party “can fight the Medicare issue to a tie” by “muddying the waters” and painting Democrats as choosing status-quo options that would have Medicare “die a slow death.”

It’s up to you and me to get the word out about this.
We Can Fight This
So, will we be able to get the word out, or will the corporate money allow this and other front groups to saturate the airwaves?
I think we can fight this. We have the facts on our side, and the numbers, but not the money. They always have the advantage when it comes to money. So it is up to us to turn out the facts and the numbers.
Will YOU help? Will YOU get involved?
Will YOU tell people, talk to friends, neighbors and relatives? Will YOU show up at town hall meetings and demand answers? Will you call your member of Congress and your Senators? Will YOU join with “Don’t Make Us Work Till We Die?” for their actions tomorrow, and join up with US Uncut or On May 12?
If you do, we can win.

This post originally appeared at Campaign for America’s Future (CAF) at their Blog for OurFuture. I am a Fellow with CAF.
Sign up here for the CAF daily summary.