Chad,
However, all that can be tackled and discussed once we actually have a pro-life administration in the White House that is not persecuting the Church to boot.
Paul,
I’m not talking about the Ryan-Wyden Medicare plan, which I agree is a bipartisan attempt at a way through the health care morass. That’s a decent first whack at the main Medicare program. This is a policy that seems easier to push through Congress, because senior vote.
I’m talking about his independent policy on Medicaid and the Children’s Health Insurance Programs (CHIP). This is a distinct item on the 2013 budget from Ryan. This is how the CBO characterized the impacts:
“
The responses of the states [to this policy] would be of particular importance. If states were given additional flexibility to allocate federal funds for Medicaid and CHIP according to their own priorities, they might be able to improve the efficiency of those programs in delivering health care to low-income populations. Nevertheless, even with significant efficiency gains, the magnitude of the reduction in spending relative to such spending in the other scenarios means that states would need to increase their spending on these programs, make considerable cutbacks in them, or both. Cutbacks might involve reduced eligibility for Medicaid and CHIP, coverage of fewer services, lower payments to providers, or increased cost-sharing by beneficiaries – all of which would reduce access to care.”
Unlike the politically powerful group of seniors, Medicaid and CHIP recipients are poor people (of various types). I’ll point out that a large number of seniors are Medicaid recipients because long-term nursing home stays consume all of seniors’ savings.
Ryan’s budget for 2013 also repeals the Affordable Care Act (so I know it’s never going to pass the Senate and therefore is an election year pitch to the base). Doing that would repeal:
-The establishment of health insurance exchanges and subsides for eligible individuals and families who purchase coverage through them;
-The expansion of Medicaid coverage to include most nonelderly people with income below 138 percent of poverty;
-The Community Living Assistance Service and Supports (CLASS) act (which Congress has blocked anyway – this is assistance to adults needing support with daily activities like getting out of bed and feeding themselves);
-The fix to the “doughnut hole” in Medicare Part D;
-The tax credits for small employers that offer health insurance.
In order to repeal the individual mandate.
Simultaneously his budget would extend all of the “temporary” Bush 2001-2010 tax cuts, repeals the AMT, and reduces corporate tax rates.
On aggregate, Ryan’s budget results in reducing poor people’s access to health care and the number of people with health insurance. Meanwhile, he protects (and arguably increases) defense spending at a rate of around $700 billion, and extends tax cuts that disproportionately benefit the highest-income earners.
So I think of what Ryan’s 2013 budget would do and I see that it hurts poor people and helps rich people and boosts military spending. I think of that as anti-poor and pro-rich. He may do a ton of volunteering, but numerically, that’s not going to make up the deficit in Medicaid.
I’m using the independent
Bipartisan Policy Center for my source here.
I agree that abortion is important. I started a thread on the issue and changing culture (in response to the Ninth Federal Circuit blocking Arizona’s fetal pain law):
forum.catholic.com/showthread.php?t=702097