Romney struggles to get square with Ryan's Medicare plan

 

MIAMI – Stumping here on Monday, Mitt Romney told reporters he couldn’t think of how he differs from running mate Paul Ryan when it comes to their views on Medicare.

“We haven’t gone through piece by piece and said, ‘Oh, here’s a place where there’s a difference,’” Romney said of his running mate’s plan. “But my plan for Medicare is very similar to his plan, which is ‘Do not change the program for current retirees or near-retirees but do not do what the president has done and that is to cut $700 billion out of the current program.”

Sustaining Medicare, the government’s health care program for seniors, will likely become a central issue in this election campaign – particularly because Ryan, the House budget committee chairman, crafted a controversial plan that analysts say would increase costs for low-income and unhealthy seniors down the road.

In the days since Paul Ryan joined the Republican ticket, the spotlight has been on Ryan's proposal for government to give seniors money to buy their own insurance – part of a sweeping Medicare reform plan. NBC's Chuck Todd reports.


Romney was less committal Monday than he was in January, when he said during a debate that Ryan’s Medicare reform plan was “absolutely right on.” Instead, he said that he and Ryan agreed on the main points – and that he planned to restore the $700 billion cut from Medicare under Obama’s Affordable Care Act.

Ryan's Medicare plan and his budget: What's in them for you?

There’s a hitch, however: Ryan’s budget makes the same $700 billion in Medicare cuts as the Obama plan. CNBC's Scott Cohn explains:

“The Affordable Care Act – Obamacare – does cut the growth of Medicare by $700 billion over 10 years. But benefits to seniors actually increase under Obamacare, which reduces payments to providers in exchange for more people covered by insurance. What’s more, the Ryan plan – approved by the House – cuts Medicare spending every bit as much as Obamacare does. In fact, it incorporates the very same budget projections, even as it repeals Obamacare. That’s what you call having it both ways.”

Faced with questions about Ryan's support for these cuts, the Romney campaign clarified its position Monday evening and disagreed with those cuts.

"Mitt Romney and Paul Ryan have always been fully committed to repealing Obamacare, ending President Obama’s $716 billion raid on Medicare, and tackling the serious fiscal challenges our country faces," Lanhee Chen, Romney’s policy director, said in a statement. "A Romney-Ryan Administration will restore the funding to Medicare, ensure that no changes are made to the program for those 55 or older, and implement the reforms that they have proposed to strengthen it for future generations."

At his last event of the day here in Miami, Romney did not mention Medicare or Obama’s health care reform, focusing instead on economic issues. But when Paul Ryan comes to Florida, where retirees make up a sizable part of the population, it would be safe to assume that Medicare reform will once again take center stage.

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Does any one know what comes with a voucher program? I am curious and perhaps don't understand what would be so great to have a voucher program. I see there are other voucher programs such as the Pell grant...That might not be so bad but I don't know where we stand on that. Then there are the food stamps and I see where the taxpayers are getting raped on that by those that abuse the program but benificial for those that legitamently comply and need the program.

So my questions are:

1.Will evaluations have to be done on each individuals medical requirements. (Or presume that everyone has the same medical needs) before recieving vouchers.

2. What about individual income requirements. Many will be lying about thier actual income in order to to enable them to get more benifts. (Similar to the food stamp program).

3. What about the guidelines for each individual state. Will all states recieve the same or will each individual state decide based on thier state of wealth what thier residents will recieve?

  • 1 vote
Reply#318 - Tue Aug 14, 2012 2:30 PM EDT

Ryan's voucher plan would take what we spend on Medicare and divide it by the number of recipients yielding the $amount of the voucher per individual which would then be used by the Medicare eligible individual to purchase private health insurance. Presumably, this would cover the cost of their premium in the first year. It does not address rising health care costs, so most experts see a growing gap between the voucher and the rising cost of private health insurance in year 2 and beyond. This could leave many elderly buying only what the voucher could pay for - a high deductible, high copay policy that would leave many elderly bankrupt, destitute, and begging for money to pay their health care bills. The voucher program only adds to the cost of health insurance for the elderly since health insurance companies will take a much higher cut for profit and administrative expenses than the current Medicare program does

  • 1 vote
#318.1 - Tue Aug 14, 2012 2:40 PM EDT

Thanks shaak322 for the explanation, from that point of view I don't know how any one can consider such a plan. It seems to me that there would be a lot of people that either couldn't or wouldn't be able to keep up with the co-pays and then we (American taxpayers) would be paying as we do now for those that couldn't or let them die. So much for the pro-life Republican motto.

    #318.2 - Tue Aug 14, 2012 2:51 PM EDT

    EXACTLY! That is the point that the Dems(we)are trying to make people see! If this plan were to become law, we can all look forward to eating cat food for dinner because once most people hit the 60 year old threshold is the time when the body really starts to need more "maintenance", kind of like driving an older vehicle! Oh, and Charlie, don't let the Republican motto fool you. The politicians who say they are pro-life are only doing it to keep their base. Most of them could really care less if a woman has an ab or not.

      #318.3 - Tue Aug 14, 2012 4:33 PM EDT

      AlaskaGirl, I agree with your analysis but damn it picks me when people say, they or others, 'could care less'. That implies that they care at least in some degree.

      • 1 vote
      #318.4 - Tue Aug 14, 2012 4:57 PM EDT

      Okay, point taken adrift. How about this: Most of them don't give a sh!t? I think that works better! Thanks! Oh, didn't mean to "pick" you! LOL

        #318.5 - Tue Aug 14, 2012 5:13 PM EDT
        Reply

        We are bemused to the Ryan choice. Now Mitt has to fight on 3 fronts. First the economy; second the Ryan Plan, and third the $24 trillion deficit the Ryan plan envisions down the road.

        In a three front war Romney will lose.

        The TEA Party is unlikely to embrace a $24 trillion deficit After all these are the very people who nearly cause the financial collapse by not raising the deficit ceiling last may.

        The tea party will defect when they see the numbers. The only- reason the support the Ryan plan is that it is not Obama's-and they have none of their own-so when they actually look at the numbers they will be horrified and back away.

        And seniors and soon to been ones doesn't want to lose the benefits they worked so hard for.

        Ryan is a sure loser-because he diverts attention from the economy and Romney himself.

        • 1 vote
        Reply#319 - Tue Aug 14, 2012 2:31 PM EDT

        Well, I am glad you have that kind of faith in the tea party. I sure don't. I think they would rather see this country go up in flames rather than have to recede and see President Obama in the WH for another four years. That is what is wrong with those people. They are radicals to the extreme.

          #319.1 - Tue Aug 14, 2012 5:18 PM EDT
          Reply

          The Ayn Rand crowd wants you to believe in their Groupon medicare plan.

          • 1 vote
          Reply#320 - Tue Aug 14, 2012 2:53 PM EDT

          Does anyone bother to actually read analyses of the claims made by the parties? Here, let me inform many of the posters, and correct the author of this article, in regards to the cuts from Medicare allegedly proposed by Obama.

          The difference between Obama cutting $500 billion from Medicare and Ryan cutting $700 billion from Medicaid is very simple. One claim is true, the other is not. I'll leave it to those who actually know how to read to decide which is which.

            Reply#321 - Tue Aug 14, 2012 2:54 PM EDT

            @ noneforthemoney

            "Here, let me inform many of the posters",

            Not being sarcastic, but, you didnt inform any posters, you told them to go look it up themselves.

              #321.1 - Tue Aug 14, 2012 3:00 PM EDT
              Reply

              Observational question:

              Why would Mitt Romney not put out his plan and then select a running mate that jived with him and his ideas. Instead he picks a running mate and then sees if he fits in Ryans plans?

                Reply#322 - Tue Aug 14, 2012 2:56 PM EDT

                It's time to confront the lies of Obama and his thugs (not that the facts will deter them from continuing to lie)

                Here are the facts from the Ryan-Wyden Medicare Reform Proposal

                Our Plan includes the following parts:

                Choice: Starting in 2022, a new Medicare program will begin offering seniors a choice among Medicare-approved private plans and the traditional Medicare plan – much like the choice of plans Members of Congress have. Any private plan that wishes to participate in this new program must provide at least as comprehensive a benefit as traditional fee-for-service Medicare, and the traditional program will be strengthened so that it can effectively compete in this new marketplace. This marketplace will supplant Medicare Advantage. Any senior at or above age 55 today will see no changes in the Medicare program.

                Affordability: Coverage will be guaranteed through a new “premium support” system that encourages plans to provide high-quality care more efficiently. Private plans will compete directly with traditional Medicare based on their ability to provide quality coverage at an affordable lower cost. Premium support levels will be determined by the cost of the second-lowest-cost plan, as well as traditional Medicare. For the first time, seniors will be protected from catastrophic health care costs with a new limit on out-of-pocket costs for all seniors. Seniors who are eligible for Medicaid or other income assistance will be guaranteed ongoing coverage without any additional costs.

                Protecting the Guarantee: In the event that these efforts do not stem the rising tide of Medicare spending, beginning in 2023 there will be a cap on cost growth of 1 percent over Gross Domestic Product, plus inflation. Any increase over that cap will be reflected in reduced support for the sectors most responsible for cost growth, including providers, drug companies, and means-tested premiums.

                Protecting Seniors: This reformed Medicare program will include the toughest consumer protections in American government. The history of seniors’ programs has shown that whenever a new program is created, fraudulent schemes spring up to exploit its participants.To ensure ample protection from scam-artists and bad actors, the program will not only require insurance coverage protections such as guaranteed issue and risk adjustment,but it will also require the Centers for Medicare and Medicaid Services (CMS) to actively review marketing practices and benefit adequacy. For new private plans, CMS will retain the authority it currently possesses to assess bids in order to weed out junk plans and unqualified insurers. Seniors will be provided with simple, easy-to-understand information about the plans that are available in their areas during their annual open-enrollment period, explaining options and prices, and they will be told exactly how their current plan compares to the next-lowest-cost option. Traditional Medicare will always be offered as a viable and robust choice.

                http://www.kaiserhealthnews.org/~/media/Files/2011/WydenRyan.pdf

                  Reply#323 - Tue Aug 14, 2012 3:09 PM EDT

                  Larry,

                  Answer this simple questions:

                  1. Will it cover preexisting conditions? Current plan does.

                  2. Will there be calendar year and life time limits on the amount of coverage by private insurance companies that take over Medicare? The current plan has no limits.

                  3. Will the private health insurance company kick you out or deny coverage if you get catastrophic illness (cancer, aneurism, alzeimers, parkinsons etc etc)? The current plan cannot.

                  4. Will the plan provide for expensive experimental medications? The current plan does.

                  Then bitch about Obama and his supporters.

                    #323.1 - Tue Aug 14, 2012 3:54 PM EDT

                    AJ

                    Do you have reading comprehension issues?

                    1. yes

                    2. NO

                    3. NO

                    4. Why would you even want experimental medications. We kill over 100,000 people every year just from the normal expected side effects of prescription drugs that are already approved.

                    I'm against ALL Medicare- I just wanted to show how much Obama lies.

                      #323.2 - Tue Aug 14, 2012 3:59 PM EDT
                      Reply

                      Ryan hasn't suffered a day in his life, he is just another Millionaire looking out for other Millionaires. He and Romney just want to get Richer.

                      These Millionaire backers expect a return on their investment, they are all in Big business to make Big money. They know if Romney gets in they will have BIG returns on their investment in him other wise, why do it?

                      They want that Big Money and screw you, the Mormons will control it all !!!

                      Has anybody requested Ryan's Tax Returns, I am sure Mitt approved of them. They are probably consistent with his.

                        Reply#324 - Tue Aug 14, 2012 3:26 PM EDT

                        Mom

                        do you know anything about Paul Ryan besides what some radical anti-American source has told you?

                        Ryan grew up in an average American family. His father died of a heart attack when he was 16 and he was the one who found his father.

                        He didn't grow up wealthy. And for someone who has been in Congress for 14 years and has an economics degree, his financial disclosure is pretty modest (2 of my sons have larger portfolios than Ryan)

                        http://pfds.opensecrets.org/N00004357_2011.pdf

                          #324.1 - Tue Aug 14, 2012 3:56 PM EDT

                          Ryan came from an upper middleclass family (not sure about the millionaire background). He's spent most of his adult life in the House so he hasn't done bad for himself.

                          I don't have a problem with that.

                          What I do have a problem with is his plan.

                            #324.2 - Tue Aug 14, 2012 4:07 PM EDT

                            Well, Ryan is a millionaire, but that is beside the point. These people could give a rat's a$$ about what they do to the middle and lower class and the seniors. It doesn't affect people like Ryan because they never have to worry about things like if they have enough money to pay for their prescriptions or if they don't have enough money to purchase all of them, they have to make the decision of getting the most important ones and letting the others go(which can add to their medical issues) so that they can at least buy a little bit of food. NOBODY should have to live like that! The Ryan plan will force people to make those choices. But, again, people like Ryan and Romney will NEVER understand that.

                              #324.3 - Tue Aug 14, 2012 4:45 PM EDT
                              Reply

                              Have you heard this joke yet?

                              According to Romney, Ryan, Trump et al, we don't have to be scared of Medicare revamp (or should I call it gutting) by Ryan plan because, "Even if you are 23 you can either get vouchers or sign on to the current version of the medicare" Oh yeah, and you can buy Brooklyn Bridge and Trump Towers when you reach the age of 65!!!

                              • 1 vote
                              Reply#325 - Tue Aug 14, 2012 3:43 PM EDT

                              Bottom line, Medicare is in trouble and no matter which party is elected, something will be done about it and it's gonna hurt....bad. And I for one would not want to be sitting in the White House when the s...t hits the fan. Too bad we just can't elect Obama right now and let it be him and the democrats.

                              • 1 vote
                              Reply#326 - Tue Aug 14, 2012 3:47 PM EDT

                              We dont need to waste our money on Medicare. Old people die. That's just the good Lord's way. And sick people are sick for a reason, because they are dumm. These Liberals want to take away our rights! They want to tell me I need to spend less on health insurance. That's crap! And they want to tell my sewage treatment corporation how to manage my sewage "responsibly." Who is the government to tell ME how to act! They think they're so smart just cuz they went to college and read books and question things. Well my corn-fed brothers and sisters from the south and mid-west are so smart we dont need college cause the good book tells us all the truths in the world.

                                Reply#327 - Tue Aug 14, 2012 4:18 PM EDT

                                to DOC S - does it make sense to you that a group of 12 people could actually make decisions about every case before them- use your head a bit.

                                also, I remember a time when doctor's offices called the insurance company for pre approval for a patients procedure and guess who denied or granted approval - a nurse - yep a nurse, not my board certified physician but a nurse .

                                  Reply#328 - Tue Aug 14, 2012 4:33 PM EDT

                                  Also, it would seem that besides having lobotomies, most Righties have also had humor-ectomies! That would certainly explain how easy it is for The GOP Mullahs to control them.

                                  • 1 vote
                                  Reply#329 - Tue Aug 14, 2012 4:48 PM EDT

                                  "humorectomies"! Priceless!! I am so glad I made it over to this story. The lobotomy crowd is going full tilt over at the Joe Biden story. What a bunch of sick, twisted crazy people over there leaving comments.

                                    #329.1 - Tue Aug 14, 2012 4:51 PM EDT
                                    Reply

                                    Ryan's budget plan would have people like Romney who makes $20 million plus per year pay ZERO taxes on it. That is a fact.

                                    • 1 vote
                                    Reply#330 - Tue Aug 14, 2012 4:53 PM EDT

                                    I would imagine since it is most likely that he hasn't had to pay taxes, with the possible exception of 2010 returns, that he might actually get a refund! Now that would just be disgusting!

                                      #330.1 - Tue Aug 14, 2012 5:05 PM EDT

                                      Do you two really believe this or is it just Lib wide eyed craziness.

                                        #330.2 - Tue Aug 14, 2012 5:16 PM EDT

                                        Can you disprove it, or is it just Repub wide eyed craziness?

                                          #330.3 - Tue Aug 14, 2012 7:15 PM EDT
                                          Reply

                                          Libs are in a tail spin.

                                          To defend Obama means they have to answer why Obama has done nothing when they go after Romney and Ryan.

                                          Because that cant explain why Obama has not addressed the largest issue we face as a country, they rather throw barbs and meaningless side shows instead of understanding the simple, Some times it is what it is and we have to deal with the real issue at hand

                                            Reply#332 - Tue Aug 14, 2012 5:22 PM EDT

                                            hey kamo:

                                            http://thetandd.com/news/opinion/gop-plot-is-definitely-un-american/article_9b7b63fc-a6c2-11e1-bb29-0019bb2963f4.html

                                            http://tucsoncitizen.com/baja-democrats/2012/06/10/did-republicans-deliberately-sabotage-the-economy/

                                            http://tpmdc.talkingpointsmemo.com/2011/11/threes-a-trend-polls-show-voters-believe-gop-intentionally-stalling-economic-recovery.php

                                            Not only did this happen, people KNOW it happened! Do you think for one minute that voters are going to STAND for this kinda crap??? A political party deliberately sabotaging the economic recover, making MILLIONS suffer, just to attain a political victory??? NOT A CHANCE! In fact, Nov. could be worse for the GOP than 2008!! Too many people are finding out too many sleazy details about the GOP!

                                            • 1 vote
                                            #332.1 - Tue Aug 14, 2012 5:43 PM EDT

                                            Maybe you can watch Mitch McConnell's statement where he said his job was to make sure Obama was a one term president used so often by Libs. What????? You mean the Lib sites cut the very next portion out, But in the mean time we need to work with this president and get the econ rolling again and that is the priority.

                                            You mean those nasty rich want to get rid of the middle class so they dont have a base of consumers to sell the goods and services too and then want to pay 100 percent of their income to taxes to support the masses of poor and unemployed.

                                            Um seems like a great plan for those nasty GOP. Sadly some people who cant think it through and really believe that to be true.

                                              #332.2 - Tue Aug 14, 2012 5:53 PM EDT

                                              Kamo. As Romney proved at Bain, you don't need middle class consumers to make yourself a lot of money.

                                                #332.3 - Tue Aug 14, 2012 8:22 PM EDT

                                                Skane2600

                                                Really so take that to the end if you think that correct. How do you make money when there is no more customers because you took away there jobs and they have no more purchase power.

                                                This is a fundamental issue that Libs cant get there hands around because it dosnt fit into their narrative.

                                                  #332.4 - Tue Aug 14, 2012 9:50 PM EDT
                                                  Reply

                                                  If the GOP had NOT created this debt crisis, we would have no reason to rescue Medicare because it would be solvent for a long time. But the GOP created the debt crisis for the EXPRESSED purpose of privatizing SS and Medicare. It was a well known plan, the gop announced it frequently, but dumb Americans continued to vote in the bastards taht finally pulled off the plan and create a debt crisis from which we many NEVER recover.

                                                  Deliberately endangering the national security and financial stability if the United States is TREASON!

                                                  • 1 vote
                                                  Reply#333 - Tue Aug 14, 2012 5:39 PM EDT

                                                  Tom in NH

                                                  So if the GOP is soley to blame as you beleive, then Obama must have taken control of this large issue and made sure he tackled it fortwith.

                                                  What he didnt, and has not even put any plan? Go figure.

                                                    #333.1 - Tue Aug 14, 2012 5:47 PM EDT

                                                    So true Tom...

                                                    And they want to continue robbing America. When I look at Mitt Romney and his new VP pick...I basically see one current and one future criminal.

                                                    I will never forget or forgive GW Bush Jr's pillaging of the US treasury...never. And Romney is 10 times worse.

                                                    We need to Obama to continue to try to clean up the mess Bush Jr left..and we need vote out every republican that keeps trying to block Obama's progress.

                                                      #333.2 - Tue Aug 14, 2012 6:40 PM EDT

                                                      Progress? Worse recovery in 75 years.

                                                      If Bush was bad, why did Obama decide to triple down. So he could show the people he could out spend Bush?

                                                      Maybe Bush should not have raise the amount of money going to education and s[special needs services for No Child Left Behind.

                                                      That darn Bush, why did he waste all that money to Africa for AIDS prevention.

                                                      And then he put together a RX plan for seniors, whats wrong with that guy.

                                                      Yes, Obama has been so busy cleaning up the mess, he has not time to provide one budget or put forth one debt reduction plan nor no plan for entitlement reform.

                                                      vacations, fundrasiers and golf he has time for.

                                                        #333.3 - Tue Aug 14, 2012 9:57 PM EDT
                                                        Reply

                                                        Hilarious! Gaffe-man can't even announce his running mate without having to do a week's worth of damage control....

                                                          Reply#334 - Tue Aug 14, 2012 7:38 PM EDT
                                                          steevenoDeleted
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                                                          I love how republicans wring their hands over the effect the countries debt will have on future generations and then throw everybody under the Medicare bus if they are younger than 55.

                                                          For those of us who are baby boomers, it gives us a last great opportunity to show our youthful idealism wasn't total BS. Or, if not, we'll prove that all the bad things said about us are mostly true.

                                                          • 2 votes
                                                          Reply#344 - Tue Aug 14, 2012 8:11 PM EDT
                                                          steevenoDeleted
                                                          Reply

                                                          Is steeveno actually a thespian who even does the act in front of paying customers???!!!

                                                          • 1 vote
                                                          Reply#345 - Tue Aug 14, 2012 8:18 PM EDT

                                                          You are a paid to post? Slip of the tongue or did you just pull a Biden..

                                                            #345.1 - Tue Aug 14, 2012 10:04 PM EDT
                                                            Reply

                                                            Media....Are you in full attack mode yet???? there is no pretense that the media will be fair or equal....They want socialism and they want it now. They consider anything less "disruptive". The medias first job is to support socialism and the radicals who would deliver socialism....reporting the news is way down the list....

                                                              Reply#346 - Tue Aug 14, 2012 9:11 PM EDT

                                                              The elite media based in NY and LA love to "pretend," they are for the working class, except they all reside in the 1 percent areas, take vacation in the 1 percent regions and in NY have door men to keep the regular Joe out and in LA gated communities with private armed security to keep the regular Jane out.

                                                                #346.1 - Tue Aug 14, 2012 10:06 PM EDT
                                                                Reply

                                                                Romney is so closely tied to this guy than ever, and both of them don't want to tell us what tax loopholes they would get rid of until AFTER the election. They want to see what Americans (1% - there 47 donors) want to get rid of. Yeah we really trust the two of you. We will be in a world of hurt if these two end up in the White House. Everyone please go out and vote, check ahead of time to see if your name is on the ballot. Ask your co-workers, neighbors, friends and family members to vote and have voting parties but please don't let these two win. If they win we lose.

                                                                  Reply#347 - Tue Aug 14, 2012 9:20 PM EDT

                                                                  racegirl...Have you not been outside your door for the last3.5 yrs??? This country is in a world of hurt at the hands of Obama and the socialist dems and you dont even know it.....If this crap continues for another four years we will truely be just another third world country, so far in debt that we will never get out..We have already lost with Obama and you want this crap to be worse and permanent. Why cant you figure out the simplest of things??? We have already lost...just ask the (almost permanently) unemployed.....

                                                                    #347.1 - Tue Aug 14, 2012 9:43 PM EDT

                                                                    racegirl01

                                                                    Um Obama is the president and has not provided one proposal. Is he waiting for Romney to tell him everything he needs to do or are the Libs too busy slamming a person who actually put forth a plan when they have put up zero. Nice......

                                                                      #347.2 - Tue Aug 14, 2012 9:59 PM EDT
                                                                      Reply
                                                                      steevenoDeleted

                                                                      So all the Republicans are now on record cutting Medicare $719 billion and now they are gonna have to vote to put the $719 billion back.

                                                                      Sounds like a John Kerry moment.

                                                                        Reply#349 - Wed Aug 15, 2012 11:26 AM EDT

                                                                        Rob-me Romney say's he has a plain for everything. So when will he show these plains??? He was hoping the Rob-me Ryan plain was going to be celebrated by the voters, but it didn't, so now he is trying to separate himself from that plain because he does not have any plains to show, like his and Rob-me Ryan's secret taxes.

                                                                        But the American people do know about that $77000 deduction for his wifes Ann's hobbie horse she supported in the Olympic more that she supported the Americans Teams like 1st Lady M. Obama did.

                                                                          Reply#350 - Wed Aug 15, 2012 2:20 PM EDT
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                                                                          Finally, Romney said Obama is the "only one president that I know of in history that robbed Medicare." In reality, several presidents have reduced Medicare spending.

                                                                          We reviewed this history in detail in a fact-check of Romney’s statement from December, "Only one president has ever cut Medicare for seniors in this country . . . Barack Obama." We rated that False. Many presidents have sought to rein in Medicare spending.

                                                                          Here are a few highlights from that fact-check:

                                                                          • President Ronald Reagan cut Medicare by reducing payments to hospitals, and he cut benefits by raising deductibles.

                                                                          • President George H.W. Bush cut benefits by repealing a law that would have expanded coverage for drugs and catastrophic illness.

                                                                          • President Bill Clinton cut Medicare by changing payments to doctors and other providers, which could be considered to have an indirect effect on beneficiaries.

                                                                          Our ruling

                                                                          Romney said, "There's only one president that I know of in history that robbed Medicare, $716 billion to pay for a new risky program of his own that we call Obamacare."

                                                                          The only element of truth here is that the health care law seeks to reduce future Medicare spending, and the tally of those cost reductions over the next 10 years is $716 billion. The money wasn’t "robbed," however, and other presidents have made similar reductions to the Medicare program.

                                                                          We rate this statement Mostly False.

                                                                          • 1 vote
                                                                          Reply#354 - Fri Aug 17, 2012 11:50 AM EDT

                                                                          $700 billion in Medicare cuts?

                                                                          Because we’re wonks ourselves at PolitiFact, our ears pricked up at the claim in recent days that Obama cut $700 billion out of Medicare. Just a few weeks ago, the oft-cited number was $500 billion. How did he manage to cut another $200 billion when no one was looking?

                                                                          Well, there are cuts and then there are CUTS. Neither Obama nor his health care law literally "cut" a dollar from the Medicare program’s budget.

                                                                          Rather, the health care law instituted a number of changes to reduce the growth of Medicare costs. At the time the law was passed, those reductions amounted to $500 billion over the next 10 years.

                                                                          What kind of spending reductions are we talking about? They were mainly aimed at insurance companies and hospitals, not beneficiaries. The law makes significant reductions to Medicare Advantage, a subset of Medicare plans run by private insurers. Medicare Advantage was started under President George W. Bush, and the idea was that competition among the private insurers would reduce costs. But in recent years the plans have actually cost more than traditional Medicare. So the health care law scales back the payments to private insurers.

                                                                          Hospitals, too, will be paid less if they have too many re-admissions, or if they fail to meet other new benchmarks for patient care.

                                                                          Still, the overall Medicare budget is projected to go up for the foreseeable future. The health care law tries to limit that growth, making it less than it would have been without the law, but not reducing its overall budget. So claims that Obama would "cut" Medicare need more explanation to be fully accurate. In the past, we’ve rated similar statements Half True or Mostly False, depending on the wording and context.

                                                                          Because Medicare spending gets bigger every year, the cost-saving mechanisms in the health care law also get bigger. Also, it takes a few years for the health care law’s savings mechanisms to kick in. In fact, the effects of time are the main reason the $500 billion number has turned into $700 billion.

                                                                          The CBO determined in 2011 that the federal health care law would reduce Medicare outlays by $507 billion between 2012 and 2021. In a more recent estimate released this year, the CBO looked at the years 2013 to 2022 and determined the health care law affected Medicare outlays by $716 billion.

                                                                          So it’s timing that’s making the "cuts" bigger, not changes to Medicare.

                                                                          Does the Ryan budget ‘protect those cuts’?

                                                                          Now onto our second question: Does Ryan’s budget keep the reductions in Medicare spending? The short answer is yes.

                                                                          • 1 vote
                                                                          Reply#355 - Fri Aug 17, 2012 12:04 PM EDT
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