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Obama to set elders against the poor by going after Medicare not Medicaid

Yeah, Fuck the Q-tips, they voted for McCain:

The White House is willing to make bigger Medicare cuts in order to protect Medicaid, senior economic adviser Gene Sperling said Thursday.

Sperling said the White House is no longer willing to make even the Medicaid cuts it had previously supported, but acknowledged that puts more pressure on Medicare.

The push to prioritize Medicaid over Medicare is a result of the Supreme Court’s decision last year upholding the Affordable Care Act as constitutional. The decision gave states the ability to opt out of the law’s Medicaid expansion, which was set to provide about half of the law’s coverage expansion before the court’s ruling.

The push to prioritize Medicaid over Medicare is a result of the Supreme Court’s decision last year upholding the Affordable Care Act as constitutional. The decision gave states the ability to opt out of the law’s Medicaid expansion, which was set to provide about half of the law’s coverage expansion before the court’s ruling.

The federal government will initially cover the entire cost of the expansion, but some Republican governors don’t entirely trust Congress to follow through on those funding commitments. The White House is taking its Medicaid cuts — some of which would have shifted costs to the states — off the table to send a message to governors.

"Not one penny of cuts to Social Insurance programs, and any effiiciciency gains returned as benefits."

Why is that so hard to understand

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Anthony_JKenn's picture
Submitted by Anthony_JKenn on

The problem with that tactic is that Medicaid will still be subject to some pretty extreme cuts regardless, due to both "sequestration" and the appropriations processes for 2013 and 2014, where the GOTP House will most certainly attempt to trade off defense sequestration for even deeper cuts in Medicaid.

Not to mention, if Repub governors make due with their threats to opt out, then you will have the politically dicey situation where a recent immigrant gaining citizenship will get the benefit of the Medicaid expansion subsidies, but long term citizens might lose their benefits due to the "donut hole" situation of being over the threshhold of qualifying for Medicaid, but not making enough to qualify for the subsidies. The Right will have a field day decrying Medicaid then for "giving free welfare to illegals" while "real Americans" are denied basic coverage...and will use that to kill the entire "ObamaCare" plan and return to the "free market"/"personal responsibility" model of allowing Big Insura and Big Pharma to screw sick people, restore health care as a privilige for only the wealthy, and push everyone else into a dessicated Medicaid/triage emergency room/debt peonage system. (With added protection for corrupt doctors and corporate leeches through capping malpractice suits, allowing cross-state health plan portability (the "race to the bottom" among states) and encouraging "casino capitalism" through privatized "health savings accounts".)

In other words...attempting to save one at the expense of the other simply leads to killing BOTH.

More and more, the Democrats and President Obama render themselves useless, if not useful idiots of the Right.

Submitted by lambert on

A single universal system available to all. (And I'd say "all" on the theory that epi- and pandemics don't care a whole lot about citizenship)

First they ignore you, then they ridicule you, then they fight you, then you win. -- Mahatma Gandhi

Alexa's picture
Submitted by Alexa on

it better! (Reference: Medicare vs Medicaid, and the Democratic Party becoming the "useful idiots" of the Right.)

Alexa

“If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

[Avatar Photo Credit: Conflagrate, jurvetson's photostream, flickr]

Rainbow Girl's picture
Submitted by Rainbow Girl on

It's that insidious Legacy Parties-endorsed frame, again, which hides the reality that we are one citizenry with tightly related needs and interests and claims to our national assets (economic activity, infrastructure, cities, towns, hamlets and all expanses of land and nature, natural resources, our sea shores, wealth -- with which to do things like educate, maintain healthy, etc.)

And the use of "programs" (which cover sliced/diced constituencies) as the framework for political action also reflects/reinforces the success of "divide and conquer" strategies over the past 40 years that have manufactured intra-people feuds (and thus savagely attacked the feelings of unity that would pose a real threat to the status quo). (Well, arguably causation goes the otehr way too ... chickens, eggs, ... + headaches!).

Submitted by [Please enter a... (not verified) on

note the bogus false binary choice between "Medicare cuts vs. Medicaid cuts".

Note that not mentioned was cutting the exorbitant pay of the anti-free competitive market, protectionist, US health care cartels (insurance, hospitals, pharma, med device, physicians) that charge roughly 2X that of Canada & every other rich OECD nation. The US health care cartels are the overwhelming reason the US spends ~2X a fraction of GDP on health care, than does any other rich nation.

Also why don't various non-health care & non-FIRE businesses, especially small & startup businesses LOBBY hard for Medicare For All?

Why did the US auto companies state that Canadian/Ontario factories are more profitable than Michigan factories, due to Canada's Medicare For All policy, but then not take the screaming obvious step of telling the DC pols they "own" that they must push Medicare For All ASAP, or "no campaign contribs for you, son"?

Like that random editorial from an Australian daily said: The 4 cartels/Mafias own the USA: health care, 2B2F Bank$tas, Military Industrial Complex, Oil.

Alexa's picture
Submitted by Alexa on

"Note the bogus false binary choice between "Medicare cuts vs. Medicaid cuts."

Spot on, not verified,

Alexa

“If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

[Avatar Photo Credit: Conflagrate, jurvetson's photostream, flickr]

Rainbow Girl's picture
Submitted by Rainbow Girl on

http://www.counterpunch.org/2013/02/05/obamacare-a-deception/

This article was posted by Lambert, I believe, in a recent Corrente quick hit.

It is required reading. Someone with all the relevant knowledge of the arcane intricacies of FrankenCare has laid out 10 points that we all need to know about. Not that there appear to be a lot of exits available. And the only solution is Single Payer Medicare for All. Still, the best and most comprehensive piece I've read on the horrors that are (apparently by design) buried in the FrankenStatute (and others that nobody would even guess were relevant).