I want one Obama supporter to Explain why he CUT over $700 Billion from Medicare?

[Gareyt17]

serious question....

Please explain the logic behind such a move. At a time Medicare is already struggling to stay afloat, at a time the "baby-boomers" are entering the Medicare system and going to tax those resources even more Why on earth would Obama CUT the program by over $700 billion?

I know why I think he did it....but I want to know under YOUR logic, what makes sense about his having done this? What is the benefit to seniors or to the nation as a whole in having done this?

Do any of you know HIS logic for this move?


I've never heard anyone, not even him talk about the "why" this was done. Can any of you explain it?

 

[Truthseeker420]

I'm no expert on the Health Care law but I believe cutting 700 billion in fraud and waste from the trillions of Medical Care Corporations is better than the Ryan Plan to cut 700+ billion from the payments to the elderly.

 

[Truthmatters]

FACT CHECK: Obama, Ryan, Romney Backed Medicare Cuts - ABC News


One way or another, Barack Obama, Paul Ryan and Mitt Romney all have supported the $700 billion in cuts to Medicare spending now in place under the Affordable Care Act.

But you wouldn’t know that by listening to the current debate.

The Romney-Ryan campaign in its latest TV ad assails Obama for approving the cuts in 2010. “Obama has cut $716 billion dollars from Medicare,” says the narrator. “The money you paid for your guaranteed health care…is going to a massive new government program that’s not for you.”

Voters might be left with the impression that Romney and Ryan have both opposed the cuts. The truth is that Ryan himself endorses them in his signature budget plan – the same plan Romney has said he would sign as president if it reached his desk.

 

[LoneLaugher]

He did it to add several years of solvency to the program.


http://www.politifact.com/truth-o-m...omney-said-barack-obama-first-history-rob-me/

 

[NYcarbineer]

serious question....

Please explain the logic behind such a move. At a time Medicare is already struggling to stay afloat, at a time the "baby-boomers" are entering the Medicare system and going to tax those resources even more Why on earth would Obama CUT the program by over $700 billion?

I know why I think he did it....but I want to know under YOUR logic, what makes sense about his having done this? What is the benefit to seniors or to the nation as a whole in having done this?

Do any of you know HIS logic for this move?


I've never heard anyone, not even him talk about the "why" this was done. Can any of you explain it?

You've never heard anyone anywhere say that Medicare was unsustainable in its current form?

Seriously? I think you're lying.


1. The plan, pre-ACA, was projected to be insolvent by 2016.

2. It was not feasible to get tax increases to remedy that problem

3. The Obama reforms extend the insolvency date to 2024.

 

[NYcarbineer]

When Romney, if president, repeals Obamacare on day one, as he has promised,

the insolvency date of Medicare falls back to 2016 - thus WITHIN THE ROMNEY PRESIDENCY.

Do you think he's going to push that date out, assuming he does, without 'cutting Medicare'???

How???

 

[Leweman]

They reduce reimbursement rates for all who provide services to Medicare patients, regardless of how well or badly they treat their patients. Among the cuts is a $156 billion reduction in payments to Medicare Advantage plans over ten years. These cuts will force seniors to pay $3,700 more for their health care by 2017

the cuts will drive some 4 million seniors out of Medicare Advantage plans between 2012 and 2018.

Further, the Medicare cuts in Obamacare would slash payment rates for hospitals, so much so that the chief actuary of the program has warned repeatedly that the cuts will jeopardize access to care for seniors. He has estimated that if the cuts go into effect, 15 percent of hospitals and nursing homes will have to stop taking Medicare patients to avoid the large financial losses that result from getting paid at Medicare rates. By 2030, some 25 percent of these institutions would need to drop out of the Medicare program.


Yep sounds like Obama's 700 billion dollar cuts in medicare makes everything perfect.

President Obama

Medicare's Chief Actuary: Sorry, ObamaCare's Medicare Reforms Probably Aren't Viable in the Long Term - Hit & Run : Reason.com

Everyone quit pretending that Obama's cuts are good but Ryan's potential cuts are baaaaaaaaaaaaaad.

 

[WillowTree]

[ame=http://www.youtube.com/watch?v=fgsyEtAkrOo]Obama Discusses w ABC Gutting Medicare to Fund Obamacare November 2009 - YouTube[/ame]

 

[WillowTree]

so when they make sure doctors and hospitals won't take medicare patients then how does the patient get care? answer? he doesn't obama lied millions died.

 

[SniperFire]

I'm no expert on the Health Care law but I believe cutting 700 billion in fraud and waste from the trillions of Medical Care Corporations is better than the Ryan Plan to cut 700+ billion from the payments to the elderly.

Ryan isn't running for POTUS.

The Romney plan eliminates Obama's draconian cuts.

Granny gets her hip.

 

[LordBrownTrout]

A lot of items will be insolvent soon because there is no money.

 

[Greenbeard]

serious question....

Please explain the logic behind such a move. At a time Medicare is already struggling to stay afloat, at a time the "baby-boomers" are entering the Medicare system and going to tax those resources even more Why on earth would Obama CUT the program by over $700 billion?

This misses the point. The Affordable Care Act doesn't just "cut" Medicare, it slows Medicare's growth over the next decade in conjunction with reforms that make that slowed growth possible. It's important to recognize here that some of the biggest cost drivers, not just in Medicare but in the entire health system, are the inflationary payment mechanisms and flawed delivery systems that have plagued the health system for decades. If you don't address those, you're not going to get anywhere.

The ACA's slowed Medicare reimbursement growth rates are a down payment on broad-based health system reform. The law offers the tools and payment incentives to improve the way care is delivered (one early private sector example typical of such models--an example that's lowered costs and improved quality--is described in this thread: http://www.usmessageboard.com/healt...-reform-model-lowers-costs-improves-care.html). The long-term slowing of the payment increases is the stick that goes with those carrots to get providers moving. But the carrots and reform aids are numerous. Some examples:

• What We're Doing | Center for Medicare & Medicaid Innovation
  
• Hospital Value-Based Purchasing | Centers for Medicare & Medicaid Services
  
• AHRQ Effective Health Care Program
  
• Shared Savings Program | Centers for Medicare & Medicaid Services
  
• EHR Incentive Programs | Centers for Medicare & Medicaid Services

For a better understanding of how looming "cuts" (again, Medicare reimbursements don't go down, they go up more slowly than would've been the case prior to the law) can work to spur meaningful system change, take a look at this article: Slower Growth in Medicare Spending — Is This the New Normal?

The framers of the ACA perceived broad provider-payment reform as the best prospect for slowing the long-term spending trend. But they needed scoreable savings, and they could ill afford to alienate backers by forcing through major payment reforms at the same time. The ACA planted the seeds for accountable care organizations (ACOs), bundled payment for episodes of care, patient-centered medical homes, and incentives for reducing readmissions. Now those seeds offer a way forward.

In site visits and interviews conducted for our ongoing qualitative research, the Center for Studying Health System Change found strong provider interest in payment reform and efforts to prepare for it, with the prospect of increasing constraint on Medicare payment rates cited as motivation. We see a combination of reformed delivery of care and broader units of payment as having the potential to allow providers to generate savings through steps that are less threatening to quality of care and access than are cuts in payment rates. More concretely, payment on the basis of shared savings or partial capitation can reward providers for delivering care more efficiently. This approach is preferable to merely paying providers less and less for business as usual.

There is a historical precedent for harsh, simple-minded cuts setting the stage for broad-based payment reform. Up until the early 1980s, Medicare reimbursed hospitals for costs incurred, subject to ceilings. The Tax Equity and Fiscal Responsibility Act of 1982 substantially tightened those limits, leaving hospitals with no upside — they could not earn a profit by reducing costs — and a growing downside for those whose costs exceeded the limits. The next year, legislation was passed, with the support of the hospital industry, replacing cost reimbursement with the inpatient prospective payment system (IPPS), with rates initially calibrated to leave Medicare outlays unchanged. Hospitals then had the opportunity to reduce costs per admission by shortening lengths of stay and to earn a positive margin in the process.

The IPPS is generally viewed as a major policy success: it encouraged hospitals to seek efficiencies, and when they found those efficiencies, it allowed the federal government to share in the savings. Should ACOs and other reforms prove effective, they will provide broader opportunities to increase the efficiency of delivery beyond shortening lengths of stay, such as managing chronic disease more effectively so as to keep beneficiaries out of the hospital in the first place. But our current challenge is more complex than the one faced in the early 1980s. Broadening the unit of payment will require reaching across different types of providers and helping to stitch together real delivery systems in places where now there are none.

In the current instance, providers are aided by the fact that there are a number of other reforms ongoing at the same time to help move them toward providing higher quality care at the same time that cost growth slows.

 

[SniperFire]

When Romney, if president, repeals Obamacare on day one, as he has promised,

the insolvency date of Medicare falls back to 2016 - thus WITHIN THE ROMNEY PRESIDENCY.

Do you think he's going to push that date out, assuming he does, without 'cutting Medicare'???

How???

You make the assumption Romney / Ryan are not going to reform Medicare.

It is one of their primary planks.


Fail.

 

[Truthmatters]

They agreed with the Obama plan for it you fool

 

[Full-Auto]

They agreed with the Obama plan for it you fool

Right, the vote tally sure expressed that too...



Idiot.............

 

[NYcarbineer]

They reduce reimbursement rates for all who provide services to Medicare patients, regardless of how well or badly they treat their patients. Among the cuts is a $156 billion reduction in payments to Medicare Advantage plans over ten years. These cuts will force seniors to pay $3,700 more for their health care by 2017

the cuts will drive some 4 million seniors out of Medicare Advantage plans between 2012 and 2018.

Further, the Medicare cuts in Obamacare would slash payment rates for hospitals, so much so that the chief actuary of the program has warned repeatedly that the cuts will jeopardize access to care for seniors. He has estimated that if the cuts go into effect, 15 percent of hospitals and nursing homes will have to stop taking Medicare patients to avoid the large financial losses that result from getting paid at Medicare rates. By 2030, some 25 percent of these institutions would need to drop out of the Medicare program.


Yep sounds like Obama's 700 billion dollar cuts in medicare makes everything perfect.

President Obama

Medicare's Chief Actuary: Sorry, ObamaCare's Medicare Reforms Probably Aren't Viable in the Long Term - Hit & Run : Reason.com

Everyone quit pretending that Obama's cuts are good but Ryan's potential cuts are baaaaaaaaaaaaaad.

So you want the government subsidies of the private sector Medicare Advantage plans to continue, despite the fact that these private sector plans are supposed to COMPETE with Medicare?

Where do you save money then? Medicare's insolvency projection is 2016 without the reforms of the ACA.

 

[SniperFire]

Obama's Countdown To Medicare's Bankruptcy


Obama's Countdown To Medicare's Bankruptcy - GOP.com

 

[Full-Auto]

They reduce reimbursement rates for all who provide services to Medicare patients, regardless of how well or badly they treat their patients. Among the cuts is a $156 billion reduction in payments to Medicare Advantage plans over ten years. These cuts will force seniors to pay $3,700 more for their health care by 2017

the cuts will drive some 4 million seniors out of Medicare Advantage plans between 2012 and 2018.

Further, the Medicare cuts in Obamacare would slash payment rates for hospitals, so much so that the chief actuary of the program has warned repeatedly that the cuts will jeopardize access to care for seniors. He has estimated that if the cuts go into effect, 15 percent of hospitals and nursing homes will have to stop taking Medicare patients to avoid the large financial losses that result from getting paid at Medicare rates. By 2030, some 25 percent of these institutions would need to drop out of the Medicare program.


Yep sounds like Obama's 700 billion dollar cuts in medicare makes everything perfect.

President Obama

Medicare's Chief Actuary: Sorry, ObamaCare's Medicare Reforms Probably Aren't Viable in the Long Term - Hit & Run : Reason.com

Everyone quit pretending that Obama's cuts are good but Ryan's potential cuts are baaaaaaaaaaaaaad.

So you want the government subsidies of the private sector Medicare Advantage plans to continue, despite the fact that these private sector plans are supposed to COMPETE with Medicare?

Where do you save money then? Medicare's insolvency projection is 2016 without the reforms of the ACA.

It goes tits up with the reforms...

Damn must you guys lie about every subject...

What fucking low life..............

 

[SniperFire]

Americans are waking to the fact that the Romney plan saves Medicare, while the Obama plan bankrupts it.

 

[Truthmatters]

FACT CHECK: Obama, Ryan, Romney Backed Medicare Cuts - ABC News


One way or another, Barack Obama, Paul Ryan and Mitt Romney all have supported the $700 billion in cuts to Medicare spending now in place under the Affordable Care Act.

But you wouldn’t know that by listening to the current debate.

The Romney-Ryan campaign in its latest TV ad assails Obama for approving the cuts in 2010. “Obama has cut $716 billion dollars from Medicare,” says the narrator. “The money you paid for your guaranteed health care…is going to a massive new government program that’s not for you.”

Voters might be left with the impression that Romney and Ryan have both opposed the cuts. The truth is that Ryan himself endorses them in his signature budget plan – the same plan Romney has said he would sign as president if it reached his desk.

they agreed with Obama