Nobody is attempting to dismantle them.
Under Ryan's proposal, will CHIP receive a dime of funding after 2013? (no) Under Ryan's proposal, will the defined public health insurance benefit known as Medicare exist for those who are not grandfathered in? (no) Under Ryan's proposal, will Medicaid cease to be a federal match for state dollars spent on health services but instead be a significantly smaller (in total) lump sum given to states annually, virtually guaranteeing significant losses of coverage? (yes)
To save you time, I've provided the answers for you.
The Republicans should take justifiable offense because they aren't trying to eliminate them. They are trying to reform and preserve for future generations.
Now I'm starting to take justifiable offense. How long are you going to continue pissing on my leg and telling me it's raining?
Both Medicare and Medicaid will continue to exist. I'm not the one pissing on your leg. It's your own urine you feel running down it.
That's a piss poor lie according to the plan Lyin' Ryan submitted for evaluation to the CBO.
The voucher would not be enough to pay for a health care plan for many seniors. There would be no "public option" for seniors to run to, so if they could not find insurance from the private industry they would simply be on their own. If seniors then could not pay out-of-pocket they would presumably be denied care in all non-emergency situations.
Ryan's plan does save the federal government money by reducing its Medicare expenditures, but as the CBO report documents, it basically does so by simply shifting the costs to seniors. If seniors could not pay they would simply have to go without benefits
Ryan's plan essentially forces seniors into the "death panels" of the private market.
http://cbo.gov/ftpdocs/119xx/doc11966/11-17-Rivlin-Ryan_Preliminary_Analysis.pdf
Congressman Ryan and his staff recently provided specifications for a proposal that would
substantially change federal payments under the Medicare and Medicaid programs. Although an
extensive analysis of that proposal is not feasible in the time available, CBO has conducted a
preliminary analysis of its major provisions—the results of which are summarized here.
Key Features of the Proposal
MEDICARE
People who turn 65 in 2021 or later years would not enroll in the current Medicare program
but instead would receive a voucher with which to purchase private health insurance.
Although the voucher system would not be implemented until 2021, the amount of the
voucher would be calculated by taking the average federal cost per Medicare enrollee in 2012
(net of enrollee premiums) and growing that amount at the annual rate of growth in GDP per
capita plus one percentage point.
o While the voucher program is being phased in, the voucher amount would be adjusted
downward to reflect the fact that eligible individuals would be younger and less
costly than the average Medicare enrollee.
Affected Medicare enrollees who are also eligible for full Medicaid benefits (“dual
eligibles”) would no longer receive assistance from Medicaid with their Medicare premiums
and cost-sharing; instead the federal government would establish a medical savings account
for them and make an annual contribution to it. The amount of the contribution would be
calculated by starting with $6,600 in 2012 and growing that amount at the rate of GDP
growth per capita plus one percentage point.
Starting in 2021, the age of eligibility for Medicare would increase by two months per year
until it reached 67 in 2032.
For purposes of this analysis, CBO assumed that all individuals projected to enroll in
Medicare would use the proposed voucher.
Voucher recipients would probably have to
purchase less extensive coverage or pay higher premiums than they would under current law,
for two reasons. First, most of the savings for Medicare under the proposal stem from
reducing the amounts that the federal government would pay for enrollees on a per capita
basis, relative to the projections under current law. Second, future beneficiaries would
probably face higher premiums in the private market for a package of benefits similar to that
currently provided by Medicare. (For additional discussion of these issues, see CBOÂ’s
January 2010 letter to Congressman Ryan about his “Roadmap” proposal.)
Similarly, reducing federal payments for Medicaid relative to currently projected amounts
would probably require states to provide less extensive coverage, or to pay a larger share of
the programÂ’s total costs, than would be the case under current law.
For both Medicare and Medicaid, the budgetary effects would become larger over time
because federal payments would tend to grow more slowly under the proposal than projected
costs per enrollee under current law. Although the level of expected federal spending and the
uncertainty surrounding that spending would decline,
enrolleesÂ’ spending for health care and
the uncertainty surrounding that spending would increase.