In his quest to find a “middle ground” (read appease the
ruling elite), President Obama has been meeting with Republicans behind closed
doors to come up with a plan to dismantle Medicare. According to the New
York Times, Obama has proposed cost savings by combining Medicare A and B,
which would significantly increase seniors’ out-of-pocket expenses.
Currently, Medicare A is used for hospital visits and has a
deductible of $1,184 per year, while Medicare B, which is used for out-patient
services and doctors’ visits, is only $147. Patients can see their doctors as
often as they need to and typically use Medicare B (the cheaper of the two
programs) much more frequently. Combining the two into one program would
necessarily result in higher costs for patients, as the new deductible would
fall somewhere in between and, more significantly, patients would be paying the
higher deductible for the more common outpatient services and doctors’ visits.
Obama has been saying for months that he is open to
compromise on Medicare if that is what is necessary to get Republicans to
support a tax increase. The Times suggests that the Medicare deal would likely
end Republican threats to privatize Medicare and even end debate on the matter.
However, Democrats and Republicans still remain far apart on “revenue
increases,” the euphemism being used to indicate that the final deal might not
include any tax increases at all and could even include further austerity for
the middle class, like an end to the mortgage interest deduction on their
income taxes. In typical Obama fashion, he started bargaining from a position
of weakness and offered the store without winning anything concrete in return.
Increasing Medicare costs is a risky move politically, as
seniors have among the highest rate of voter participation in the country and
have almost universal support for the program. Medicare, which was implemented
in 1965, along with the expansion of Social Security, contributed to a decline
in poverty among seniors from 30% in 1965, to less than 10% today, the WSWS reports.
Inexpensive health care for seniors has also contributed to their
increasing longevity. According to a Harvard study, 45,000
Americans die each year because they lack health coverage. The study also
found that uninsured working-age Americans had a 40% higher chance of dying
prematurely than their insured counterparts. Slashing Medicare benefits and
making them more expensive will likely increase the death rate for seniors,
too, because they will be less likely to see their doctors for routine checkups
and maintenance of chronic illnesses.
Consequently, the new plan could take seniors back to a time when they were dying much sooner from treatable conditions and had a worse quality of life because of poverty.
The “debate” over Medicare has little to do with resolving
any sort of budget crisis and everything to do with reducing government
spending on “entitlements” that benefit the majority of Americans so that there
is more tax revenue available to subsidize low taxes for the rich and to
subsidize their businesses. The rich already have Cadillac insurance plans,
subsidized by their employees, and not only have no need for Medicare
themselves, but find it outrageous that any of their taxes should go toward
keeping people alive who are no longer “productive” (read: exploitable at the
workplace).
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