Is the Ryan Medicare Overhaul Proposal a Good Idea?
Presumptive Republican presidential nominee Mitt Romney has selected Rep. Paul Ryan of Wisconsin as his running mate, and with Ryan comes the congressman's controversial budget plan. Romney is now endorsing the budget, and with it the provision that would overhaul the Medicare system.
Medicare, the health insurance plan for seniors, is an entitlement program many fiscal conservatives point to as a primary cause of the massive federal budget deficit. Ryan's Medicare plan would replace the current system with payments made directly to seniors, which they could then use to purchase health insurance in the private market. Those using the current system would remain under it, but in 2023, seniors would begin buying their insurance in an exchange system where Medicare would compete with private health insurance companies. Ryan says this competition will reduce the overall cost of healthcare, and the government's financial responsibility to the system.
Democrats argue that cuts to entitlement programs like Medicare unfairly target seniors at the expense of tax breaks for major corporations. They say the plan will shift too high a percentage of healthcare costs to seniors, because if they select a plan more expensive than the voucher they receive, they will be responsible for paying the difference out of pocket. Value of the vouchers wouldn't grow in step with private insurance premiums, so eventually seniors wouldn't have the full safety net the previous Medicare program provided. Eligibility for the program would be increased from age 65 to 67, which could affect people's ability to retire. Ryan's overhaul would also repeal the Affordable Care Act, which provides additional benefits to seniors and access to healthcare for the uninsured. Is the Ryan Medicare overhaul proposal a good idea? Here's the Debate Club's take:
The Arguments
No — Ryan's plan would destroy healthcare security for the middle class
ETHAN ROME, Executive Director of Health Care for America Now Comment (4)
Yes — Overhauling Medicare will help restore solvency to the federal government while improving healthcare
JAMES CAPRETTA, Fellow at the Ethics and Public Policy Center Comment (2)
Yes — Ryan's plan gives seniors the right to make their own choices
NINA OWCHARENKO, Director of the Heritage Foundation's Center for Health Policy Studies Comment (10)
Yes — Medicare reform needs to address underlying causes of rampant healthcare spending to control it
JOSEPH ANTOS, Wilson H. Taylor Scholar at the American Enterprise Institute Comment (6)
Yes — The Ryan plan isn't perfect, but the country might well go broke without it
MICHAEL D. TANNER, Senior Fellow at the Cato Institute Comment (2)
No — Medicare reform is too politically risky for Republicans
JAMIE CHANDLER, Political Scientist at Hunter College Comment (2)













