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November 18, 2003

Old People Gone Mad!

By Jim Dallas

Adding a real prescription drug benefit to Medicare would be a good idea. Unfortunately, this good idea has been run through the Republican crap-o-lizer one too many times, and the bill which the House of Representatives is planning on taking up this week isn't up to snuff. Despite what the AARP says:

WASHINGTON, Nov. 17 — AARP, the largest and most influential organization of older Americans, threw its weight behind a bill on Monday that offers drug benefits to the elderly as part of the biggest transformation of Medicare in its 38-year history.

President Bush and Republican leaders in Congress stepped up their efforts to win votes for the legislation, which would give private health insurance companies a huge new role in Medicare. AARP's endorsement, long coveted by Republicans in Congress, was considered a critical step in the drive for passage of the legislation this year.

The endorsement provides a seal of approval from an organization with 35 million members. Republicans hope it also provides political cover against charges by some Democrats that the bill would undermine the federal insurance program for the elderly and disabled. The group will support the bill with $7 million worth of newspaper and television advertising this week, and officials said it was prepared to spend more.

Still, some Democrats, led by Senator Edward M. Kennedy of Massachusetts, escalated their attacks on the legislation. Mr. Kennedy called the legislation a dangerous attempt to privatize Medicare, "using our seniors as guinea pigs." Many Senate Democrats were clearly torn over the bill, which delivers a prescription drug benefit the party has sought for many years but would also, many contend, undermine the program over the long term.

Since the insanely-complex bill is still not public, it's hard to put a finger on all the problems with it, but here's a start. The bill has a big coverage hole in it, which means it's great if you have only a few prescriptions or have a lot of prescriptions, but is not-so-great if you're in the middle. It does in fact rig Medicare in favor of privatization. It doesn't include adequate measures to reduce the cost of prescription drugs, which means it's an overly-costly political stinker paid for with borrowed money (and if my future taxes are going to pay for the elderly's prescriptions, then you better believe I oppose this "a joint venture between the Republican leadership and the pharmaceutical industry to destroy Medicare").

And did I mention it's insanely complicated?

Suffice it to say that if I were in Congress right now, I would probably not vote for this GOP Medicare prescription drug bill.

The prescription-drug debacle lends credence to the unflattering caricature of the AARP painted by South Park a few weeks ago (click for QT Video). Truth is becoming stranger than fiction.

But, giving credit where credit is due, there are a lot of rank-and-file AARP members who are justifiably pissed about this endorsement. Click here to see the mostly-negative comments about the endorsement made by AARP members (via Atrios).

For a different opinion, see Nathan Newman.

Posted by Jim Dallas at November 18, 2003 01:27 AM | TrackBack

Comments

So, even when GW provides prescription coverage for the elderly, he's evil. The smattering of detail supporting your opposition makes it appear you are more upset that the Republicans have absconded with a Democrat voter issue than that you have any substantive critique of the bill.

Posted by: Mark Harden at November 18, 2003 07:11 AM

I don't mind them "absconding" with issues, as long as they don't screw it up in the process.

Did you not catch my laundry list of reasons why it is a fundamentally bad bill?

Posted by: Jim D at November 18, 2003 10:51 AM

For one, I have to (partially) agree with Byron. This bills sucks. It creates a vast new entitlement, which is bad enough, that goes to all seniors, even those well off enough to afford their own private drug coverage (3/4 of all Senior citizens have coverage today), and will do nothing but make people more dependent on the government. Meanwhile, it will explode the budget deficit in the worst possible way, by increasing spending. And it doesn't include any real mechanisms to overhall Medicare and open it up to competition. The trial programs starting in 2010 are a joke. If I were in congress, I would definitely vote this abomination down.

Sherk

Posted by: Sherk at November 18, 2003 11:44 AM

Yeah, but sherk, it's a stealth bill with a slyly hidden means to take the initial steps toward eventual privatization of the entire Medicare system. That's why Sen. Kennedy (D-Chappaquiddick) opposes it, not because it has a "coverage hole", and certainly not because of the increased expenditures. Look at it as a long term investment in a future free of government involvement in health care.

Posted by: Mark Harden at November 18, 2003 12:11 PM

Mark,

Sorry, but you are wrong on this. I would love to privatize Medicare, but this bill does nothing significant to move towards that. If the competition were nation wide, and started within say, the next 5 years, while Bush could still be President, I would have less of a problem. But "trial programs" in a handful of metropolitan areas? Even if they work, they are never going to be extended to the rest of the country, and will be allowed to die after 6 years. If we couldn't privatize medicare with the carrot of a $400B handout attatched, how are we going to do it in full as a stand alone bill? We aren't.

Meanwhile, Seniors are going to be getting used to yet another free handout from the government, paid for by those of us who haven't reached retirement age. All this pushed by a "conservative" President. Aghh! I HATE GOVERNMENT! Govnerment spending programs are almost always thingly disguised wealth transfers to the politically well organized from those less so. Seniors vote, 20 somethings don't, and so Seniors vote to help themselves to the income of the young. Never mind the fact that Senior citizens own 3/5 of the wealth in this country, they want more, and Bush is going to give it to them. Of course, the same is true of Farm Subsidies, steel tarrifs, Social Security, and just about any other government program you care to name.

I am quite upset with Bush and the entire GOP leadership in congress right now. The "Great Society" was an abomination and a tragedy, and our party ought to fight to repeal both it and the New Deal, NOT expand it.

Sherk

Posted by: Sherk at November 18, 2003 12:59 PM
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