Sen. John Cornyn (R-TX) has taken issue with the media’s coverage of Wednesday’s Senate vote on the GOP’s Medicare-privatizing budget.
On the Senate floor Wednesday, Cornyn claimed “I will say that Republicans do not want to end Medicare as we know it. That is an intentional falsehood. That is a lie.”
As Democrats are fond of pointing out, an early Wall Street Journal article about the GOP budget made the same claim. And the facts bear it out.
To reiterate, the plan 40 GOP senators voted for Wednesday night would do the following:
1). Over the first 10 years, it would make relatively small changes to Medicare by repealing most of President Obama’s health care law. That would re-open the Medicare prescription donut hole, and deep-six new wellness benefit guarantees for seniors.
2). After 10 years, it would begin phasing out traditional Medicare hospital insurance and replace it for newly eligible beneficiaries with a subsidy to buy regulated insurance on an exchange. The value of the subsidy would shrink over time relative to health care costs leaving seniors holding the bag for more and more of their own medical bills. Still, this is a policy Cornyn himself agreed has a lot in common for with the health care law, for people under 65. Nobody claims that the health care law is anything like Medicare.
3). After that 10 year window is closed, those who already have Medicare would be allowed to retain traditional fee-for-service Medicare. Republicans argue that they’d see no disruption. But as explained here, over time that pool of people would age and shrink, leaving the traditional Medicare program without the purchasing power to entice providers to care for Medicare patients. Over time, that plan would erode until it disappeared altogether, leaving us with a fully privatized insurance program for all eligibles.
Brian Beutler is TPM's senior congressional reporter. Since 2009, he's led coverage of health care reform, Wall Street reform, taxes, the GOP budget, the government shutdown fight, and the debt limit fight. He can be reached at firstname.lastname@example.org.