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The Conservative Principles Inherent in the Medicare Reform Legislation
Various sources, including Sen. Bill Frist's site, Sen. Rep. Policy Comm., and the White House ^ | 2/6/04 | My2Cents, and various sources

Posted on 02/06/2004 10:08:46 AM PST by My2Cents

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To: My2Cents
So, your suggestion is what...? End the program, cold-turkey? Then we'd really be throwing granny out into the street. Old people WOULD be dying. Boy, Hillary would love that!

I assume that by the thrust of your question, you are referring to the program that LBJ pushed through in 1965, and not what has not yet gone into effect with respect to drugs.

No, my suggestion, frankly, is not to end Medicare, cold turkey. While it is not a Constitutional program, recognizing obligations is Constitutional, and I believe that there is a certain moral obligation, here, created by reason of the fact that millions of people have been led to expect that it would be there, and have planned around its being there. This in Law would create what we call an "estoppel"--which, while the Government could possibly defend against it, on the theory of sovereign immunity, it really ought not to, because of the morality involved.

What I would do is gradually phase the program out, while limiting its applicability to types of care that were reasonably anticipatable during the previous lives of the beneficiaries--that is not necessarily covering expensive new procedures, except under circumstances that might be hashed out in Congress.

As for the "hue and cry over such a phase out," I would deal with that on many levels, each designed for different elements of society, putting the whole issue in the context most understandable from the perspective of each such element. I find no difficulty, in discussing this issue with people of all ages, in finding bases to create such understanding.

And understand me, the continuance of benefits for those now covered, or soon to be covered, who have relied on same being available for long periods, is not intended as a way to buy votes. Rather, it is as I suggested, an effort to see that the United States always act fairly towards their people. I know that some will accuse me of rationalizing, but I do not see it that way.

William Flax

101 posted on 02/06/2004 4:53:39 PM PST by Ohioan
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To: billbears
Well put.

Check out the links on Ohioan's profile page.

Quite a lot of info there.
102 posted on 02/06/2004 4:55:01 PM PST by WhiteGuy (Congress shall make no law... abridging the freedom of speech, or of the press...)
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To: Ciexyz; My2Cents; PhiKapMom
Reaction to Medicare Public Information Ads:  Several Congressional Democrats have asked the General Accounting Office to investigate the use of taxpayer money on ads publicizing recent changes to Medicare.

Medicare Ad Riles Bush Critics

Excerpt:
In December, President Bush signed a sweeping Medicare reform bill that, starting in 2006, adds a prescription drug benefit to the government insurance program. Beginning this summer, seniors can obtain a discount card for purchasing prescription drugs. The White House estimates the new law will cost $534 billion over ten years.

In the television ad, a senior asks, "So how is Medicare changing?"

"It’s the same Medicare you’ve always counted on, plus more benefits like prescription drug coverage," an announcer replies. The ad goes on to tell seniors "You can always keep your same Medicare coverage" and "You can save with Medicare drug discount cards this June. And save more with prescription drug coverage in 2006."

The ad tells viewers that more information is available at 1-800-Medicare. A print ad delivers much the same message.

Neither ad mentions the role of President Bush or Congress is developing the new drug benefit. But the Democrats who wrote Thomspon — including Ways and Means Committee ranking minority member Rep. Charles Rangel of New York — complain that the ad misleads when it says "It's the same Medicare."

103 posted on 02/06/2004 4:56:40 PM PST by windchime (Podesta about Bush: "He's got four years to try to undo all the stuff we've done." (TIME-1/22/01))
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To: My2Cents
-- enhancing the ability of Americans to pay for their own health needs through expanding the availability of Health Savings Accounts (HSAs);

This is key to getting away from having insurance pay for routine checkups and minor medical care. Today's medical insurance is like having your vehicle insurance pay for oil changes and brake jobs.

104 posted on 02/06/2004 5:02:19 PM PST by wooden nickel
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To: Ciexyz
All we've been seeing on FR is people screaming about the cost and threatening to bolt the party, with inflammatory language like "why should we pay for a bunch of old geezers."

Well not to put too blunt of a point on it but why should the national government be involved in this fiasco? Can you provide verifiable information that the Founders of this nation of states thought it should be the general government's place to provide such a service? Surely there were older people in those days as well? What did they do? Just get thrown out in the streets? Pushed off the road?

Or perhaps families did their duty and took care of one another. Without depending on the national government to pass another entitlement to 'fix' it. I tell you, the Republicans are really stealing the issues away from the Democrats aren't they? Instead of limiting government they're adding to it. Faster than even some of Bush's predecessors did. That's conservatism?

105 posted on 02/06/2004 5:05:48 PM PST by billbears (Deo Vindice.)
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To: gatorbait
Supporting the concept that seniors should actually pay for their own prescription drugs and, that by doing so, that would drive the price down is a liberal idea?

Presciption drugs ARE cheaper when purchased from Canada and Mexico. I'm assuming because the pharmaceutical companies there don't inflate the price to pay for their research. I imagine there is less governmental regulation and red tape as well.

106 posted on 02/06/2004 5:26:47 PM PST by Ol' Sparky
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To: Ol' Sparky
I'm assuming because the pharmaceutical companies there don't inflate the price to pay for their research. I imagine there is less governmental regulation and red tape as well.

You assumed incorrectly. Your comment on regulation is close.

107 posted on 02/06/2004 5:33:40 PM PST by gatorbait (Yesterday, today and tomorrow......The United States Army)
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To: billbears
Or perhaps families did their duty and took care of one another. Without depending on the national government to pass another entitlement to 'fix' it.

Yep... sounds lovely. Too bad the country has moved far, far from that direction. If we want to move it back to the way it used to be we have got an enormous amount of work ahead of us, in the meantime the vast majority of the electorate has grown to expect government health care for those who don't have it.

108 posted on 02/06/2004 5:36:28 PM PST by Tamzee (W '04..... America may not survive a Democrat at this point in our history....)
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To: Tamsey
Yep, that's that 'compassionate conservatism' we've come to know and love. Pay lip service to anything conservative, and continue to be 'compassionate'. All at the expense of the taxpayers of the respective states. Should have that stamped over the entrance to RNC headquarters

Meanwhile, we continue to move to the left, incrementally mind you, with no hope in sight of it stopping anytime soon. And the 25 or so brave Conservatives in the House that were willing to stand up to the White House's healthcare entitlement are ostracized and challenged by their 'leadership'

109 posted on 02/06/2004 7:54:16 PM PST by billbears (Deo Vindice.)
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To: billbears
Because a huge majority of the public demands this, billbears... it's only the minority slice on the right that doesn't value it. The President has to appeal to half or more of the country to get elected, you can't have a major plank to your platform that causes the public at large to run screaming from you.

I think he's done as good a job on Medicare reform as he could possibly manage without being booted out of office entirely... or he could have just left it alone and the next Dem to come down the pike would have given the Workers World Party everything they wanted.
110 posted on 02/06/2004 8:25:04 PM PST by Tamzee (W '04..... America may not survive a Democrat at this point in our history....)
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To: My2Cents
The law also streamlines the bureaucratic process to bring generic drugs to the market faster.

I can hardly wait to see this.

111 posted on 02/06/2004 8:30:41 PM PST by <1/1,000,000th%
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To: Ol' Sparky
If there was a true interest in reducing the cost of prescription drugs, seniors would be given greater access to buy drugs on the free market from countries like Canada and Mexico.

This is a flawed argument. It has been shown on other threads discussing the costs of perscription drugs that the low costs of drugs in other countries is being subsidized by the higher cost of drugs in the U.S. Increasing the volume of low cost drugs sold outside the U.S. will only drive the prices higher in the U.S.

The only true way to reduce the cost of drugs is to eliminate overhead involved with development, documentation and liability.

More energy should be expended on finding creative, innovative ways to attack the overhead aspect rather than trying to play shell games with point of purchase.

112 posted on 02/06/2004 9:00:16 PM PST by CMAC51
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To: <1/1,000,000th%
We're all atwitter about it....I'll feel real sorry for the naysayers if they pull this off. What will they have to complain about?
113 posted on 02/06/2004 9:42:50 PM PST by My2Cents ("Well...there you go again.")
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To: windchime
Ways and Means Committee ranking minority member Rep. Charles Rangel of New York — complain that the ad misleads when it says "It's the same Medicare."

It is the same Medicare. If some wants to stay in the traditional fee-for-service, and not buy into a prescription drug plan, nothing changes. The changes are in the new options for alternatives means of coverage. The intent is to, hopefully, get folks to shift away from the fee-for-service option, which is the most costly means of Medicare service.

The ad is accurate. Rangel is a shameless partisan hack.

114 posted on 02/06/2004 9:46:24 PM PST by My2Cents ("Well...there you go again.")
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To: billbears
Well not to put too blunt of a point on it but why should the national government be involved in this fiasco?

Sorry, but this debate was lost 40 years ago. Please fast forward to the 21st Century. The existing system is a mess, headed for a disaster. It needs reform, and to be put on a path which will move people away from the tradition form of coverage. This is a start, but only a start. No one is going to propose getting rid of Medicare.

115 posted on 02/06/2004 9:50:39 PM PST by My2Cents ("Well...there you go again.")
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To: Tamsey
Or perhaps families did their duty and took care of one another.

Yeah, I remember that on the TV series "The Waltons."

116 posted on 02/06/2004 9:52:37 PM PST by My2Cents ("Well...there you go again.")
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To: billbears; Tamsey
Or perhaps families did their duty and took care of one another.

Right. And back then, the farmer paid for the country doctor's service by giving him a chicken.

117 posted on 02/06/2004 9:55:18 PM PST by My2Cents ("Well...there you go again.")
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To: billbears; Tamsey
Or perhaps families did their duty and took care of one another.

The golden age of medicare care...when the main treatment for everything was a good blood-letting.

118 posted on 02/06/2004 9:56:46 PM PST by My2Cents ("Well...there you go again.")
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To: Tamsey
Someone said it earlier...This President takes on issues and seeks solutions. The are (obviously) not always popular, nor understood. At least he doesn't kick the can further down the road like a certain rapist/pervert in the Oval Office used to do.
119 posted on 02/06/2004 9:58:24 PM PST by My2Cents ("Well...there you go again.")
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To: Tamsey; My2Cents
I think he's done as good a job on Medicare reform as he could possibly manage without being booted out of office entirely... or he could have just left it alone and the next Dem to come down the pike would have given the Workers World Party everything they wanted.

Oh yes, I can't tell you how much I wait to pay for a $400 billion healthcare program with more taxes. Oh wait, it's $540 billion isn't it? 30% growth and the god forsaken thing hasn't even kicked in. I'm sitting here just joyfully imagining what it's going to be like when the baby boomers start grabbing this entitlement. Of course this doesn't cover the other well thought out programs that are soooo necessary to keep the national government going.

But you and others like you will keep re-defining 'conservatism' until you have a completely Socialist system won't you? But 'our' guy will be in charge so that's all that matters, eh? Tell me, do you know the difference between conservative values and Republican platform planks? Better yet, do you even care? Because to the untrained eye they're quite different

120 posted on 02/06/2004 11:01:25 PM PST by billbears (Deo Vindice.)
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