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Trekologer

(997 posts)
Tue Jan 17, 2017, 09:07 AM Jan 2017

Language of Opposition: Never ever say Republican Medicare plan is "vouchers"

When we talk about the Republican plan to turn Medicare into a voucher program, it is very important to not use the term vouchers and instead use the term coupons.

What's the difference? Think about the connotations of the two. With a voucher, you generally exchange it for the good or service and that's that. With a coupon, you get a discount on the good or service but are still paying the bulk of the price.

Why does this matter? When someone hears Medicare voucher, they'll assume that they can use it to pick a plan from a choice of different ones. To the unknowing, it would suggest that getting a choice is a good thing and that it isn't going to cost them anything more. It ignores the catch in the Republican plan: you're on the hook for any difference between the voucher value and the plan's price.

Calling it a coupon will flip that around. With a Medicare coupon, they'll instead think of the program as a discount--cents off an expensive product. Which is going to seem better? A plan that is always there that you can count on? Or getting a couple bucks off of a plan that turn out to not be the right one for you?

Second, it validates the Republican language. If you haven't seen the article in Salon on cognitive linguist George Lakoff's the importance of language and framing, do so right now.

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Language of Opposition: Never ever say Republican Medicare plan is "vouchers" (Original Post) Trekologer Jan 2017 OP
Good point. Vinca Jan 2017 #1
Very poignant observation. You see, Paul Ryan does not believe that the federal government, with Trust Buster Jan 2017 #2
Excellent point... Docreed2003 Jan 2017 #3
Also, stop calling Obamacare, Obamacare! Call it the ACA, since many believe they are different. TheBlackAdder Jan 2017 #4
A great example Trekologer Jan 2017 #5
I disagree there. Obamacare should be the name from now on-- BlancheSplanchnik Jan 2017 #17
As Trekologer writes, the GOP has won the framing of this issue. "Obamacare" is a liability now. TheBlackAdder Jan 2017 #22
I still disagree. People use the term with great affection. BlancheSplanchnik Jan 2017 #32
It is a classic wedge term Trekologer Jan 2017 #28
Obamacare jaxind Jan 2017 #6
We can always come back and rebrand the ACA, but for now, the two Obamacare & ACA need to be linked. TheBlackAdder Jan 2017 #23
Great read! Ligyron Jan 2017 #7
And if that senior somehow manages to marybourg Jan 2017 #8
This, thank you. It will be so overwhelming that many Tanuki Jan 2017 #11
Ain't THAT the truth! Eyeball_Kid Jan 2017 #21
Medicare has an expense overhead of under 5% Trekologer Jan 2017 #16
Note that the 20% limit is imposed by Obamacare... Wounded Bear Jan 2017 #19
Absolutely true Trekologer Jan 2017 #26
Yeppers. This right here. BlancheSplanchnik Jan 2017 #18
Yes! I've been calling them coupons from the very beginning, pnwmom Jan 2017 #9
OMG... hurple Jan 2017 #10
K & R JHan Jan 2017 #12
"A ration book full of coupons". mwooldri Jan 2017 #13
Exactly. nt SunSeeker Jan 2017 #25
Also, $ received by Section 8 babylonsister Jan 2017 #14
"coupon" it is!. . . n/t annabanana Jan 2017 #15
Kicked. MaeScott Jan 2017 #20
What about "death panels"? mwooldri Jan 2017 #24
Words matter! WestCoastDem42 Jan 2017 #27
When repugs say "flexibility" and "choices" louis-t Jan 2017 #29
GOP: Replacing Your Health Care With Groupon hatrack Jan 2017 #30
The importance of language and framing. The Rs figured this out long ago. Dark n Stormy Knight Jan 2017 #31
 

Trust Buster

(7,299 posts)
2. Very poignant observation. You see, Paul Ryan does not believe that the federal government, with
Tue Jan 17, 2017, 09:21 AM
Jan 2017

all of it's vast resources, can afford the Medicare cost curve. So his solution is to give a 72 year old senior on a fixed income a fixed amount and hope that senior on a fixed income can keep up with the Medicare cost curve where the government couldn't. Of course Ryan's plan excludes the ever important Republican demographic that is the current seniors.

Docreed2003

(16,877 posts)
3. Excellent point...
Tue Jan 17, 2017, 09:24 AM
Jan 2017

Very similar to the GOP's use of the word entitlements, as if SS/Medicare/Medicaid are something we haven't earned by paying into them for years.

Trekologer

(997 posts)
5. A great example
Tue Jan 17, 2017, 10:08 AM
Jan 2017

We laugh at the people who don't realize that the Affordable Care Act and Obamacare are the same thing. But it just shows that the GOP framing won.

BlancheSplanchnik

(20,219 posts)
17. I disagree there. Obamacare should be the name from now on--
Tue Jan 17, 2017, 11:32 AM
Jan 2017

Pukes deserve to have it rubbed in their faces.

BlancheSplanchnik

(20,219 posts)
32. I still disagree. People use the term with great affection.
Tue Jan 17, 2017, 03:39 PM
Jan 2017

President Obama took control of its framing when he said, "they're calling it Obamacare. I like that."

As Obamacare becomes larger on everyone's radar due to repuke corruption, people are becoming more aware, more protective of it.

That support extends to Pres Obama and will impact the perceptions of many trumpanzees.

And there will always be a percentage that are untraceable.
I sure don't want to water down any messages for their benefit.

Trekologer

(997 posts)
28. It is a classic wedge term
Tue Jan 17, 2017, 12:35 PM
Jan 2017

We might like it but the GOP base hears it and gets all frothy in the mouth. The key is to take control of the language in a way that will resonate with the most people.

jaxind

(1,074 posts)
6. Obamacare
Tue Jan 17, 2017, 10:33 AM
Jan 2017

No...I think we need to keep calling it Obamacare. Now that the Republicans realize that they actually love it, I want it to be associated with Obama!

TheBlackAdder

(28,220 posts)
23. We can always come back and rebrand the ACA, but for now, the two Obamacare & ACA need to be linked.
Tue Jan 17, 2017, 11:51 AM
Jan 2017

marybourg

(12,635 posts)
8. And if that senior somehow manages to
Tue Jan 17, 2017, 10:38 AM
Jan 2017

makes it to 92, imagine how good she'll be at dealing with coupons and in-networks and out-of-networks and formularies and co-pays and deductibles and who knows what all else they can cook up so that the HMO CEO can buy his kid another Beemer.

Tanuki

(14,922 posts)
11. This, thank you. It will be so overwhelming that many
Tue Jan 17, 2017, 10:59 AM
Jan 2017

seniors, especially those with cognitive impairments and other frailties of advanced age, will not be able to negotiate the complexity and will be thoroughly screwed over.

Eyeball_Kid

(7,434 posts)
21. Ain't THAT the truth!
Tue Jan 17, 2017, 11:49 AM
Jan 2017

After retirement, I was wandering in uncharted territory when I had to choose medical (supplementary) and dental plans. I ended up making errors in choosing dental insurance because of the complications with various plans, who is providing which specific plan, and who isn't. Insurance companies offer several identical plans to multiple "networks", but a medical/dental service provider might not sign up for all but one. That stipulation isn't often clear to the inexperienced consumer, and can make a big difference in how much the consumer has to pay-- whether in or out of network. The difference could be in hundreds of dollars, maybe thousands.

This complication exists for those with full mental capacity but no experience in understanding how insurance and networks operate. To an advanced senior who might not have the intellectual acumen to navigate his/her way into the best options, the situation is a lot worse.

Trekologer

(997 posts)
16. Medicare has an expense overhead of under 5%
Tue Jan 17, 2017, 11:09 AM
Jan 2017

While private insurance is 20%. Medicare expenditures in 2011 were $549 billion. The push for privatization isn't because the "invisible hand of the market" is better. It is so that Heath insurance CEOs can skim $110 billion off the top every year.

Wounded Bear

(58,717 posts)
19. Note that the 20% limit is imposed by Obamacare...
Tue Jan 17, 2017, 11:42 AM
Jan 2017

Insurers are required by law to spend 80% of premium income on medically directed outlays, not overhead.

pnwmom

(108,995 posts)
9. Yes! I've been calling them coupons from the very beginning,
Tue Jan 17, 2017, 10:40 AM
Jan 2017

because that's all they are.

And when people think of coupons, they think of small amounts of money -- which is what seniors would be getting eventually if we switched to that system.

babylonsister

(171,094 posts)
14. Also, $ received by Section 8
Tue Jan 17, 2017, 11:08 AM
Jan 2017

folks are called vouchers. They are distinctly different things.

Section 8 of the Housing Act of 1937 (42 U.S.C. § 1437f), often called Section 8, as repeatedly amended, authorizes the payment of rental housing assistance to private landlords on behalf of approximately 4.8 million low-income households, as of 2008,[1] in the United States. The largest part of the section is the Housing Choice Voucher program which pays a large portion of the rents and utilities of about 2.1 million households. The U.S. Department of Housing and Urban Development manages Section 8 programs.[2]

https://en.wikipedia.org/wiki/Section_8_(housing)

WestCoastDem42

(65 posts)
27. Words matter!
Tue Jan 17, 2017, 12:14 PM
Jan 2017

This is an excellent example of how to frame an argument. The Republican pr 'experts' have been doing this for years. 'Death panels' is another example of this. Let's do this.

Great suggestion!

Dark n Stormy Knight

(9,771 posts)
31. The importance of language and framing. The Rs figured this out long ago.
Tue Jan 17, 2017, 03:01 PM
Jan 2017

They have Frank Luntz. Who do we have? The Dems, as far as I can see, have failed to recognize the power of the RW propaganda machine and so have failed to put the proper resources into combating it.

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