Latest on Social Security fate - TPM - "This is Where It's At"
http://talkingpointsmemo.com/edblog/this-is-where-it-s-at
By JOSH MARSHAL LPublished DECEMBER 13, 2016, 10:10 AM EDT
"I'm proud to see TPM becoming the go-to place for reporting on the legislative fate of Obamacare, Medicare and now Social Security, all of which are now under varying degrees of threat under unified Trumpite Republican rule. Here's a
quick run-down of the GOP plan for drastic cuts to Social Security. Notably, this is not phaseout, not privatization. It's a broad-ranging series of hikes to the retirement age, and cuts to benefits, mostly engineered through changes in the cost of living adjustment formulas, with some means testing thrown in for good measure.
The policy and political playing field on social insurance programs and safety net issues has for decades been one of defense, protecting programs like Social Security and Medicare which have been the pillars of the American social compact going back to the 1930s and 1960s respectively. The budgetary and ideological threats to each are not new. In each case they go back to the passage of the original legislation, with the aim being first to abolish them outright and then later to create new programs under similar branding which place the risk on individuals as opposed to creating security by socializing risk.
That is the key to what Paul Ryan, in yet a new phraseology, calls his "premium support" model for phasing out Medicare. What is key to understand with all these plans, whatever their names, is this: The amount of money the country will spend on health care for baby boomers is relatively fixed in toto - whether it's out of people's pockets, through single payer government programs like Medicare or 'premium support' hybrids. There are good ways and bad ways to 'bend the cost curve' - the jargon for reducing overall inflation in medical costs the country pays, regardless of which party is doing the paying. You can create genuine efficiencies which Obamacare seems to have had some success in doing or you can simply find ways to give less care to those who don't have a lot of money.
The key in all these plans, with all the bewildering bundle of jargon, flimflam and subterfuge, is who carries the risk: society as a whole or individuals. The Medicare model puts everyone in the same boat. The Paul Ryan model puts the risk on individuals. That is the foundational prism through which to see all of these debates whether they're about Medicare, Social Security or to a lesser degree about Obamacare. It is all about who carries the risk."
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