Paul Ryan Rejects Fiscal Plan Because Fiscal Plan Accepts “Obama Care”

The House Republicans’ best-known budget big-thinker, Paul Ryan, is saying he finds the new proposal from President Obama’s fiscal commission an unacceptable step “backwards.” Unlike some other conservatives, who are focusing on the specter of possible tax hikes, Ryan’s big complaint has to do with health care. He’s right that the budget’s most voracious program is Medicare, whose costs are increasing at an unnerving pace: The program is projected to nearly double in cost, from $519 billion to $929 billion, over the next ten years. Recognizing that, the Bowles-Simpson plan offers a bundle of new cost controls.

Now, it’s fair to ask whether the notion of implementing such cost controls anytime soon is an idea that comes from too many bong hits. Tackling Medicare anytime soon will be excruciatingly difficult–partly because everyone is exhausted and all compromised-out from the endless health care reform debate. And partly because Republicans just finished savaging Democrats in the midterm elections for what they count as $550 billion in reform-related Medicare cuts.

Ryan’s complaint is broader, though. He’s upset that Bowles and Simpson take the Affordable Care Act’s survival as a given:

“It doesn’t even take a step in the right direction. It takes many steps in the wrong direction from my perspective. It accelerates and entrenches the Obama care system, which to me is a huge step in the wrong direction.”
This is going to be a problem for any serious effort to tame the budget. Health care is the real fiscal Daisy Cutter. Washington just spent about a year trying to address it through health care reform, an effort which wound up doing more to help the uninsured that it does to save costs. (Even many Democratic supporters of health reform aren’t sure it will lower long-term health expenses.) Republicans, meanwhile, have built their political platform around repeal of the health care law–something Democrats that will understandably fight to the death.
In other words, we still need a tough and honest debate about fixing Medicare. But we probably can’t even get there until we’ve resolved the political showdown over repealing Obama’s health care reform. Which is bad news if you believe–and some people don’t, mind you–that a European-style fiscal crisis is a near-term possibility.
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  • apr2563

    Michael, haven’t you figured out that nobody besides the Villagers are paying any serious attention to the “Cat Food Commission”. Despite Simpson’s “Grumpy Old Man” imitation (maybe he can team with McCain for a remake) and Bowles courtly southern 3rd way bull, no one in the real world believes the commission was anything but a charade.

  • Paul-no not that one

    “The House Republican’s best-known budget big-thinker, Paul Ryan”
    .
    Man BHO gives him the slightest compliment one time and now he is a big thinker?
    .
    I miss the last House republican “big thinker”. At least Newt suggested honeymoons in outer space. And Newt knows a thing or two about honeymoons.

  • deconstructiva

    Michael, is our Socialist ACA (okay, really corporate, but don’t tell the others here) correctly called Obama Care™ or Obamacare™? Actually, after reading, But we probably can’t even get there until we’ve resolved the political showdown over repealing Obama’s health care reform…. I think the upcoming showdown is already resolved: it’s not gonna happen. Not enough Senate votes, esp. for overriding veto, etc.
    .
    Actually MC, I’d like to see you and lovely Kate Pickert debate this – repeal or not – here. We’ll moderate (somebody has to since there’s NO moderation of comments other than a few potty mouth words); that should be amusing. She wrote earlier that repeal won’t happen. I asked her earlier for her thoughts / tea leaves on R strategy to cut off ACA funding since they won’t successfully repeal it. She hasn’t replied yet, sigh. Your thoughts? Thanks.

  • apr2563

    It would be nice if Michael, before repeating that Ryan is a “big thinker” regarding the budget, really understood how much he actually “thunk”. I have always been amused that the pundocracy advances the unproven but accepted by them, the idea that Gingrich is exceptionally bright and that McCain is actually a Maverick. Who says so? They do!

  • Paul-no not that one

    apr-Once the script is written they don’t deviate.

  • ricardo4max

    Our country needs more Paul Ryans, that’s for sure. Where is one Democrat standing up and offering to cut spending, any spending?

  • http://therealestamerican.wordpress.com therealestamerican

    apr2563, Leave it to a liberal to try to redefine a word as simple as “big”.
    .
    Mr Crowley referred to him as a “big” thinker. Not a “great” or a “smart” thinker. Stop trying to twist Mr Crowley’s dutiful reporting into meaning something he didn’t mean. I’m quite sure Mr Crowley was referring to the size of the idea, not the quality of it.

  • square1

    Republicans don’t even bother to try anymore. Big thinker? My @ss.

    Ryan’s problem is that ACA lowered the deficit. For all of ACA’s flaws, and there are many big ones, one thing that you can’t say is that repealing ACA would improve the deficit picture.

    Its nice that to be labeled a “big thinker” in D.C., you don’t even have to be able to grasp the concept of a CBO score.

  • shepherdwong

    Its nice that to be labeled a “big thinker” in D.C., you don’t even have to be able to grasp the concept of a CBO score.
    .
    It’s getting hard to tell now. Are they just so committed to treating “conservative” liars and hacks as though they’re respectable and worthy of consideration because it’s the only game in town or they actually so goddamned stupid that they can’t tell outright crap from useful knowledge? Anyone?

  • gadsbys

    Hey ricardo.
    Short term memory loss?
    Freeze Federal Empolyees Salaries?
    Love that the Rhight wing tried to steal that AFTER Obama did it

  • freeinpa

    “Once the script is written they don’t deviate”
    .
    That’s explains why we keep hearing that the First Tourist is brilliant. No one has changed the teleprompter

  • deconstructiva

    If MC was referring to the size of the idea he was probably being ironic.

  • freeinpa

    “Ryan’s problem is that ACA lowered the deficit.”

    .
    Still trying to pass off that lie as truth. The CBO only addressed the law in front of them and did not includes the medicare doctor fix among others.

    3 Biggest lies of health care reform:

    1) you can keep you doctors

    2) you can keep your insurance

    3) it will lower the deficit and your premiums
    .
    And liberals keep lying to themselves about all of it

  • freeinpa

    Freeze is not a cut.

  • grape_crush

    The House Republican’s[sic] best-known budget big-thinker, Paul Ryan…

    It’s about the quality of the ideas, not how ‘big’ the ideas are. You can say that he’s put serious thought into it, but even most of his own party doesn’t support many of his proposals.

    In other words, we still need a tough and honest debate about fixing Medicare.

    Medicare ain’t what’s broken. It’s the cost of medical care – no matter what mechanism is used to supply it – that is the issue.

    If one is using the analogy of health insurance being like auto insurance, then physicians should have a standardized job book with pricing guidelines just like mechanics do.

  • Joe Bftsplk

    Um, Erskine Bowles.

  • shepherdwong

    Medicare ain’t what’s broken. It’s the cost of medical care – no matter what mechanism is used to supply it – that is the issue.
    .
    It’s useless. These empty-headed hacks understand none of the issues they’re supposed to be explaining to the public – with predictably awful results. Apperently, when all you think about is politics, the rest of the brain turns to mush.

  • grape_crush

    Its nice that to be labeled a “big thinker” in D.C., you don’t even have to be able to grasp the concept of a CBO score.
    .
    Krugman, from back in August, on Ryan’s ‘big thinking’”

    So why have so many in Washington, especially in the news media, been taken in by this flimflam? It’s not just inability to do the math, although that’s part of it. There’s also the unwillingness of self-styled centrists to face up to the realities of the modern Republican Party; they want to pretend, in the teeth of overwhelming evidence, that there are still people in the G.O.P. making sense. And last but not least, there’s deference to power — the G.O.P. is a resurgent political force, so one mustn’t point out that its intellectual heroes have no clothes.
    .
    But they don’t. The Ryan plan is a fraud that makes no useful contribution to the debate over America’s fiscal future.

    http://www.nytimes.com/2010/08/06/opinion/06krugman.html

  • earljr1

    As George Will wisely wrote, the impenetrable labyrinth of health care reform legislation needs serious work and Ryan Paul is just the guy to do it. No doubt about it, if ANYONE can cut through this horrible legislation, give him a shot…..it can only be made better. Controlling health care cost is imperative to our fiscal well being. Leaving the Insurance and pharmaceutical companies in charge is NOT going to accomplish that goal. Ryan Paul has some excellent idea’s and to summarily dismiss him is counterproductive to gaining meaningful health care reform. Obamacare is NOT where we need to be and many people are becoming quite cognizant of this fact.

  • bobcn1

    From the same article that grape_crush cited:

    Mr. Ryan’s plan calls for steep cuts in both spending and taxes. He’d have you believe that the combined effect would be much lower budget deficits, and, according to that Washington Post report, he speaks about deficits “in apocalyptic terms.” And The Post also tells us that his plan would, indeed, sharply reduce the flow of red ink: “The Congressional Budget Office has estimated that Rep. Paul Ryan’s plan would cut the budget deficit in half by 2020.”

    But the budget office has done no such thing. At Mr. Ryan’s request, it produced an estimate of the budget effects of his proposed spending cuts — period. It didn’t address the revenue losses from his tax cuts.

    The nonpartisan Tax Policy Center has, however, stepped into the breach. Its numbers indicate that the Ryan plan would reduce revenue by almost $4 trillion over the next decade. If you add these revenue losses to the numbers The Post cites, you get a much larger deficit in 2020, roughly $1.3 trillion.

  • http://elvisberg.wordpress.com Elvis Elvisberg

    House Republican’s best-known budget big-thinker, Paul Ryan, is…
    -
    … pretty much a fraud.
    -
    http://www.capitalgainsandgames.com/blog/bruce-bartlett/2051/idiocy-starve-beast-theory

    a Republican Congress created a massive new entitlement program, Medicare Part D, to buy the votes of seniors and buy themselves reelection in 2004. Among those voting for this monstrosity were many Republicans still in Congress today who are unjustly considered to be staunch fiscal conservatives, including incoming Speaker of the House John Boehner, House Majority Leader Eric Cantor, and House Budget Committee chairman Paul Ryan.

    -
    http://krugman.blogs.nytimes.com/2010/08/06/ryan-predictions/

    In other words, we think the tax part of the plan would leave revenue unchanged. But in that case, why not ask CBO to score the revenue, to see if it agrees? The answer given is that CBO refused to do an analysis beyond 10 years; OK, but why not at least have the 10-year analysis?

    Oh, and about “adjustments can be easily made” — when, exactly? Based on a careful look at the numbers? In that case, why tell the CBO not to do that careful look? After the tax cuts are enacted? On my planet, Republicans never consider it advisable to undo tax cuts once they’re law. And notice the weasel phrase “to hit the revenue targets and maximize economic growth.” In practice, this would surely mean no increase in rates, ever.

    -
    But, soft bigotry of low expectations for Republicans. Maximum condescension from the MSM because Ryan’s more sane than the rest of the GOP.

  • grape_crush

    Leaving the Insurance and pharmaceutical companies in charge is NOT going to accomplish that goal.
    .
    (fake) Physician, heal thyself.
    .
    Then again, considering that you’ve just advocated for a centrally-managed-and-administered system (like Medicare, except for everyone), maybe you have.
    .
    Ryan Paul[sic] has some excellent idea’s
    .
    No, not really. A lot of reheated ‘big’ ideas’ Gingrich was talking about around 15 years ago that were past their freshness date even then.

  • http://therealestamerican.wordpress.com therealestamerican

    Leaving the Insurance and pharmaceutical companies in charge is NOT going to accomplish that goal.
    .
    It appears Earl, Jr is just another Marxist advocating a government takeover of the health care industry. How is decimating the profits of free market monitored Health Insurance corporations going to help the economy recover? It also sounds suspiciously like you’re advocating redistributing the wealth of our Health Insurance corporations. Socialists love taking money from people who actually provide a service.

  • shepherdwong

    As George Will (now commonly referred to as #11) wisely wrote…
    .
    http://www.salon.com/news/politics/war_room/2010/11/23/hack_list_11/index.html

  • http://therealestamerican.wordpress.com therealestamerican

    Spot on Ricardo4Max!
    .
    The only time you ever hear that a liberal wants to cut spending is when its Defense related. America became the Exceptional by spending more on our Military than the entire world combined. Now is not time to slack up! Its a more dangerous world than ever! Muslims!
    .
    Besides, we need the jobs. Those bombers don’t build themselves! Liberals would probably just spend the money building solar powered hookahs for polar bears or some such ‘green’ nonsense, anyway.

  • freeinpa

    And just like DADT, since 2008, the Democrats could have changed it, repealed it, amended it, but did nothing but whine about it.

  • freeinpa

    They have all stood up to cut defense. We don’t need no stinkin’ defense. We have the UN and all foreign countries now like us (actually laugh at us) with Obambi

  • freeinpa

    Ryan must be following the template the Democrats used with health care. Limit what they score and declare victory.

  • stuartzechman

    Thank you, grape_crush.
    .
    That was very, very well put.

  • kbanginmotown

    ‘It appears Earl, Jr is just another Marxist…”
    .
    Trolls trolling trolls, LOL!
    .
    That made my morning! :)

  • kathy

    Most of us, trying to balance our personal budget, would look for more income as well as fewer expenditures. But the Republican solution seems mostly to be “I know! Let’s cut our income!”

  • kathy

    Michael: Thanks for putting “Obama care” in quotes.

  • sciurini

    I’ve been away too long. I can’t tell if therealestamerican is being serious or has his tounge planted firmly in cheek.
    .
    Either way your post is hilarious. Thanks

  • wpkoch

    WHAT SHOULD HAPPEN

    Congress and the White House should stop squandering the people’s money and use savings to improve quality of basic invested entitlements. Preserve the 2010 tax schedule. Congress should improve basic Medicare. Vote opponents to this “out”. Citizens come first.
    It is time the U.S. reduces its human rites and police activities for the World by lobbying the United Nations, NATO and Interpol to “take on more”. 800 bases in 63 countries across the world should be reduced. Starting with Iraq, continue training for self reliance. After a surge in Afghanistan repeat above and remove corruption starting with monitoring accounts, substituting minerals mining and food crops for drugs.
    If we train make them pay. Decrease forces in selected areas such as Germany, Bosnia and Okinawa.
    Cut bloated federal bureaucracy. Combine CDC, EPA and FDA. Combine the FAA, NHTSA and Transportation Department. Combine GAO and CBO. Phase in outsourcing. Departments should eliminate “must spend all”. Return “unused” yearly budget to the treasury. Cut consolidated department budgets (other than entitlements) on an average of 10%.
    Eliminate all 32 CZARS Mr. president. Reduce your 469 member staff which makes nearly 39 million per year! Halt first lady $180,000 air force one vacation trips. Cancel $ 20,000,000 executive order (HB 1388) to relocate key Hamas members to U.S. Stop “$200 million per day” presidential foreign trips.
    Contribute to only one of: The World Bank or International Monetary Fund or U.S. Agency for International Development.
    Reduce foreign aid bribery. For example, no aid to oil rich -Iraq. $37 billion and increasing with $8.7 billion of Iraq development funds not accounted for. Halt $150 million aid to Palestinians.
    Charge bailed companies (TARP) for their huge executive bonuses at taxpayer expense. Government should sell its shares to recoup for taxpayer. About $154 billion owed.
    Congress should reduce the “stimulus” and monetary expenditures by halting: over budget earmarks and, non relevant earmarks for vote bribery. Congress should rescind their 2009 increase and do not pay student loans for congressional staff. Please- no private or military jets for congress. An example was Pelosi’s family of $2.1 million for over 2 years. Congress should set commercial travel cost standards and controls.
    Reduce medical cost by: allowing purchasing anywhere in U.S., “tort reform”, and reducing “red tape”. Trace funds to local medical groups for expediting billing cost speed, doctor/patient verification and fraud reduction.
    Federal government should enforce existing immigration laws. Complete the improved fence. Entitlements or benefits should be for only citizens. Deport criminal “illegals”. Only workers on a Visa Program qualify for needed medical benefits.
    Improve medical expense tax deduction for citizens reaching age 65. Provide corporations tax reduction incentives for hiring with healthcare.
    The improved economy and savings will improve funding for:” Medicare”, “Medicaid, and “Veteran’s Affairs”.
    Healthcare quality can be at least that for Congress or the Federal Employee Health Benefits Program (FEHBP). Additional benefits are: dental coverage, improved visual coverage, no drug “donut hole”, no deductibles and co-pays except for extended skilled level nursing.
    These actions will allow aid for unemployment compensation and Social Security with reinstated cost of living increases.

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