Because I keep seeing belligerent demands for the Democrat’s PLAN on Medicare cost control, I figure it’s time for a recap of the Medicare cost controls contained within the Affordable Care Act.
Here’s Ezra Klein, with an earnest and serious review:
Democrats don’t just have a proposal that offers a more plausible vision of cost control than Ryan does. They have an honest-to-goodness law. The Affordable Care Act sets more achievable targets, and offers a host of more plausible ways to reach them, than anything in Ryan’s budget. “If this is a competition betweenRyan and the Affordable Care Act on realistic approaches to curbing the growth of spending,” says Robert Reischauer, who ran the Congressional Budget Office from 1989 to 1995 and now directs the Urban Institute, “the Affordable Care Act gets five points and Ryan gets zero.”
The Affordable Care Act holds Medicare’s cost growth to GDP plus one percentage point, which makes a lot more sense. It’s the target Ryan’s Medicare plan originally used, back when it was called Ryan-Rivlin. But the target is not really the important part. The important part is how you achieve the target. And the Affordable Care Act actually includes reforms and new processes for future reforms that would help Medicare — and the rest of the medical system — get to where the costs can be saved, rather than just shifted.
Conservatives, you’ll all remember, were having some sort of nervous breakdown running around in circles and screaming at House members, so skipped the whole discussion.
I don’t know what that was all about, and I’m not sure why it’s the job of liberals to direct them to readily available information that was endlessly debated and discussed prior to passage, but what the hell.
When they ask, read this to them.