Tag Archives: Paul Ryan

News

Paul Ryan questions Chief Actuaries of Medicare, Medicaid and Social Security

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I found all of this stuff on the House Budget Committee web site.

Medicare and Medicaid

Paul Ryan interviews Richard Foster, Chief Actuary of the Centers for Medicare and Medicaid Services.

Excerpt of transcript:

HBC CHAIRMAN RYAN: As you may know, I’ve been working across the aisle with a member of the Oregon delegation from the Senate on a premium support plan that uses competitive bidding to help determine the contribution. Competitive bidding we’ve seen has worked well in Medicare Part D and Medicare Advantage.  I’d like to get your thoughts on choice and competition as it relates to these previous successful reform plans. Given what we’ve seen in these aspects of Medicare, do you believe that competitive bidding is a process that can be successfully applied Medicare-wide?

CMS CHIEF ACTUARY FOSTER: Yes, I think it can. Obviously, it would represent a large change from the status quo, but I think it could work. We’ve seen the signs of this – you mentioned the Part D prescription drug program, for example, where the different drug plans compete against each other on the quality of their benefit package and the premium level. And we’ve seen – every year since Part D started – a migration of beneficiaries to more efficient plans with lower premiums. So that can help. We’ve also seen for durable medical equipment that competitive bidding, in this particular area of Fee-For-Service Medicare, reduced prices that we had to pay by 40 percent.

RYAN: By forty percent?

FOSTER: Forty percent, that’s right.

RYAN: Those are the kinds of cost savings we’re going to have to achieve if want to make good on the promise of the Medicare guarantee.  This should not be a partisan issue. Competitive bidding is something Alice Rivlin has been a champion of, Ron Wyden has been talking about, the Bipartisan Policy Center, and more. There is a lot of data out there that competitive bidding when applied Medicare-wide can achieve the benefit of keeping these benefits going while attacking the root cause of cost growth.

It sounds to me like there is a real crisis, that Ryan has a plan to solve it, and that the person who is the most aware of the finances of these two entitlements agrees with Ryan.

Social Security

Paul Ryan interviews Stephen Goss, Chief Actuary of the Social Security Administration.

Excerpt of transcript:

HBC CHAIRMAN RYAN:  If we do [nothing], then we have an across-the-board cut of about 23 percent that occurs in benefits. Is that correct?

SSA CHIEF ACTUARY GOSS: Exactly… The Commissioner standing at that time would simply have 77 cents available for every dollar of scheduled benefits, and would not be permitted to spend more than that. We do not have borrowing authority. So a decision would have to be made about who would get the money. We could have an across-the-board 23% cut immediately, or a Commissioner could say, ‘Well we’re not going to pay the March benefits in March. We’ll wait until April – wait until more revenues come in to allow full payment a month late.’ After a few months we would perhaps then have to start paying benefits twomonths late. So this would be a way that it could be handled. Of course, if people have to pay rent on time, that would be a difficulty. There’s no easy way out on this… We hope and pray that Congress would indeed act well before we ever hit the Trust Fund reserve exhaustion.

RYAN: Given that we have this abrupt 23% cut that occurs in law – current law – is it not wise so start reforming now, sooner, so that the distribution of the change is spread more broadly and evenly across income cohorts? Let me ask it this way: does that abrupt 23% cut hit current senior cohorts? A person who is turning 62, or 65 today – that affects them as well, correct?

GOSS: It certainly would. They would be at an older age at that time but clearly it would affect them. That is assuming that we wait and do absolutely nothing until that point.

RYAN: So if one provides reforms soon, could you not prevent these kinds of effects from hitting those current cohorts? Could you not phase reforms in gradually that prevent that 23% cut from happening so it doesn’t affect people who are currently in or near retirement? Could you structure reforms that prevent that from happening if you act sooner?

GOSS: Absolutely. We have a number of proposals – including yours Chairman Ryan – and many other proposals that would take exactly that approach. Our trustees and everybody who speaks on this has opined extensively about the value of acting sooner rather than later, so that we can have gradual changes phased in and we have more options if we act relatively soon.

In 2006, Nancy Pelosi was asked when she would be willing to fix these entitlement programs. Her reply? “Never. Is never good enough for you?“. Democrats hate children – they want to pile debt upon debt onto future generations, who will not even have mothers and fathers to take care of them. First they smash the family with no-fault divorce and same-sex marriage. Then they run up trillions and trillions of dollars in debt handing out bailouts and green energy grants to their election fundraisers. It’s sick.

News

What does Rick Santorum’s economic plan do?

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From the Wall Street Journal, a column by Rick Santorum.

Excerpt:

[I]n my first 100 days as president, I’ll submit to Congress and work to pass a comprehensive pro-growth and pro-family Economic Freedom Agenda. Here are 10 of its main initiatives:

  • Unleash America’s energy. I’ll approve the Keystone Pipeline for jobs and energy security, and sign an order on day one unleashing America’s domestic energy production, allowing states to choose where they want to explore for oil and natural gas and to set their own regulations for hydrofracking.
  • Stop job-killing regulation. All Obama administration regulations that have an economic burden over $100 million will be repealed, including the Environmental Protection Agency rule on CO2 emissions that’s already shut down six power plants. I’ll review all regulations, making sure they use sound science and cost benefit analysis.
  • A pro-growth, pro-family tax policy. I’ll submit to Congress comprehensive tax policies to strengthen opportunity in our country, with only two income tax rates of 10% and 28%. To help families, I’ll triple the personal deduction for children and eliminate the marriage tax penalty.
  • Restore America’s competitiveness. The corporate tax rate should be halved, to a flat rate of 17.5%. Corporations should be allowed to expense all business equipment and investment. Taxes on corporate earnings repatriated from overseas should be eliminated to bring home manufacturing. I’ll take the lead on tort reform to lower costs to consumers.
  • Rein in spending. I’ll propose spending cuts of $5 trillion over five years, including cuts for the remainder of fiscal year 2013. I’ll propose budgets that spend less money each year than prior years, and I’ll reduce the nondefense-related federal work force by at least 10%, without replacing them with private contractors.
  • Repeal and replace ObamaCare. I’ll submit legislation to repeal ObamaCare, and on day one issue an executive order ending related regulatory obligations on the states. I’ll work with Congress to replace ObamaCare with competitive insurance choices to improve quality and limit the costs of health care, while protecting those with uninsurable health conditions. In contrast, Gov. Romney signed into law RomneyCare, which provided the model for ObamaCare. Its best-known feature is its overreaching individual health-care mandate. But it shares over a dozen other similarities with ObamaCare and has given Massachusetts the highest health-care premiums in the nation, and longer waits for health care.
  • Balance the budget. I’ll submit to Congress a budget that will balance within four years and call on Congress to pass a balanced-budget amendment to the Constitution which limits federal spending to 18% of GDP.
  • Negotiate and submit free trade agreements. Because many Americans work for companies which export, I’ll initiate negotiations in the first 100 days and submit to Congress five free trade agreements during my first year in office to increase exports.
  • Reform entitlements. I’ll cut means-tested entitlement programs by 10% across the board, freeze them for four years, and block grant them to states—as I did as the author of welfare reform in 1996. I’ll reform Medicare and Social Security so they are fiscally sustainable for seniors and young people.
  • Revive housing. I’ll submit plans to Congress to phase out within several years Fannie Mae and Freddie Mac’s federal housing role, reform and make transparent the Federal Reserve, and allow families whose mortgages are “underwater” to deduct losses from the sale of their home in order to get a fresh start in difficult economic times.

According to the Wall Street Journal, Santorum’s a “supply-sider for the working man“.

Rick Santorum

News

Newt Gingrich: is he liberal or conservative?

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Newt Gingrich on health care

From the Wall Street Journal. (H/T Reason to Stand)

Excerpt:

White House hopeful Newt Gingrich called the House Republican plan for Medicare “right-wing social engineering,” injecting a discordant GOP voice into the party’s efforts to reshape both entitlements and the broader budget debate.

In the same interview on Sunday, Mr. Gingrich backed a requirement that all Americans buy health insurance, complicating a Republican line of attack on President Barack Obama’s health law.

The former House speaker’s decision to stick with his previous support for an individual mandate comes days after former Massachusetts Gov. Mitt Romney defended the health revamp he championed as governor, which includes a mandate.

The moves suggest the Republican primary contest, which will include both men, could feature a robust debate on health care, with GOP candidates challenging the Democratic law while defending their own variations.

Newt Gingrich opposes Paul Ryan’s reforms

Consider this article from National Review.

Excerpt:

Newt Gingrich’s appearance on “Meet the Press” today could leave some wondering which party’s nomination he is running for. The former speaker had some harsh words for Paul Ryan’s (and by extension, nearly every House Republican’s) plan to reform Medicare, calling it “radical.”

“I don’t think right-wing social engineering is any more desirable than left-wing social engineering,” he said when asked about Ryan’s plan to transition to a “premium support” model for Medicare. “I don’t think imposing radical change from the right or the left is a very good way for a free society to operate.”

As far as an alternative, Gingrich trotted out the same appeal employed by Obama/Reid/Pelosi — for a “national conversation” on how to “improve” Medicare, and promised to eliminate ‘waste, fraud and abuse,’ etc.

Newt Gingrich on Hillary Clinton

More from the leftist New York Times.

Excerpt:

For Ms. Clinton, standing side by side with her husband’s onetime nemesis gives her the chance to burnish her credentials among the moderates she has been courting during her time in the Senate.

But in comments this week, she portrayed the rapprochement as one born of shared policy interests, not calculated politics.

“I know it’s a bit of an odd-fellow, or odd-woman, mix,” she said. “But the speaker and I have been talking about health care and national security now for several years, and I find that he and I have a lot in common in the way we see the problem.”

For his part, Mr. Gingrich, who helped lead the impeachment fight against President Bill Clinton, called Mrs. Clinton “very practical” and “very smart and very hard working,” adding, “I have been very struck working with her.”

Newt Gingrich on global warming

Newt Gingrich on foreign policy

Newt Gingrich endorsed a pro-abortion, pro-same-marriage candidate

Remember when Newt Gingrich endorsed the RINO Dede Scozzafava in New York?

Excerpt:

In a major coup for her campaign, Republican Dede Scozzafava today will pick up the endorsement of Newt Gingrich, one of the nation’s leading conservative figures and the architect of the “Republican Revolution” in the mid-1990s.

“The special election for the 23rd Congressional District is an important test leading up to the mid-term 2010 elections,” Gingrich said in a statement to supporters. “Our best chance to put responsible and principled leaders in Washington starts here, with Dede Scozzafava.”

The endorsement is important for Scozzafava, a social moderate, as she attempts to hold onto a conservative base eroded by Doug Hoffman, the Conservative Party candidate in the thee-way 23rd District race.

[…]Hoffman has mounted a late surge in the special election with endorsements by prominent conservatives that include former Republican Sen. Fred Thompson; Campaign for Working Families founder Gary Bauer; and the conservative Club for Growth in Washington, D.C.

Scozzafava’s candidacy is also reported to have triggered a deep divide among House Republicans, with some of the most conservative members refusing to support her campaign.

But Gingrich, who served as Speaker of the House from 1995 to 1999, wants to unite the party. He sees Scozzafava and the Upstate special election – the only House race in the nation this fall — as the best hope for Republicans to start a comeback and regain control of Congress.

Gingrich is apparently willing to overlook Scozzafava’s support for same-sex marriage and abortion rights.

The conservative Club for Growth lists some of his fiscal blunders.

Excerpt:

The second large error in Gingrich’s entitlement record was equally troubling: the former Speaker played a high profile advocacy role on behalf of President George W. Bush’s Medicare prescription drug benefit bill in 2003.  Gingrich penned several op-eds supporting the general thrust and specific provisions of the bill, urging House Republicans to pass what was billed at the time to be a $400 billion expansion of the federal government.

[…]In the 2009 special election for Congress in New York’s 23rd district, Gingrich was outspoken in his support of liberal Republican nominee Dede Scozzafava, up to the moment she finally quit the race after center-right voters rallied behind Conservative Party nominee Doug Hoffman.  Long after most prominent conservatives had endorsed Hoffman, Gingrich held firm in his advocacy for a liberal candidate who supported Obama’s stimulus plan and the pro-union “card check” proposal, among other bad positions.

In 2010, Gingrich openly campaigned for embattled U.S. Senator Robert Bennett in Utah, whom Gingrich’s wrongly called “a true-blue conservative.”  In 2008,  Gingrich aggressively supported and campaigned for liberal Congressman Wayne Gilchrist (R-MD) when he faced a conservative challenge from now-Congressman Andy Harris.  In 2006, same thing, when Gingrich backed liberal Congressman Joe Schwarz (R-MI) when he was challenged by conservative now-Congressman Tim Walberg.

Unfortunately, the problems in Speaker Gingrich’s record are frequent enough and serious enough to give pause.  On two of the most important recent issues that confronted limited government conservatives (creating the new budget busting Medicare drug entitlement, and the Wall Street bailout), Gingrich was on the wrong side.  His advocacy of an individual health care mandate is problematic.  His penchant for tinkering with rewards for favored industries and outcomes shows a troubling willingness to use federal power to coerce taxpayers into his preferred direction.  And his occasional hostility toward conservatives who do not share his desire to support liberal Republicans or to compromise on matters of principle is worrisome.

The totality leads one to be rather unsure what kind of president Newt Gingrich would be.  Past is often prologue, and in Gingrich’s case there is an enormous volume of past on which to base a judgment.  One could reasonably expect a President Gingrich to lead America in a pro-growth and limited government direction generally, possibly with flashes of real brilliance and accomplishment, but also likely with some serious disappointments and unevenness.

Maybe he is actually running to win the Democrat nomination this time.