Via Talking Points Memo:
In a leaked copy of their party platform, snagged by Politico on Friday afternoon after the Republican National Committee accidentally posted it to its website before taking it down, the GOP details their plan to privatize Medicare and Medicaid, dropping the current single-payer model in favor of a voucher program similar to the insurance exchange model envisioned by the Affordable Care Act (ACA). The platform also proposes 65 as the eligibility age for the new voucher program (Americans are currently eligible for medicare at age 62). Although the replacement programs will still be called “Medicare” and “Medicaid,” after privatization the original programs will no longer exist.
“The first step is to move the two programs [Medicare and Medicaid] away from their current unsustainable defined-benefit entitlement model to a fiscally sound defined-contribution model,” the draft platform reads. “While retaining the option of traditional Medicare in competition with private plans, we call for a transition to a premium-support model for Medicare, with an income-adjusted contribution toward a health plan of the enrollee’s choice. This model will include private health insurance plans that provide catastrophic protection, to ensure the continuation of doctor-patient relationships.”
The nonpartisan Congressional Budget Office has found that the Republican plan will raise seniors’ out-of-pocket medical expenses by thousands of dollars.
Unlike the first Ryan budget proposal unveiled in 2011, the Romney-Ryan plan includes the option for seniors to buy into a government-run plan with their vouchers. In other words, the GOP plan to replace Medicare would also allow for a public option, something that the Obama administration failed to include in the ACA.