TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - -  Very Different Competing HC visionsTHE ECONOMIC REALI...
BUT ALSO: A TOUCHY POLITICAL OVERLAYTODAY: A TALE OF 2PLANS FOR AMERICANHEALTHCARE1. PRES. OBAMA‟s PLAN    (PPACA) :BIGGER...
HEALTHCARE - SUMMARY OVERVIEWTHESIS:Competing HC visions offer gov‟t decision- making vs citizen decision- making.PPACA vs...
Paul Ryan has offeredan INTEGRATEDBudget plan includingputting HC on a solid,long term basis byreining in TOTALGov‟t defic...
PROVIDING HEALTH AND RETIREMENT SECURITY - -PR-PTP          PR-PTP ensures universal access to health                insur...
Reforms should be  gauged by 2 Key  Criteria:•   Create or destroy    jobs?    Squeeze benefits or    fundamentally    add...
TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - -  Very Different Competing HC visionsTHE ECONOMIC REALI...
The NationalDeficitProblem isSPENDING ,NOT LACK OFTAXES.Here‟s a 60year snapshotto comparethe two.
ENTITLEMENTSARE A ROOTFACTORPARTICULARLYIN THEPROJECTEDDEFICIT SIZE .IGNORING THEPROBLEM WILLRESULT INENTITLEMENTSGOBBLING...
The NationalDEBTcontinues togrow and willsignificantlyescalate in thecurrentdecade.
ENTITLEMENTSWILL IMPOSEAN ADDEDAVERAGEFAMILYHOUSEHOLDTAX OF MORETHAN $12,600.RELATIVE TO AHOUSEHOLDTODAY ( afteradjustment...
BENDING THECURVE:                PR-PTP IS A BROAD INTEGRATED PLAN.THE OBAMASPENDINGPLANALTHOUGHCAREFUL NOTTO CAUSEWAVES P...
TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - -  Very Different Competing HC visionsTHE ECONOMIC REALI...
SOME MEDICARE REFORM ISSUES                          Democrat Leaders                          have demonized PR-President...
FORECASTSBASED ONTHECURRENTMEDICAREECONOMICSTRUCTUREIS WHAT IS“ENDINGMEDICAREAS WEKNOW IT”.
EVEN ZERO’ING DEFENSE SPENDING WON’T SAVE MEDICARE
BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 1
CUTS TO MEDICARE PROVIDERS HAVE CONSEQUENCES
BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 2
HEALTH PROVIDER “COST SHIFTING”
BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 3
NOW,LET’SLOOKAT PAULRYAN’SPR-PTPPLANPART 1
DEFINED BENEFIT VS DEFINED CONTRIBUTION PLANS
PR-PTPFEATURESARE BUILTON COMP-ETITIONANDCITIZENCHOICEPART 2
GOV’T HEALTHCARE MORE EFFICIENT ?
GOV’T HEALTHCARE MORE EFFICIENT ?   NO !
NOW,LET’SLOOKAT PAULRYAN’SPR-PTPPLANPART 3
BUT POLITICAL RISK IS ALSO AN ISSUE !             “GOP HAS SET ITS OWN TRAP”,NOW,         by DICK MORRIS, TheHill.com, May...
TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - -  Very Different Competing HC visionsTHE ECONOMIC REALI...
HEALTHCARE - PRESERVING OUR HERITAGE: LOW TAXESThe central issue in the Americanhealth care debate is whetherspending shou...
HEALTHCARE - PRESERVING OUR HERITAGE: LIMITED GOV’TAs James Capretta, a formerOMB Associate Director,explains:“Efforts to ...
TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - -  Very Different Competing HC visionsTHE ECONOMIC REALI...
HEALTHCARE - CONCLUSIONSCRITICS OF REP. PAUL RYAN‟S FISCAL ROADMAP HAVE FAILED TOOFFER A COMPARABLE ALTERNATIVE. THE FACTS...
THE ENDACTUALLY, IT‟S NOT THE END - - YOURVOICE IS IMPORTANT TO OUR NATION.CITIZEN INTEREST, DIALOG AND DATAARE CRITICAL T...
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MEDICARE PROGRAMS: OBAMA vs RYAN

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A COMPARISON OF NATIONAL MEDICARE PLAN FEATURES BETWEEN THOSE CONSTRUCTED BY THE OBAMA ADMINISTRATION AND CONGRESSMAN PAUL RYAN. THE CHOICES ARE DISTINGUISHED BY CRITICAL DIFFERENCES IN PHILOSOPHY, ECONOMIC STRUCTURE AND IMPACT, AND HOW CITIZENS WILL BE AFFECTED WELL INTO THE FUTURE.

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MEDICARE PROGRAMS: OBAMA vs RYAN

  1. 1. TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - - Very Different Competing HC visionsTHE ECONOMIC REALITY The National Problem is SPENDING ; ENTITLEMENTS are a root factor.THE MEDICAL REALITY MEDICARE is on an UNSUSTAINABLE FISCAL PATH PRESIDENT OBAMA‟S PLAN ELEMENTS PAUL RYAN‟S PLAN ELEMENTSAMERICAN HERITAGE FORINDIVIDUAL RESPONSIBILITYCONCLUSIONS A Pivotal Choice
  2. 2. BUT ALSO: A TOUCHY POLITICAL OVERLAYTODAY: A TALE OF 2PLANS FOR AMERICANHEALTHCARE1. PRES. OBAMA‟s PLAN (PPACA) :BIGGER GOV‟T IS THE ANSWER. JUST LEAVE IT TO US.2. PAUL RYAN‟S PLAN (PR -PTP):BIG GOV‟T IS THE PROBLEM. WE MUST GET BACK TO OUR HERITAGE OF FREE MARKET ENERGY, CITIZEN CHOICE AND INDIVIDUAL RESPONSIBILITY.
  3. 3. HEALTHCARE - SUMMARY OVERVIEWTHESIS:Competing HC visions offer gov‟t decision- making vs citizen decision- making.PPACA vs PR- PTP offer fundamental differences in addressing cost growth, HC access and impact on the Nation‟s debt.
  4. 4. Paul Ryan has offeredan INTEGRATEDBudget plan includingputting HC on a solid,long term basis byreining in TOTALGov‟t deficit.His “PR-PTP” Budgetwas passed by theU.S. House on April14, 2011 and tacklesthe “hot potato” :RUNAWAYENTITLEMENTS.IT IS NOT WITHOUTPOLITICAL RISK.
  5. 5. PROVIDING HEALTH AND RETIREMENT SECURITY - -PR-PTP PR-PTP ensures universal access to health insurance; and it rescues and strengthens Medicare,Paul „s Medicaid, and Social Security – by making themintegrated permanently solvent.approach isunique and LIFTING THE DEBT BURDEN - -supported by It returns Federal spending growth to sustainablemany serious rates, and lifts the huge debt burden from theHC Analysts. shoulders of future generations.In contrast,President PROMOTING AMERICAN JOB CREATION AND COMPETITIVENESS - -Obama „s It promotes solid, sustained economic growth and jobplan has been creation here in America, and puts the United Statesbelittled by in a position to lead – not merely survive – in the globalmany marketplace. The plan also modernizes job trainingeconomists. programs to meet the effects of globalization.
  6. 6. Reforms should be gauged by 2 Key Criteria:• Create or destroy jobs? Squeeze benefits or fundamentally address cost growth?NOTE: Job growth is pivotal to providing resources for progress.An historical Roadmap exists to show the way: Gingrich bipartisan effort of the 1990‟s Ref: “Roadmap for America’s Future Act of 2010” (H.R. 4529), 111th Congress, introduced by Representative Paul Ryan (R–WI)
  7. 7. TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - - Very Different Competing HC visionsTHE ECONOMIC REALITY The National Problem is SPENDING ; ENTITLEMENTS are a root factor.THE MEDICAL REALITY MEDICARE is on an UNSUSTAINABLE FISCAL PATH PRESIDENT OBAMA‟S PLAN ELEMENTS PAUL RYAN‟S PLAN ELEMENTSAMERICAN HERITAGE FORINDIVIDUAL RESPONSIBILITYCONCLUSIONS A Pivotal Choice
  8. 8. The NationalDeficitProblem isSPENDING ,NOT LACK OFTAXES.Here‟s a 60year snapshotto comparethe two.
  9. 9. ENTITLEMENTSARE A ROOTFACTORPARTICULARLYIN THEPROJECTEDDEFICIT SIZE .IGNORING THEPROBLEM WILLRESULT INENTITLEMENTSGOBBLING UPEVERY TAX $ .MEDICARE IS ABIG FACTOR INTHIS TRIO.
  10. 10. The NationalDEBTcontinues togrow and willsignificantlyescalate in thecurrentdecade.
  11. 11. ENTITLEMENTSWILL IMPOSEAN ADDEDAVERAGEFAMILYHOUSEHOLDTAX OF MORETHAN $12,600.RELATIVE TO AHOUSEHOLDTODAY ( afteradjustment forinflation).
  12. 12. BENDING THECURVE: PR-PTP IS A BROAD INTEGRATED PLAN.THE OBAMASPENDINGPLANALTHOUGHCAREFUL NOTTO CAUSEWAVES PRIORTO 2012, THENACCELERATES.IN CONTRAST,PR-PTPSHOWS AROADMAP FORPROGRESS.
  13. 13. TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - - Very Different Competing HC visionsTHE ECONOMIC REALITY The National Problem is SPENDING ; ENTITLEMENTS are a root factor.THE MEDICAL REALITY MEDICARE is on an UNSUSTAINABLE FISCAL PATH PRESIDENT OBAMA‟S PLAN ELEMENTS PAUL RYAN‟S PLAN ELEMENTSAMERICAN HERITAGE FORINDIVIDUAL RESPONSIBILITYCONCLUSIONS A Pivotal Choice
  14. 14. SOME MEDICARE REFORM ISSUES Democrat Leaders have demonized PR-President Obama and PTP. House Speakerthe Democrats passedand signed the Patient Nancy Pelosi (D–CA)Protection and charged that the planAffordable Care Act of “ends Medicare as2010 (PPACA). we know it.” But there is, of course, a central intellectualConservatives and the deficiency in this attack: MEDICARE ISGOP have deep ALREADY: PROJECTED TO ENDmisgivings about PPACA “AS WE KNOW IT.”and would like to seemuch of it changedalong the lines of Paul IT‟S ENDING BY SELF IMPLOSION. ResistingRyan‟s proposals in PR- rational reform will NOT change thatPTP. - - it will simply worsen the problem.
  15. 15. FORECASTSBASED ONTHECURRENTMEDICAREECONOMICSTRUCTUREIS WHAT IS“ENDINGMEDICAREAS WEKNOW IT”.
  16. 16. EVEN ZERO’ING DEFENSE SPENDING WON’T SAVE MEDICARE
  17. 17. BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 1
  18. 18. CUTS TO MEDICARE PROVIDERS HAVE CONSEQUENCES
  19. 19. BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 2
  20. 20. HEALTH PROVIDER “COST SHIFTING”
  21. 21. BUTPPACAWILLTHROWMOREOIL ONTHEFIRE.PART 3
  22. 22. NOW,LET’SLOOKAT PAULRYAN’SPR-PTPPLANPART 1
  23. 23. DEFINED BENEFIT VS DEFINED CONTRIBUTION PLANS
  24. 24. PR-PTPFEATURESARE BUILTON COMP-ETITIONANDCITIZENCHOICEPART 2
  25. 25. GOV’T HEALTHCARE MORE EFFICIENT ?
  26. 26. GOV’T HEALTHCARE MORE EFFICIENT ? NO !
  27. 27. NOW,LET’SLOOKAT PAULRYAN’SPR-PTPPLANPART 3
  28. 28. BUT POLITICAL RISK IS ALSO AN ISSUE ! “GOP HAS SET ITS OWN TRAP”,NOW, by DICK MORRIS, TheHill.com, May 11, 2011LET’SLOOK “Medicare has only gone up by 16 percent sinceAT Obama took office.PAUL Medicaid, food stamps, unemployment compensation,RYAN’S Section 8 housing, AFDC and other welfarePR-PTP entitlements have risen by 54 percent. RegularPLAN discretionary domestic spending has risen by 41PART 4 percent. By directing the nations attention to Medicare - - as opposed to these other programs -- the House Republicans have totally played into Obamas hands.”
  29. 29. TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - - Very Different Competing HC visionsTHE ECONOMIC REALITY The National Problem is SPENDING ; ENTITLEMENTS are a root factor.THE MEDICAL REALITY MEDICARE is on an UNSUSTAINABLE FISCAL PATH PRESIDENT OBAMA‟S PLAN ELEMENTS PAUL RYAN‟S PLAN ELEMENTSAMERICAN HERITAGE FOR BUT HISTORY ISINDIVIDUAL RESPONSIBILITY IMPORTANT !CONCLUSIONS A Pivotal Choice
  30. 30. HEALTHCARE - PRESERVING OUR HERITAGE: LOW TAXESThe central issue in the Americanhealth care debate is whetherspending should be controlled :• By moving toward a freemarket, relying on competitionto secure value for money andeconomic efficiencies.VS• By the imposition of variousrestrictions on the supply ofmedical goods and servicesthrough a centralized gov‟tand its machinery.
  31. 31. HEALTHCARE - PRESERVING OUR HERITAGE: LIMITED GOV’TAs James Capretta, a formerOMB Associate Director,explains:“Efforts to control costs fromthe top down have alwaysdevolved into price settingand across-the-boardpayment-rate reductions,which is detrimental to thequality of Americanmedicine.Price controls drive outwilling suppliers of services,after which the only way tobalance supply and demandis with waiting lists”.
  32. 32. TOPIC OUTLINEOVERVIEW / BACKGROUND OBAMACARE vs PAUL RYAN‟s-PTP - - Very Different Competing HC visionsTHE ECONOMIC REALITY The National Problem is SPENDING ; ENTITLEMENTS are a root factor.THE MEDICAL REALITY MEDICARE is on an UNSUSTAINABLE FISCAL PATH PRESIDENT OBAMA‟S PLAN ELEMENTS PAUL RYAN‟S PLAN ELEMENTSAMERICAN HERITAGE FORINDIVIDUAL RESPONSIBILITYCONCLUSIONS A Pivotal Choice
  33. 33. HEALTHCARE - CONCLUSIONSCRITICS OF REP. PAUL RYAN‟S FISCAL ROADMAP HAVE FAILED TOOFFER A COMPARABLE ALTERNATIVE. THE FACTS ARE THESE:A. PR-PTP IS THE ONLY PLAN TO REFORM AMERICA‟SENTITLEMENT PROGRAMS, TRANSFORM THE FINANCING ANDDELIVERY OF AMERICANS‟ HEALTH CARE, REDUCE THE DEFICIT,ESTABLISH EQUITY AND EFFICIENCY IN THE TAX TREATMENT OFHEALTH INSURANCE, IMPROVE THE PROVISION OF HEALTH CAREFOR MIDDLE-CLASS AND LOW-INCOME FAMILIES - - AND PRESERVEAMERICA‟S HERITAGE OF COST CONTROL BY CONSUMER CHOICE.B. PR-PTP IS THE ONLY COMPREHENSIVE, INTEGRATED, PRO-GROWTH SOLUTION IN THE NATIONAL ARENA TO RESTORE FISCALRESPONSIBILITY AT THE FEDERAL GOVERNMENT , CREATE JOBS ,AND IMPROVE THE FINANCIAL FUTURE OF OUR CHILDREN ANDGRANDCHILDREN.BUT POLITICAL RISK (per Dick Morris) IS ALSO A FACTOR.
  34. 34. THE ENDACTUALLY, IT‟S NOT THE END - - YOURVOICE IS IMPORTANT TO OUR NATION.CITIZEN INTEREST, DIALOG AND DATAARE CRITICAL TO GOOD CIVICOUTCOMES. AND THAT INCLUDESOUTCOMES WHICH SIMPLY ASSUREPROPER CONDITIONS FOR THE FREEMARKET TO WORK.

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