So Where’s the Medicare Plan?

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So I figured I’d wait until today to get the details of Paul Ryan’s Medicare plan, but this is pretty much all that his proposal says about it:

Starting in 2022, new Medicare bene?ciaries will be enrolled in the same kind of health care program that members of Congress enjoy. Future Medicare recipients will be able to choose from a list of guaranteed coverage options, and they will be given the ability to choose a plan that works best for them….The Medicare premium-support payment would be adjusted so that wealthier bene?ciaries would receive a lower subsidy, the sick would receive a higher payment if their conditions worsened, and lower-income seniors would receive additional assistance to cover out-of-pocket costs.

….Health plans that choose to participate in the Medicare exchange must agree to offer insurance to all Medicare bene?ciaries, to avoid cherry-picking and ensure that Medicare’s sickest and highest-cost bene?ciaries receive coverage….While there would be no disruptions in the current Medicare fee-for-service program for those currently enrolled or becoming eligible in the next ten years, all seniors would have the choice to opt into the new Medicare program once it begins in 2022.

Is that it? Am I missing something? How is anybody supposed to analyze how this would actually work with no more detail than this?

For now, I’m going to assume that I’m missing something. There must be a more detailed document around somewhere that I haven’t found yet. There has to be, right?

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DEMOCRACY DOES NOT EXIST...

without free and fair elections, a vigorous free press, and engaged citizens to reclaim power from those who abuse it.

In this election year unlike any other—against a backdrop of a pandemic, an economic crisis, racial reckoning, and so much daily crazy—Mother Jones' journalism is driven by one simple question: Will America move closer to, or further from, justice and equity in the years to come?

If you're able to, please join us in this mission with a donation today. Our reporting right now is focused on voting rights and election security, corruption, disinformation, racial and gender equity, and the climate crisis. We can’t do it without the support of readers like you, and we need to give it everything we've got between now and November. Thank you.

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