Medicare Is Probably Not On the 2017 Agenda

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According to Paul Ryan, he has six top priorities for the upcoming year:

Regulatory relief….Obamacare relief….reforming the tax code….foreign policy, rebuilding the military….securing the border….And then while we work on that, we want to work on poverty and restoring our constitutional separation of powers….So those are effectively the six pieces that we’ve been talking about.

I have a couple of comments about this. First, there’s nothing here about entitlement reform, or Medicare reform in particular. This doesn’t mean Medicare is safe forever, but it does suggest it’s not a briar patch Ryan wants to jump in right away.

Second, these are all really, really complex. Regulatory relief—whatever that actually means—is dauntingly complicated. Repealing Obamacare is all but impossible without Democratic support, which means months or years of negotiation. Tax cuts are easy, but Ryan seems to want wholesale tax reform on the 1986 model, which has a ton of moving parts. Securing the border is a lot more than just building a wall. And “working on poverty”—I shudder to think what he means by this—is obviously no cakewalk.

On the bright side, rebuilding the military is fairly easy. You just give them more money and hope it doesn’t go down a rat hole.

If Ryan is serious about this stuff, he’s mapped out two years of work already—and that’s not even counting whatever Donald Trump wants to throw in the mix. Put it all together, stir in Trump’s promise not to touch entitlements, and I suspect that we’re not going to see any serious movement on Medicare for at least a year, maybe more.

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THE BIG PICTURE

You expect the big picture, and it's our job at Mother Jones to give it to you. And right now, so many of the troubles we face are the making not of a virus, but of the quest for profit, political or economic (and not just from the man in the White House who could have offered leadership and comfort but instead gave us bleach).

In "News Is Just Like Waste Management," we unpack what the coronavirus crisis has meant for journalism, including Mother Jones’, and how we can rise to the challenge. If you're able to, this is a critical moment to support our nonprofit journalism with a donation: We've scoured our budget and made the cuts we can without impairing our mission, and we hope to raise $400,000 from our community of online readers to help keep our big reporting projects going because this extraordinary pandemic-plus-election year is no time to pull back.

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