cross-posted from: https://lemmy.world/post/11610908

The right-wing policy agenda written for a new Donald Trump presidency would “greatly accelerate” efforts to privatize Medicare

Last year, for the first time ever, a majority of Americans eligible for Medicare were on privatized Medicare Advantage plans. If Republicans win the presidential race this year, the push to fully privatize Medicare, the government health insurance program for seniors and people with disabilities, will only intensify.

Conservative operatives have already sketched out what the GOP’s policy agenda would look like in the early days of a new Donald Trump presidency. As Rolling Stone has detailed, the proposed Project 2025 agenda is radically right-wing. One item buried in the 887-page blueprint has attracted little attention thus far, but would have a monumental impact on the health of America’s seniors and the future of one of America’s most popular social programs: a call to “make Medicare Advantage the default enrollment option” for people who are newly eligible for Medicare.

Such a policy would hasten the end of the traditional Medicare program, as well as its foundational premise: that seniors can go to any doctor or provider they choose. The change would be a boon for private health insurers — which generate massive profits and growing portions of their revenues from Medicare Advantage plans — and further consolidate corporate control over the United States health care system.

  • @CaptObvious@literature.cafe
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    2211 months ago

    One must admire that Republicans do not squander opportunities. A major frustration with Obama and Congressional Democrats in 2010 was that they had dicked around for two years with veto-proof supermajorities and accomplished exactly nothing of import.

    • themeatbridge
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      1111 months ago

      The Republicans ratfucked Franken out of his seat for several months, and then two other senators were too sick to vote. Then Kennedy died. Really, it was like 4 months, but it was still a squandered opportunity. Imagine the damage Republicans would do in 4 months.

    • FenrirIII
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      611 months ago

      It’s because both parties are ultimately at the will of rich donors. The Republicans are unabashedly against the public well-being, but Democrats have to maintain the appearance of being the good guys.

      • @CaptObvious@literature.cafe
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        211 months ago

        Oh, they’re both being played like fiddles. What’s ironic to me is how they’ve completely switched roles since the mid-20th century. Nixon definitely made a Faustian bargain with the racists in the old Confederacy in a desperate attempt to hold onto power. Who can really be surprised that Lucifer showed up to collect?

        Although I am just a little confused. I always thought the Christian god of evil was red. Who knew he was actually orange?

    • admiralteal
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      411 months ago

      This is unintentional revisionist history. Yes, there was a trifecta, but it was never a supermajority.

      He had 60 senators on paper for like, a month. And there was at least some Dem senator out of commission that entire time. So even the paper supermajority wasn’t real. Not to mention that the 60 caucusing Dems had diverse views and opinions about things. There were MANY issues that lacked consensus support. Even Obama didn’t have the full-on fealty of his base. And that’s not to even get into the herd of cats that is the dems in the House of Reps.

      • Alien Nathan Edward
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        211 months ago

        Sounds like they’re incompetent and incapable of governing, then. Sounds like a bunch of excuses instead of what me and my family need to thrive and be safe.

  • theodewere
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    11 months ago

    “efficiency” in medical systems means letting people suffer and die for profits… people who talk about privatizing Medicare like efficiency…

  • AutoTL;DRB
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    211 months ago

    This is the best summary I could come up with:


    If Republicans win the presidential race this year, the push to fully privatize Medicare, the government health insurance program for seniors and people with disabilities, will only intensify.

    Philip Verhoef, president of the single-payer advocacy group Physicians for a National Health Program, tells Rolling Stone it would be “disastrous” to make Medicare Advantage the default enrollment option.

    As The New York Times reported in 2018, during Medicare’s open enrollment period, the Trump administration emailed messages to millions of beneficiaries touting the private plans.

    Trump’s administration also helped make Medicare Advantage more attractive by expanding the range of perks the plans can offer to enrollees, allowing them to add benefits such as transportation to doctors’ offices and meal delivery.

    Medicare Advantage plans, he says, are “tasked with managing your care, and telling you what you can and can’t do, and what is and is not covered — that is the opposite of putting beneficiaries in control of how they spend their dollars.”

    But the financial incentive to deny care is baked into the Medicare Advantage model: The private plans are given a fixed amount of money every month to provide coverage for each enrollee; paying out fewer dollars means extra profit.


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