The Daily Circuit

Campaign 2012

Medicare: Sorting out fact from fiction in proposals

9:06 AM, October 18, 2012

LISTEN

As the candidates continue to compare and contrast their respective plans for Medicare reform on the campaign trail, we're joined by two experts who will sort out fact from fiction. The federal program provides health insurance to 50 million seniors and disabled Americans.

What will each plan really mean for current and future Medicare recipients? How much will the plans cost?

From NPR:

President Obama's plan fundamentally relies on slowing Medicare spending gradually.

Romney, meanwhile, would dramatically remake the program. He'd change it from one that's largely run by the federal government to one that's largely run by private insurers.

"I know my own view is I'd rather have a private plan," he said in the debate. "I'd just as soon not have the government telling me what kind of health care I get. I'd rather be able to have an insurance company. If I don't like them, I can get rid of them and find a different insurance company."

Stephen Parente, professor of health finance at the University of Minnesota and a former adviser to Sen. John McCain's presidential campaign, will join The Daily Circuit Thursday.

"What they ideally want to do, if they were to win, is to say, 'OK, let's take a timeout here and see what we have proposed that would make more sense,'" Parente said in the Milwaukee Journal Sentinel.

David Kendall, senior fellow for health and fiscal policy at Third Way, will also join the discussion.

LIVE CHAT: Medicare on the campaign trail

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Medicare on the campaign trail

  • As the candidates continue to compare and contrast their respective plans for Medicare reform on the campaign trail, we're joined on The Daily Circuit by two experts who will sort fact from fiction. Click LISTEN NOW to the right to hear the discussion.

    by Jon Gordon, MPR NewsOctober 17, 2012 at 4:43 PM

  • This morning in the 9:00 hour, Stephen Parente, a professor of health finance at the University of Minnesota and a former adviser to Sen. John McCain's presidential campaign, will join The Daily Circuit.

    David Kendall, a senior fellow for health and fiscal policy at Third Way, will also join the discussion.

    by Jon Gordon, MPR NewsOctober 18, 2012 at 8:19 AM

  • "Medicare: Where Presidential Politics And Policy Collide" by NPR's Julie Rovner

    by Jon Gordon, MPR NewsOctober 18, 2012 at 8:26 AM

  • Fact: Medicare serves about 50 million senior and disabled Americans

    by Jon Gordon, MPR NewsOctober 18, 2012 at 8:51 AM

  • NPR's Julie Rovner: "President Obama's plan ... relies on slowing Medicare spending gradually. Romney ... would dramatically remake the program. He'd change it from one that's largely run by the federal government to one that's largely run by private insurers."

    by Jon Gordon, MPR NewsOctober 18, 2012 at 8:55 AM

  • Daily Circuit guest Stephen Parente

    Daily Circuit guest Stephen Parente

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:09 AM

  • Daily Circuit guest David Kendall

    Daily Circuit guest David Kendall

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:11 AM

  • @KerriMPR At double the per capita spending on healthcare, can we deal with medicare and deficits without true reform & Universal care?

    by MBurnsvilleOctober 18, 2012 at 9:15 AM

  • Parente: Under the Romeny-Ryan plan, only people 55 and younger will be affected

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:15 AM

  • Kendall: If we move away from traditional Medicare, seniors will have fewer choices of providers

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:18 AM

  • @kerrimpr I am in my 40s. I am deathly afraid of the Rom/Ryan plan. Haven't had a raise in 3 years. What happens when healthcare $ rise?!?

    by SKBotsOctober 18, 2012 at 9:21 AM

  • @KerriMPR I don't think older seniors want as much choice. They are more interested in knowing they are fully covered.

    by jeremyschellerOctober 18, 2012 at 9:22 AM

  • We welcome your comments on this discussion.

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:24 AM

  • @Kerrimpr how will 40 yr olds afford this plan after they retire and are in a fixed income? What if we live until we're 90+?

    by SKBotsOctober 18, 2012 at 9:24 AM

  • I live in Rochester MN and I want you to know that Mayo Clinic is in full support of Obama care because it is based on best practices and outcome based health results and that those savings will be brought into the reducing of current health care and medicare reform.

    by JulieOctober 18, 2012 at 9:27 AM

  • Who has the best plan for Medicare?

    by Jon Gordon, MPR NewsOctober 18, 2012 at 9:27 AM

  • @KerriMPR Are there examples of a free market/voucher approach that deliverer Quality healthcare at ½ the cost like the Universal systems?

    by MBurnsvilleOctober 18, 2012 at 9:36 AM

  • @KerriMPR Iam 30, self-employed. I agree w/ caller Jo. We already have no faith in any fed healthcare.

    by ezweberOctober 18, 2012 at 9:36 AM

  • @KerriMPR If Dr. take less Medicare, will that mean more offices being less jake of trades. Meaning less money in overhead? Reduce costs?

    by jtberkenOctober 18, 2012 at 9:42 AM

  • If the politicians go back to the table, if they toss out the ACA - Obama Care - there will be nothing. Keep the ACA and tweek it over the years just like Medicare. Medicare works. I have no trust in the politicians, but at least, finally, there has been some progress to addressing the problem. Don't go backwards. Ryan and Romney and the Repubs can put off doing anything forever = the wealthy will be able to afford health care, the 99% will serve them.

    by Barry ParnasOctober 18, 2012 at 9:46 AM

  • Kerri, I get frustrated because this debate focuses only on the delivery mechanism for health insurance. But the deeper problem seems to be that health care costs are exploding because of a huge increase in self-caused obesity-related diseases. What are the incentives for all of us to take better care of ourselves so we won't become huge "consumers" of health care in the future?

    by dkoehnOctober 18, 2012 at 9:47 AM

  • My concern is for senior citizens being able to understand the different options that are offered....and make the best choice. Insurance coverage is intimidating and I know my elderly parents needed a lot of help trying to figure out what their coverage was. Purchasing a voucher would require a great deal of navigation through confusing information.

    by CarmenOctober 18, 2012 at 9:47 AM

  • Because healthcare is tied to employment for so many of us, if we go to a voucher system that won't cover rising costs, I won't be able to retire. I'll be working just to pay for healthcare.

    by dennisrbirdOctober 18, 2012 at 9:48 AM

  • We have worked in long term care for 35 years and are told these Medicare cuts will shut the door on many "nursing care " centers in rural communities. How will the voucher system help

    by SDGrandmaOctober 18, 2012 at 9:48 AM

  • I'm curious about the logic that Doctors and Hospitals would get paid less if everyone who isn't covered with private health insurance, is covered under a National Healthcare plan. If the people that are not covered at all cannot pay the Doctors and Hospitals in an emergency or long term care shouldn't the healthcare providers be concerned about that?

    by PatrickOctober 18, 2012 at 9:48 AM

  • The bigger more far reaching issue is not how medicare is going to look in the future but how Medicaid is going to look. The baby boomers are going to need to be taken care of , our social structure does not keep them with their families so they go to facilities based on their ability to pay. Much of that is covered by Medicaid and then there is a choice to sign over you SS payment and savings or to not be accepted into a facility unless you have private insurance. This is a major issue and it get very little coverage.

    by david FOctober 18, 2012 at 10:28 AM

  • Two points , Electronic records - Because for the last ten years all insurance payments have been coded there is a very extensive existing database of treatments, outcomes, drug effectiveness , etc.. This is owned mostly by one company UHG as they do almost all of the processing for all of their UHC and other.. This exists and could help today if it was tapped into.

    by david FOctober 18, 2012 at 10:28 AM

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