Paul Ryan – Hiding Spending Does Not Reduce Spending
Ryan is going to open this conversation on the behalf of us.
Look, we agree on the problem here, and the problem is, health inflation is driving us off a fiscal cliff. President you said ” Health Care Reform, is budget reform”. Your right we agree with that. Medicare right now has a 38 trillion dollar unfunded liability, that’s 38 trillion in empty promises, to my parents generation to our generation, our kids generation. Medic-Aide is growing at 21% this year, its suffocating States budgets, its adding trillions in obligations that we have no means to pay for it. Now your right to frame the debate on, on cost and health inflation, and in September when you spoke to us, in the Well Of The House, you basically said, and I totally agree with you, with this. “I will not sign a plan that adds one dime to our deficits either now, or in the future. Since the Congressional Budget now, cant score your bill because it doesn’t have sufficient detail, but it packs very similiar to the Senate Bill, I wanna unpack the Senates score a little bit, and if you take a look at the CBO (Congressional Budget Office) analysis, analysis from your chief actuary, I think its very revealing, this Bill does not control costs, this Bill does not reduce deficits, instead this Bill adds a new Health Care entitlement in a time when we have no idea to pay for the entitlements we already have. I wanna go through why I say that. Ah, the majority leader said, the Bill scores as reducing the deficit 131 billion dollars over the next ten years. First a little bit about CBO, I work with every single day, very good people, great professionals, they do their jobs well, but there jobs is to score what is placed in front of them, and what has been placed in front of them, is a Bill that is full of gimmicks, smoke and mirrors. Now, what do I mean when I say that, well first off, the Bill, has ten years of tax increases, about half a trillion dollars, with ten years of Medic-care cuts, about a half a trillion dollars, to pay for six years of spending, now what;’t the true ten year cost of this Bill in ten years, that’s 2.3 trillion dollars. It does a couple of other things. It takes 52 billion dollars, in higher ??? tax revenues, and counts them as off sets, off sets, but that’s really reserved for social security, so either we are double counting them, or we don’t intend on paying the social security benefits. It takes 72 billion dollars, and claims money from the Class Act, that’s the long term care program. It takes money from premiums and to resign from that benefit and instead counts them as off sets. The Senate Budget Committee Chairman said that, this is a ponzi scheme, that would make Bernie Madoff proud. Now when you take a look at the Medi-Care cuts, what this Bill essentially does, treats Medi-Care like a piggy bank. It raises a half a trillion dollars out of Medi-Care, not to short Medi-Care solvency but to spend on this new government program. Now when you take a look at what this does, is, according to the Chief Actuary of Medi-Care, he’s saying, as much as 20% of Medi-Care’s providers will either go out of business or would have to stop seeing Medi-Care beneficiaries. Millions of seniors who are on, who have chosen Medi-Care advantage, we’ll lose the coverage that they now enjoy. You can’t say that you are using this money to either, extend Medi-Care solvency and off set the cost of this new program. That’s double counting, and so when you take a look at all of this, when you strip out the double counting, and I would call these gimmicks, the full ten year cost of this bill, has a 460 billion dollar deficit, the second year cost of this Bill has a 1.4 trillion dollar deficit, and I think probably the most cynical gimmick in this Bill, is something we all probably agree on, we don’t think we should cut doctors 21% next year. We’ve stopped those cuts from occurring every year for the last seven years, we all call this here in Washington the Doc-Fix. Well, the Doc-Fix, according to your numbers costs 371 billion dollars, it was in the first in-iteration of all these Bills, but because it was a big price tag, and it made the score look bad, and it made it look like a deficit, that Bill, that provision was taken out, and its been going on as stand alone legislation. But ignoring these costs does not remove them from the backs of tax payers. Hiding spending does not reduce spending, so when you take a look at all this, it just doesn’t add up, so just, I’ll finish with the cost curve, are we bending the cost curve down? Or are we bending the cost curve up? Well if you look at your own Chief Actuarial at Medi-Care, we are bending it up. He is claiming that we are going up 222 Billion dollars, adding more to the more unsustainable fiscal situation we have, so when you take a look at this, its deeper really than the deficits, budget gimmicks, or the actuarial analysis, there is really a difference between us, and we are talking about how much we agree on different issues but there really is a difference between us, and its basically this, we don’t think the government should be in control of all of this. We want people to be in control, and that at the end of the day, is the big, difference, and we have offered lost of ideas, all last year, all this year, cause because we agree that status quo’s are unsustainable, its gotta get fixed, its bankrupting families, its bankrupting our government, its hurting families with pre-existing conditions, we all want to fix this, but we don’t think that this is the answer to the solution, and all of the analysis we get proves that point. Now I will simply say this, but I respectfully disagree, with the Vice President, what the American people are, or aren’t saying or are we qualified to speak on their behalf, so we are all representatives of the American people. We all do town-hall meetings, we all talk to our constituents, and I gotta tell you the American people are engaged and if you think they want a government to take over of Health Care, I would respectfully submit, you are not listening to them, so what we simply want to do, is start over and work on a clean shaded paper, move through these issues step by step and fix them and bring down Health Care costs and not raise them. And that’s basically the point.
Ah, I wanna call on your adversary. I just wanna follow up on a couple of points.
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