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For some misguided reason, USA Today published an op-ed -- supposedly written by President Donald Trump -- attacking a proposed “Medicare for All” plan cosponsored by a number of Senate Democrats. The piece is a collection of baldfaced lies and distorted facts which do not hold up to even the slightest scrutiny.
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As Republicans prepare to vote on a bill to drastically alter the tax code by slashing corporate rates and creating carve-outs for the wealthy at the expense of some of the most vulnerable, some Republican senators took to cable news to hype the proposal. The lawmakers relied on debunked myths to encourage voters and their colleagues to support the historically unpopular legislation. In some cases, journalists pushed back on these talking points. But in the future, reporters must be quick to immediately debunk this onslaught of misinformation and deception.
Several Republican lawmakers pitched the plan by claiming that every income group would receive a tax cut. On the November 30 edition of Fox News’ The Daily Briefing, Sen. Dan Sullivan (R-AK) stated that “everybody does get a tax cut” from this plan in response to questioning from host Sandra Smith.
In an interview with Fox News’ Bill Hemmer on the November 29 edition of America’s Newsroom, Sen. John Thune (R-SD) claimed that “every income group is going to get a tax cut,” to which Hemmer offered no push back.
Sen. John Cornyn (R-TX) went a step further on the November 29 edition of CNN’s New Day, asserting that “every income bracket will benefit and the lower income brackets … will benefit the most.” Cornyn’s comments came after CNN’s Chris Cuomo pointed out that “this was billed as a middle-class” plan, but “there is no analysis that shows them being helped disproportionately to the top tier.”
These claims are not true. According to The Washington Post, Congress’ Joint Committee on Taxation (JCT) estimated that the bill would “give large tax cuts to the rich while raising taxes on American families earning $10,000 to $75,000 over the next decade.” Additionally, The New York Times found that “two-thirds of middle-class households would get a tax increase in 2027, and none — zero percent — would get a tax cut.”
In a November 29 interview on Fox News’ The Ingraham Angle, Senate Majority Leader Mitch McConnell (R-KY) claimed that Republicans are “not touching Medicare at all in this bill” with no pushback from host Laura Ingraham.
This claim was also made by Sen. Pat Toomey (R-PA), who, according to The Wall Street Journal, asserted that the bill includes “no cuts to Medicare.” But the Journal correctly noted, “Medicare would be cut by $25 billion in fiscal 2018 as a result of the bill because it would trigger automatic spending cuts under a pay-as-you-go budgeting law.”
Additionally, according to Los Angeles Times columnist Michael Hiltzik, Sen. Marco Rubio (R-FL) essentially admitted that the tax bill “is the prelude to a larger attack on Social Security and Medicare.” During a November 29 interview forum hosted by Politico, Rubio said tax cuts would help with “instituting structural changes to Social Security and Medicare for the future.” Rubio’s claim is also backed up by the nonpartisan Congressional Budget Office (CBO), which found that to offset deficit increases, automatic cuts would be made to Medicare of up to $25 billion next year.
Also in his interview with Laura Ingraham, McConnell claimed that the tax bill “is not going to be a deficit producing effort.” Once again, Ingraham did not give any pushback to McConnell on his claim.
This, of course, is false. According to The New York Times, the JCT found that “the legislation would add $1 trillion to federal budget deficits over a decade, even after accounting for economic growth."
Right-wing media figures are trying to curry favor for the Better Care Reconciliation Act (BCRA) by attacking the Affordable Care Act (ACA), pushing lies about the BCRA, disparaging the nonpartisan Congressional Budget Office (CBO) or distorting its analysis of the legislation, and muddying the truth about the health care system in general. Here is a guide to the myths right-wing media are employing to sell the Senate Republican health care bill.
President Donald Trump’s administration is proposing massive, unprecedented spending cuts on social aid programs while trying to balance the budget, pay for big tax cuts for the rich, and increase Pentagon spending.
At the center stands a gargantuan $800 billion reduction to Medicaid, which currently helps insure more than 70 million people, pays for millions of births each year, covers approximately 40 percent of all nursing home costs in America, and provides treatment for patients addicted to opioids.
The cuts were detailed in President Trump’s first federal budget, which was delivered to Congress on Tuesday. The proposal represents a truly radical scheme.
It also revolves around a stunning Trump flip-flop. Because while eyeing the White House, Trump had a much different plan as he promised to protect Medicaid, not take a chainsaw to it. (Trump in 2015: "I’m not going to cut Medicare or Medicaid.")
The Republicans who want to cut SS & Medicaid are wrong. A robust economy will Make America Great Again! https://t.co/u25yI5T7E8
— Donald J. Trump (@realDonaldTrump) July 11, 2015
Trump's promise means that some form of this headline should be appearing on news sites all across the country this week: “Trump breaks campaign promise by proposing massive cuts to Medicaid.”
That’s just Beltway Journalism 101: If a politician promises one thing while running for office and then immediately does the complete opposite after being elected, that’s considered news. Especially if it’s the president of the United Sates.
But we’re not seeing many of those headlines with Trump and Medicaid. Yes, news organizations are stressing that Trump’s budget would result in unprecedented cuts to anti-poverty programs. But the second key part about Trump’s attack on America’s long-standing social safety net representing an abdication of a major campaign promise? That is getting very short shrift.
That’s distressing because it evidences a larger problem where journalists no longer consider Trump’s rhetoric and promises to be serious enough to bother holding the president accountable.
In other words, if the press is willing to normalize Trump’s duplicitous behavior to the point where it doesn’t even report that the cornerstone of his proposed budget represents a stunning case of political hypocrisy, then journalists are slowly becoming part of the problem.
If we are at the point where journalists tend to shrug at the sight and sounds of a Trump lie or blatant flip-flop, that means Trump has successfully worn the press down to the point where journalists don't care about detailing the prevarications and deceits.
For context, here’s how enormous the Medicaid cuts are that Trump is now proposing:
— Bobby Kogan (@BBKogan) May 23, 2017
And yet many in the press have glossed over the fact that the historic cuts clearly contradict Trump’s previous promises. In fact, some news outlets actually gave Trump credit this week for keeping some campaign promises with his budget.
Here's how Axios originally reported on Trump's budget (emphasis added):
President Trump's 2018 budget proposal on Tuesday won't reform Social Security or Medicare — in line with his campaign promise — but it will make serious cuts to other entitlement programs.
Axios wrote Trump kept “his campaign promise” by not touching Social Security or Medicare. But Axios was silent about the fact that Trump had obviously broken his promise not to cut Medicaid, let alone not to make “serious cuts.” (Furthermore, Axios was wrong that the budget doesn't cut Social Security and later deleted the "campaign promise" language and made other changes to its article.)
NPR did the same thing. It noted that Trump kept his pledge regarding Medicare and completely ignored his broken budget promise for Medicaid.
More of the same from Reuters:
Trump upheld his promise - for the most part - that he would not cut Medicare and Social Security, two expensive safety-net programs that deficit hawks have long targeted for reforms.
(Note that both NPR and Reuters made the same mistake as Axios on Social Security -- seemingly not understanding cuts to Social Security disability payments in the budget)
So Trump promises that are kept constitute news, but Trump promises that are broken get ignored?
And more from CNN:
Donald Trump's budget that is expected to be unveiled on Tuesday will include $800 billion in cuts to Medicaid -- a move that underscores the President's resolve to significantly downsize the federal program even as Republican lawmakers are clashing over the issue in Congress.
Missing? Any context regarding candidate Trump and Medicaid. (Only later did CNN publish a story noting the broken promise.)
ABC News reported that the Trump budget includes "deep cuts" to Medicaid and then noted that “Democrats are criticizing the White House proposal, accusing Trump of going back on his promise to his campaign supporters.”
But it’s a fact that Trump went back on his promise, not merely a Democratic accusation.
For the record, there were major news organizations that did include references to Trump’s blatant Medicaid flip-flop in their coverage. But they did so much too timidly.
The Wall Street Journal, Los Angeles Times, CBS, USA Today, and NBC all noted Trump’s Medicaid flip-flop. The problem was that the salient fact was mentioned only in passing -- often via a single sentence -- and was often buried deep into the news accounts.
Trump advertises his hypocrisy every day. The press shouldn’t ignore his boasts.
Budget proposal will include deep cuts to Medicaid and Social Security, programs Trump promised to protect during campaign
Multiple news outlets have reported on the harsh human toll of President Donald Trump’s budget proposal, which is expected to gut programs that guarantee basic living standards, including parts of Medicaid and Social Security. These cuts directly contradict Trump’s promise to save the programs “without cuts.”
The White House first hinted at slashing programs that help working- and middle-class Americans on February 26 when, according to Bloomberg, Trump floated proposals to increase defense spending by 10 percent while cutting programs including assistance for low-income Americans while still promising not to touch Medicare, Medicaid, and Social Security. The White House claimed these drastic cuts would help spur economic growth, an absurd claim that was resoundingly ridiculed by economists as “deep voodoo” and “wholly unrealistic.” The administration’s initial budgetary proposals were so drastic and poorly thought out that they stunned many observers and experts. The White House even advocated cutting assistance to the Corporation for Public Broadcasting, which would be particularly harmful to “small-town America,” and Meals on Wheels, which “doesn’t make economic sense” and would cruelly deny millions of elderly Americans basic companionship and a hot meal.
On May 21, The Washington Post reported that the White House will unveil a formal federal budget proposal that goes even further than the administration’s earlier indications by proposing “massive cuts to Medicaid” and other anti-poverty public assistance programs. On May 22, Axios reported that the president plans to cut $1.7 trillion over 10 years from federal assistance programs including the Supplemental Nutrition Assistance Program (SNAP), the Children’s Health Insurance Program (CHIP), and Social Security Disability Insurance (SSDI), which collectively serve tens of millions of people. (Axios incorrectly stated that Trump’s budget plan “won’t reform Social Security or Medicare,” before outlining Trump’s plan to cut SSDI and incorporate massive Medicaid restrictions that would become law if his Obamacare repeal plan is ever enacted.)
As details of Trump’s budget plan continued to leak, some media outlets explained the devastating consequences for millions of Americans if the White House gets its way and these drastic cuts take effect. They also explained that Trump’s embrace of deep cuts to components of Medicaid and Social Security represent a betrayal of his promises from the campaign.
CNN chief business correspondent Christine Romans explained on the May 22 edition of CNN Newsroom that much of the money being cut from mandatory spending would come from Medicaid, which could see up to a 25 percent reduction in federal funding, pushing the financial burden onto the states and kicking 14 million people off their health insurance programs. Romans mentioned that protecting Medicaid is one of many campaign promises from Trump “that are turning out not to be true.”
On the May 22 edition of MSNBC Live, host Chris Jansing went even further in breaking down the human toll of Trump’s budget cuts with NBC News senior editor Beth Fouhy and New York Times national reporter Yamiche Alcindor. The show aired part of an interview with a mother of two young children, who told Fouhy that if these cuts are enacted, the costs of care for her child with cerebral palsy will bankrupt her. Then they showed a clip of Trump on the campaign trail proclaiming that he would “save Medicare, Medicaid, and Social Security without cuts.” Alcindor discussed a report she wrote for the Times earlier this month about the human costs of budget cuts that would lead eliminate programs that help provide small communities with access to clean drinking water, drug rehabilitation centers, and jobs programs:
Moore: Medicaid Cuts Were “Central To Our Plan All Along,” Contrary To Trump’s Public Statements
Discredited right-wing economic pundit and former Trump campaign economic adviser Stephen Moore accidentally let slip that gutting the Medicaid program “was central” to President Donald Trump’s plan to repeal Obamacare, despite the president’s repeated assertions that he would not touch the program. The statement corroborates admissions Moore made at a private event last July, when he claimed that Trump would fund massive tax cuts and reckless spending by dismantling programs that provide basic living standards for millions of Americans.
During the May 8 edition of CNN Newsroom, Moore -- CNN’s “senior economics analyst” -- was joined by University of Chicago economist Austan Goolsbee to discuss the merits of billionaire businessman and philanthropist Warren Buffett’s argument that the Trump health care agenda amounts to little more than a tax cut for the rich funded by cuts to health care subsidies for low-income Americans. Goolsbee pointed out that Trump’s health care legislation “cuts taxes for high-income people by hundreds of billions of dollars” at the expense of Medicare and Medicaid, which Trump promised “he would never cut.” Moore interjected falsely: “He never said that we weren’t going to reform Medicaid,” arguing, “That was central to our plan all along”:
Moore’s claim was debunked on air by co-hosts John Berman and Poppy Harlow, as well as Goolsbee, who cited Trump’s tweets and public statements as proof that he had broken his promise to protect Medicaid. Reporters who tuned in for the performance also noted Moore’s false statement. Moore accepted Berman’s correction before quickly pivoting to talking points extolling the virtues of converting Medicaid to block grants, which would also amount to a massive benefit cut for recipients.
Moore’s secondary claim that gutting Medicaid was “central to our plan all along” drew little notice from the fact-checkers, but it sheds light on Trump’s real agenda. According to a September 7 article from HuffPost political reporter Christina Wilkie, Moore had outlined Trump’s often contradictory economic plans during a “question-and-answer session” at a private July 14 meeting of the conservative Council for National Policy (CNP) in Cleveland, OH. During the event, Moore suggested that Trump planned to pay for his costly economic agenda by removing supposedly onerous public protections imposed by the federal government and enacting “draconian public assistance reforms and cuts in social services.” Since taking office, Trump has proposed a budget and health care agenda that would fulfill those promises. As the article noted, Moore’s zeal for tearing down anti-poverty programs, including Medicaid, seems to undermine Trump’s claim that he would focus on “looking out for the downtrodden.” It also confirms that imposing this harsh agenda -- and lying about it -- was indeed “central to” the Trump team’s economic plan “all along.”
President Donald Trump’s plan to beef up the defense budget by an additional $54 billion at the expense of civilian domestic spending, which he will unveil tonight before a joint session of Congress, has been derided by economists and experts for being "wholly unrealistic" and “voodoo” economics.
Bloomberg reported on February 26, that Trump’s first budget proposal would call for a $54 billion -- more than 9 percent -- increase in defense spending to be paid for with reductions to discretionary domestic spending, which Sen. Chuck Schumer (D-NY) described as the budgetary equivalent of taking “a meat ax to programs that benefit the middle-class.” White House press secretary Sean Spicer confirmed reports of the president’s budget priorities in a February 27 press briefing, adding that Trump would discuss his budget plan in more detail during his February 28 address to Congress.
Economists and experts have hammered Trump for months for proposing dramatic and seemingly unnecessary increases in defense spending. An October 19 article in New York magazine described Trump’s promises of new defense expenditures as “a random grab bag of military goodies, untethered to any coherent argument” because he lacked any vision or purpose for increasing funding to the military. According to figures compiled by the Peter G. Peterson Foundation, American defense spending already eclipses the military spending of the next seven countries combined:
The reception for Trump’s new budget outline has been similarly harsh. New York Times columnist and Nobel Prize-winning economist Paul Krugman derided the president’s claim that a “revved up economy” could fund new tax cuts and spending increases as “deep voodoo” -- alluding to Trump’s embrace of trickle-down economics. Washington Post contributor and Center on Budget and Policy Priorities (CBPP) senior fellow Jared Bernstein slammed Trump’s “wholly unrealistic” budget outline in a February 28 column and chided the president for claiming that he can simultaneously increase military spending, cut taxes on high-income earners and corporations, and reduce the federal deficit -- all while leaving vital entitlement programs alone. In order to even approach a balanced budget in 10 years, Trump would have to remove almost everything else in the budget:
According to a February 27 analysis from the CBPP, Trump's proposal, when coupled with his plan to boost infrastructure investments, would mean nondefense spending would see a whopping 15 percent reduction. The reason for the outsized hit to nondefense discretionary spending is that the programs covered by that part of the federal budget -- education, energy, affordable housing, infrastructure investments, law enforcement, foreign aid, some veterans' benefits, etc. -- only account for a small part of all federal spending. The largest part of the federal budget is mandatory spending for entitlement programs including Social Security, Medicare, Medicaid, other veterans's benefits, and unemployment insurance. From the Congressional Budget Office:
Trump’s proposed cuts to the State Department are so onerous that more than 120 retired generals signed an open letter to congressional leaders warning of their ramifications. One co-signer told CBS News that such steep cuts would be “consigning us to a generational war,” and the letter itself quoted Secretary of Defense James Mattis, who argued during his time at the head of U.S. Central Command that “if you don’t fully fund the State Department, then I need to buy more ammunition.”
ThinkProgress blasted Trump’s proposals to cut the State Department along with domestic spending in the name of increasing national defense because such cuts would actually undermine national security. The article cited recent congressional testimony from Center for American Progress senior fellow Larry Korb, who testified that “our national security will suffer” if the federal budget prioritized the Pentagon at the expense of other agencies.
Trump is notorious for pushing bogus claims about the economy and the federal budget. He has been derided by hundreds of economists for pushing right-wing myths about the economy and the federal debt, and routine criticisms of his unfounded claims were a mainstay of the presidential campaign in 2016. As was the case last year, the budgetary, fiscal, and tax policies Trump has supported since taking office simply don’t add up.
The press failed to accurately convey the implications of a potential repeal of the Affordable Care Act (ACA) in the lead-up to the election. Now that Donald Trump is the president-elect, media must improve their health care coverage by contextualizing their stories about a potential ACA repeal and explaining the impact it would have on millions of Americans and the health care system as a whole.
A recent Media Matters study found that in the weeks leading up to the election, television journalists overwhelmingly failed to ask any substantive questions about Trump’s health care policies or the consequences of repealing the ACA. In the two weeks before Election Day, there were only four instances of broadcast or cable news hosts or reporters bringing up a substantive question about Trump’s supposed Obamacare replacement amid 77 segments ostensibly focused on health care. This was not the first time media failed to inform the public about the Republican Party’s extremist health care policy agenda. Another Media Matters study found that evening news shows virtually ignored Speaker of the House Paul Ryan’s resurrection of his Medicare privatization scheme, a proposal that could have dangerous consequences for a program relied on by more than 55 million Americans.
During the campaign, media outlets also lauded Trump for giving a so-called “policy” speech on health care, ignoring that the actual speech contained little to no policy specifics. This lack of attention to detail reflects a broader theme in election coverage, as studies found media overwhelmingly avoided substantive discussion of policy, focusing instead on “scandals” plaguing the Republican and Democratic nominees.
While cable and broadcast news tended to avoid robust discussions of the impact of health care policy, right-wing media filled the void with rampant misinformation. Since the ACA passed in 2010, conservative news outlets have consistently attacked the health law with complete fictions, claiming it will explode the budget, create death panels, bankrupt Medicare, end in a “death spiral,” and facilitate a government takeover of the health care system.
Today, media outlets regularly provide Trump surrogates with free airtime to push misinformation and avoid substantive discussion. In a series of January 3 interviews, Trump senior adviser Kellyanne Conway was given a free pass on health care policy by ABC’s Good Morning America, which neglected to even bring up the looming repeal of Obamacare. NBC’s Today and CNBC’s Squawk Box failed to push Conway with follow-up questions about how exactly the incoming administration plans to maintain popular health care reforms while repealing the law that created them. On MSNBC’s Morning Joe, Conway was allowed to push vague proposals for creating health savings accounts and allowing insurers to sell across state lines (both proposals have been highly criticized). When asked if the replacement plan is “ready to go,” Conway deflected by suggesting that planning could not start until Trump’s nominee for secretary of health and human services, Tom Price, is confirmed. The Morning Joe hosts failed to raise questions about the potential impact of the policies she promoted and allowed her to deflect from questions about the replacement plan to the irrelevant question of cabinet nominations.
Trump and congressional Republicans pledged to make repeal of the ACA one of their top priorities, which means the press must immediately rethink its strategy when covering health care policy and focus on specifics. Media outlets must contextualize the impact of repealing Obamacare in terms of the gains that have already been achieved and how those improvements will be affected or reversed by Republican policies. Health care policy is inherently complex and confusing -- it’s the media’s job to break down the complexity and explain how repealing Obamacare will impact the lives of every American.
The implementation of the ACA resulted in a record low number of uninsured Americans -- 8.6 percent in September 2016, down from 16 percent in 2010. According to estimates from the Department of Health and Human Services, more than 20 million Americans have gained health care coverage as a result of the law.
The ACA’s expansion of Medicaid extended health care coverage to more than 14 million low-income Americans. Studies of the expansion showed that it helped to combat income- and race-based coverage disparities in the insurance market, improved access to coverage for people with disabilities, and significantly improved state budgets in states that accepted federal funds for the expansion.
The implementation of the ACA significantly improved the condition of women’s health care coverage in the U.S. The ACA’s preventive services provision greatly improved access to birth control by eliminating copays -- expanding coverage to millions of women and dramatically reducing out-of-pocket costs. The ACA banned sex discrimination in health care, and put a stop to the widespread practice of “gender rating” in which health insurance companies charged women higher rates for comparable plans made available to men. The law also improved access to maternity care by classifying it as an essential service.
Repeal of the ACA would permit the return of discriminatory practices like gender rating, reducing overall access to health care and significantly increasing out-of-pocket health care costs for women.
The ACA helped the fight in achieving LGBTQ equality by dramatically improving access to health care for LGBTQ patients often targeted by discriminatory practices (like dropping individuals with pre-existing conditions), prohibiting sex discrimination, and guaranteeing protections to married same-sex couples regardless of the state in which they reside. Studies have shown that the ACA has reduced the number of uninsured LGBTQ people and decreased health disparities in the LGBTQ community. The law provided marketplace insurance subsidies to nearly 732,000 individuals, and its expansion of Medicaid was particularly beneficial to LGBTQ youth, who are disproportionately likely to experience poverty and homelessness.
Repeal of the ACA would allow insurance companies to discriminate on the basis of gender, strip coverage for transgender people and transition-related care, and increase the number of uninsured people by repealing the marketplace subsidies and Medicaid expansion.
The ACA has extended the solvency of Medicare by over 10 years, despite false claims to the contrary from right-wing opponents of the program. Discussions of Medicare’s budget outlook typically refer to Medicare’s Hospital Insurance program -- which covers hospital visits, nursing care, and other medical costs. Studies have shown that the ACA has extended the full budgetary solvency of the Hospital Insurance program through 2028, after which “payroll taxes and other revenue will still cover 87 percent of Medicare hospital insurance costs.” In addition to enhancing Medicare’s budget outlook, the ACA improved senior care by reducing prescription costs and extending coverage to key services.
Medicare spending will increase by $350 billion over the next decade if Congress repeals the ACA, accelerating the program’s insolvency. Potential plans to privatize Medicare will gut access to care and cause skyrocketing health care costs for the elderly.
Implementation of the ACA has reduced the budget deficit even more than was originally predicted by the Congressional Budget Office. Studies have shown that since the implementation of the ACA, while premiums have increased steadily, the number of individuals struggling to pay medical bills has steadily declined. While costs overall increase, they have increased by a much smaller margin than they would have if the ACA had not been enacted. Additionally, the ACA helps to combat economic inequality in the U.S., as it increases incomes in low-income households by reducing health care costs through mechanisms like the Medicaid expansion.
The ACA helps to fight the significant health disparities among Americans, expanding minority access to free preventive care, improving the overall quality of care in minority communities, and reducing the number of uninsured persons of color. The ACA invested in community health centers, whose patients are primarily minorities. The ACA provided the foundation for other efforts to combat inequities in the health care system for communities of color, including the HHS Action Plan to Reduce Racial and Ethnic Health Disparities.
The ACA banned health insurance companies from engaging in medical underwriting, most commonly known as discriminating against individuals for pre-existing conditions. If the ACA were repealed, an estimated 50 to 129 million individuals -- or between 19 and 50 percent of non-elderly Americans -- could be denied access to affordable health care coverage for a pre-existing condition. This fundamental reform protects millions of Americans from being needlessly priced out of the insurance market or denied coverage for common conditions like acne or cataracts.
Despite some claims that a Republican-sponsored replacement package could maintain the pre-existing conditions ban, existing potential plans significantly weaken consumer protections and fail to maintain the same level of coverage provided by the ACA.
The ACA substantially increased the number of insured young adults -- by 5.5 million individuals -- by allowing them to remain on their parent’s health insurance plan until the age of 26. Given the high unemployment rate for people ages 18-29, this provision provides a crucial lifeline to that demographic.
While this rule is one of the most popular parts of the ACA, proponents of repeal have yet to explain how they could keep this provision while getting rid of the other parts (like the insurance mandate) that help pay for it.
The ACA greatly expanded coverage of mental health care services by requiring that most plans -- including all plans sold in the HealthCare.gov insurance marketplaces -- cover mental health services, classifying them as essential services. By eliminating medical underwriting and requiring parity between mental and physical health services, the ACA extended coverage to those who were previously refused on the basis of their mental health issues.
While the mental health coverage in the ACA is far from perfect, repeal will undercut the law’s achievements, gut coverage for tens of millions of people with mental illnesses, and roll back other positive gains in related mental health legislation.
Major newspapers gave little attention to the harmful impact Rep. Tom Price’s (R-GA) policies would have on the American health care system when discussing his expected nomination to serve as Secretary of the Department of Health and Human Services (HHS) in a future Trump administration. However, experts agree that Price’s preferred positions on the Affordable Care Act (ACA), Medicare and Medicaid, and reproductive health care access would harm millions of Americans.
MSNBC Only Outlet To Vet Ryan's Scheme To Gut The Social Safety Net
Weekday evening programming on the largest cable and broadcast news outlets almost completely ignored a long-standing Medicare privatization scheme favored by Speaker of the House Paul Ryan (R-WI) in the days since he first resurrected the idea of radically reshaping the American health care system toward for-profit interests.
During a November 10 interview with Fox News host Bret Baier, Ryan misleadingly claimed that due to mounting “fiscal pressures” created by the Affordable Care Act, the Republican-led Congress would be forced to engage with what Baier called “entitlement reform” sometime next year. Ryan falsely claimed that “because of Obamacare, Medicare is going broke” and that the popular health insurance system for American seniors will have to be changed as part of any legislation to “repeal and replace” President Obama’s health care reform legacy. From Special Report with Bret Baier:
According to a Media Matters analysis of broadcast and cable evening news coverage from November 10 to November 27, Ryan’s plan to privatize the nationwide, single-payer health care coverage currently enjoyed by millions of seniors has gone unmentioned on ABC, CBS, NBC, CNN, and Fox News. Ryan’s so-called “premium support” plan was briefly mentioned on the November 22 edition of PBS NewsHour when co-host Judy Woodruff pressed President-elect Donald Trump's former campaign manager, Kellyanne Conway, as to whether Trump would accept Ryan’s privatization proposal. By comparison, during the same time period, MSNBC ran six prime-time segments exposing Ryan’s privatization agenda:
According to a July 19 issue brief from the Kaiser Family Foundation, conservative lawmakers are likely to pursue “a proposal to gradually transform Medicare into a system of premium supports, building on proposals” adopted by Ryan when he served as chairman of the House Budget Committee. These so-called “premium supports” would provide each Medicare beneficiary with a “voucher” that can be used for the purchase of private health insurance; they represent “a significant change from the current system” that pays health care providers directly for services rendered.
In essence, Ryan’s plan would privatize Medicare and redirect hundreds of billions of tax dollars that currently go to doctors, hospitals, and other medical service providers through the costly private health insurance market.
This startling scheme bears similarities to a failed 2005 attempt by the Bush administration to partially privatize Social Security. Democratic members of Congress are already aligning themselves against Ryan’s throwback plan to gut Medicare, and it’s not actually clear if Trump is supportive of the initiative, which he refused to fully endorse on the campaign trail.
As the Center on Budget and Policy Priorities (CBPP) pointed out last July, claims that Medicare is “nearing ‘bankruptcy’ are highly misleading,” and Ryan’s specific charge that Medicare is “broke” because of the ACA is completely wrong. President Obama’s health care reform law greatly improved Medicare’s long-term finances and extended the hospital insurance trust fund’s solvency by 11 years.
The looming fight over the future of Medicare, which serves over 55 million beneficiaries and accounted for 15 percent of the entire federal budget in 2015, has been well-documented, but it has garnered almost no attention on major television news programs.
Millions of Americans who rely on broadcast and cable evening news are completely unaware of the stakes in this health care policy fight. They are also unaware that Ryan’s privatization scheme would leave millions of retirees at the whims of the same private insurance market that right-wing media are currently attacking because of increased rates.
Media Matters conducted a Nexis search of transcripts of weekday network broadcast evening news programs on ABC, CBS, NBC, and PBS and weekday prime-time news programming (defined as 8 p.m. through 11 p.m.) on CNN, Fox News, and MSNBC from November 10, 2016, through November 27, 2016. We identified and reviewed all segments that included any mention of “Medicare.”
A New York Times article claimed that presumptive GOP presidential nominee Donald Trump’s pledge “to protect Social Security and Medicare” and to “leave entitlements untouched” indicates he’s taken a page from Democratic candidate Bernie Sanders’ campaign playbook. But The Times failed to note that Trump previously called Social Security a “Ponzi scheme” and that at least two of his advisers have advocated cutting or privatizing Social Security, Medicare, Medicaid, and disability benefits -- and have indicated as recently as this month that Trump would also be open to changing those programs.
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