By Gregg A. Masters, MPH
Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka ‘RyanCare’. This will be fun!
My day started with reading an article in Forbes online titled: ‘Yes, Obamacare Cuts Medicare More Than President Romney Would‘ which needless to say caught my attention.
In this day of massive online media fraud, outright manipulation and Citizen’s United fueled disinformation, I usually find Forbes to be a reasonable outlet for quality content. After reading through this mostly ginned up story, I felt compelled to offer the author some facts and historical context, and paste that comment in whole below:
What disingenuous trash! Seriously, you can do better! The only fear mongering and disinformation you omit, are death panels for grandma.
The irony in the dumbed down sound byte attacks from the right, includes the failed stewardship by so called fiscal conservatives that somehow finds the overfunding of the Medicare Advantage program to be consistent with their ‘values’. (For factual recap, click here.)
The Affordable Care Act is an amalgam of a comprehensive series of historically bipartisan approaches to health reform. The public option was sidelined in deference to this pluralistic philosophy emerging from a set of guidelines, vs. narrowly cast top down determinations. Yet, the near term collective amnesia is comical. The consistent efforts (timeline here) of Max Baucus from 2007 to 2009/10 was to work with his Republican colleagues on the Senate Finance Committee even though the ‘manager’s mark’ received virtually no Republican support.
So we get what you proffer, dumbed down, sound byte pejorative appeal to the unreasoned mind, hungry to be fed what they so confidently ‘know’ to be true.
I know this may be a stretch for you, but try to keep your facts straight and contextually aligned.
Finally, to tag Ezra Kelin with the ‘left-of-center’ label vs. the thoughtful and thorough health wonk this man is, is just more red meat diversion of the mind to the lazy corridors of faux rage. We don’t need astro turfed controversy to stir the pot in healthcare, the conundrum is real and problematic for those of us committed to retool its paternalism and over-engineered complexity.
BTW, perhaps if Baucus had held 30 vs. the 29 bipartisan meetings on health reform, things might have been different, right? I think not.
And so it begins! We are going to see a considerable degree of banter and disinformation in the marketplace of ideas around health reform which by definition includes ‘accountable care’, and ACOs, see ‘The ACO is a Child of the ACA‘, so we expect to be busy and on watch as the noise notches up a bit.
As always, we welcome diverse opinions and encourage you to comment and/or submit a guest post which argues in opposition with any of the points made above on on this blog.