Thursday, September 6, 2012

Why Are The Washington Post Wonkbloggers Repeating A Romney Campaign Falsehood About Medicare?


The Washington Post’s WONKBLOG has been repeating the Romney Campaign's falsehood about Obamacare and Medicare. From their fact check of Bill Clinton's 2012 DNC Speech:
FALSE: [Clinton:]“Both Governor Romney and Congressman Ryan attacked the president for allegedly robbing Medicare of $716 billion. That’s the same attack they leveled against the Congress in 2010, and they got a lot of votes on it. But it’s not true.”
The Affordable Care Act did indeed cut Medicare spending by $716 billion, as the Congressional Budget Office wrote in a July 24 report. It does that by reducing payments to Medicare hospitals and doctors, essentially ratcheting down the amount they receive when they see a patient.
...these Medicare cuts do indeed exist.
However, all three major fact checkers have come to pretty much the opposite conclusion:
In my post on Ryan’s Medicare claim, I explained why this is the case using the findings of both FactCheck and The Washington Post Fact Checker (PolitiFact did an exceptionally poor job explaining the problem):

"Medicare payroll taxes go to pay for Medicare Part A. What revenue is left over goes into the Medicare Hospital Insurance trust fund. And that fund goes to finance shortfalls in Medicare Part A. As of late, there is not enough revenue coming from payroll taxes to cover hospital insurance for medicare beneficiaries. As a result, the trust fund is being drained and will eventually be empty, meaning Medicare Part A will become insolvent. To help mitigate the problem, the Affordable Coverage Act slows the amount of money coming out of the trust fund via reduced payments to hospitals. Obama can get away with those reduced payments to hospitals largely without causing them to drop out of the program because of a deal he stuck with hospitals, promising new patients through the ACA, more than making up for the lost revenue. This saved money stays in the trust fund (although it can be loaned out, more on that later). It does not go to cover the uninsured not currently in Medicare. In addition, Obama increases the revenue coming into the trust fund via a 0.9 percent tax "on earnings above $200,000 for single taxpayers or $250,000 for married couples."

The savings from Medicare that actually go into Obamacare come from Medicare Parts B, C, and D, and only from funds that come from congress (income taxes, corporate taxes, etc...) to cover outlays. This accounts for approximately 2/3 of $716 Billion in slowed medicare growth. Obama decreases the growth of money congress spends on Medicare from general revenue using the Independent Payment Advisory Board, which is incredibly limited in what it can target."
...a bill can both reduce the deficit and not be "paid for." This is because some of the revenue that comes in goes "into savings" instead of being used to pay the bills. And just like a bank uses savings accounts to make loans, so too can this Medicare money "in savings" be loaned out to pay for other programs. FactCheck explains:
"What happens in government accounting is that after Treasury issues a bond that it will have to pay later, it can spend the money it received on other things. And it often does, whether that’s coverage expansion, as called for in the health care law, or any number of things. The Romney spokesman said it was “a shell game.”"
But that doesn’t mean that the Medicare trust fund will be slashed or its “piggy bank” “robbed” or “raided,” or any other claim we’d put firmly in the category of “senior scare.” (emphasis mine)
Romney does have a point in essentially calling this an accounting trick. And he could spend time making that claim instead of a demonstrably false one. You can argue over whether or not the CBO was therefore wrong to say the ACA cuts the deficit. But you cannot say payroll taxes are going toward the ACA anymore than you can say your personal savings in the bank are going toward someone else's loan. Just like those savings are still legally yours, so are the trust funds still legally Medicare's. Any money that is borrowed from the fund has to be paid back.

I am not quite sure why the Wonkbloggers are doing this. And I can find no explanation as to why they keep coming to the exact opposite conclusion as these major independent fact checkers, including the Washington Post’s own Glenn Kessler. Could It be the double counting? Romney could certainly say Obamacare isn’t paid for, or that it adds to the debt (but not deficit). However, as Glenn Kessler has noted, that would open Republicans (including his own VP Pick) to criticisms of hypocrisy since those claims can be leveled at nearly any deficit reduction plan, including many of the GOP's own.

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