Republican Medicare Farce: Doctor Payment Costs Paid by Changes in Obamacare—Which Republicans Vow to Repeal

Stories like this are making the collective American pull our hair out.  Doctor compensation under Medicare is going to be cut 20% unless the reduction is delayed.  Of course, the pay cut must be prevented—both out of fairness to doctors and to keep them from refusing to take Medicare patients.

But such increases in budget are supposed to be paid for.  So, what “deal” do Senators agree to in order to “pay” for the pay cut delay?  From the story:

The $15 billion cost of the one-year pay fix for doctors treating Medicare and military Tricare patients will be paid for by changing a provision on recouping excess subsidy payments in the healthcare legislation enacted this year. The government will be able to recover more excess insurance subsidy payments to individuals than provided under the existing law. The change will save $19 billion over the next 10 years, according to congressional estimates.

So, let me get this straight: Republicans have agreed to pay for the bill by making adjustments to a law they have vowed to repeal!

Either the Republicans don’t intend to revoke Obamacare—in which case the scorched earth from their voters won’t leave any of them standing—or more likely, this is just another in the infinite number of budget gimmicks that kick tough calls down the road.  This is irresponsible legislating, but the cynicism of the Republicans in agreeing to use future adjustments in a law they say they want to disappear is beyond belief.  Color me disgusted.

Dear Reader,

Can I be direct with you?

War abroad. Socialists on the rise. AI upending human life. Endless uproar online. The modern attention economy doesn’t want readers — it wants users enslaved to the tyranny of the present.

First Things is the antidote: literary excellence, timeless truths, and a fixed point of reference in a culture that has lost its bearings.

But we can’t do it without readers like you.

Our goal: Raise $150,000 by November 1 to sustain First Things in the year ahead.


Your gift anchors readers in the permanent things.

Make your Fall Campaign gift now using the button below.

GIVE NOW

If you have any questions or would like more information, please contact Giovanni Del Piero, Director of the Editor’s Circle, at gdelpiero@firstthings.com or 212-627-1985.

Next
YOU MIGHT ALSO LIKE

The Church in the Age of Therapy

Matthew Loftus

In 1966, Philip Rieff wrote in The Triumph of the Therapeutic that “Religious man was born to…

Canada’s Deadliest Blind Spot

Anna Farrow

On September 20, the Daily Mail ran a story with the provocative headline, “Our 83-year-old Christian grandmother…

The Faithful Joy of Dolly Parton and Fulton Sheen

Mike Aquilina

Dolly Parton and Fulton Sheen seem to have had little in common. She favored rhinestones; he wore…