The “Better Way” policy package that Ryan drafted earlier this year with the aid of his fellow House Republicans proposed a broad package of proposed Medicare reforms, ranging from the repeal of the IPAB to expanding the privately managed Medicare Advantage program to a full-blown overhaul of the Medicare system into a “premium support” model.
That would involve transforming Medicare from a largely single-payer federal program to a private model where seniors would be(sic) federal subsidies to buy private insurance — similar to the subsidies available to younger Americans who can now buy insurance on the ACA-mandated state marketplaces.
Medicare Advantage doesn't work for me because I'm a South Dakota resident and I never go there. Those programs tend to be local and require you to use their network of doctors. So that will be the end of traveling for us.
I don't know about you, but after two heart procedures, two ear drum rebuilds and three foot surgeries, I am not insurable. Is Ryan's plan going to do what the ACA did and forbid the use of pre-existing conditions to deny coverage? I'm pretty sure anyone who is 65 or older has something in their health history the the insurance companies won't like. Insurance premiums for the elderly are going to be punishing.
I am just sick to my stomach. The new EPA guy is a climate change denier. A key member of Trump's team is Ken Blackwell, who thinks being gay is a lifestyle choice. Trump has already said he's cutting spending for education in the first 100 days. This will allow further dumbing down of the country. Even I, a chronic pessimist, underestimated how bad this is going to be. I know many people are relying on the checks and balances provided by the three branches of government to control the amount of mayhem done, but when all three branches are controlled by the Republicans, it's hard to see where there will be many checks.
If this comes to pass, I wonder how the pensioners in Florida will feel about their support for Trump.
Then, there is this. Political correctness, aka good manners, dictated that while one could have such thoughts, one did not give voice to them. So much for that. The bullying of those who are not white males has already begun in schools and on the streets.
Even though it's not part of today's rant, I'm also concerned about the demise of the ACA, cuts in funding for the disabled and the hole being torn in the public safety net.
I promise I'm not going to make this a political blog. However, it's a journal of where I've been, and right now I am back on the edge.
So, I will leave you with this lovely image from today's hike in the Tucson Mountains.