A physician’s view of
President Obama’s budget
By Rep Bill Cassidy (MD)
Published: 10:18 AM 02/15/2012 | Updated: 10:24 AM 02/15/2012
The
Budget President Obama released this week demonstrates the administration’s
detachment from our current fiscal situation. As a physician, I’m particularly
concerned about the president’s refusal to offer a plan to reform Medicare so
it will be here for future generations. The budget is a tremendous opportunity
to create policy, yet the president’s budget of more spending, taxing, and debt
won’t prevent Medicare from going bankrupt. If that happens, people will
inevitably be denied access to care. And instead of increasing freedom and
choice in the Medicare market, this budget focuses on increasing federal
control — a tactic that continually fails.
The
importance of saving and strengthening Medicare through reforms cannot be
overstated. The Congressional Budget Office (CBO) recently announced that the
Medicare Trust Fund will be exhausted by 2022. Republicans and Democrats have
acknowledged that the program is at a crisis level. The bipartisan Wyden-Ryan
plan, similar to a plan proposed by Democratic Senator John Breaux during the
Clinton years, would strengthen and preserve Medicare for those who currently
depend on it, as well as for future generations. The president ignores this
plan and offers no alternative, making only small and insignificant tweaks to a
system that all agree is going bankrupt fast. Even the president’s Bipartisan
Debt Commission reported that federal health care entitlements are
unsustainable and unless restructured will bankrupt the United States.
Incredibly,
the president’s budget not only ignores entitlement reform, it makes things
worse by continuing to push the health care law passed in 2009. The health care
overhaul gutted $500 billion from Medicare to fund new entitlement provisions,
ensuring Medicare’s bankruptcy even sooner, hurting America’s seniors today,
and ensuring a diminished future for future generations.
As
a physician with the responsibility of treating Medicare patients, I’m worried
that the president is using this budget to increase the power of the
Independent Payment Advisory Board (IPAB). This unelected panel of bureaucrats
has the power to set rates paid to Medicare providers. IPAB sets a budget
target and then cuts provider reimbursements until that target is achieved — in
effect denying care to America’s seniors. It’s a scary thought but it’s about
to be a scary reality.
These
are just some of the reasons the president’s budget falls well short of being
responsible. It increases our national debt without resolving any of the
underlying problems associated with our entitlement system. It continues to
increase the debt at an astonishing rate, even though the president had
promised to halve our deficits by his fourth year in office. Even with $2
trillion in new taxes and significant military cuts, this budget still
increases the deficit by almost $1 trillion — the fourth-straight year of trillion-plus
deficits.
America
deserves more than political tactics as we seek to address our short-term and
long-term prosperity. This budget is the triumph of politics over
responsibility and it’s unfortunate. When the president was first elected, he
spoke to the Republican House members. He said that he’d rather be a good
one-term president than a mediocre two-term president. This budget suggests
that the president has changed his mind.
Rep. Bill Cassidy (M.D.) represents Louisiana’s Sixth
Congressional District.
Hat tip: DC Caller
No comments:
Post a Comment