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Except: "There are three. Obamacare, Medicaid, and Medicare. Two out of three are going through Congress right now. So, Medicaid - sending it back to the states, capping its growth rate. We've been dreaming of this since you and I were drinking out of a keg."

Paul Ryan. (photo: Chip Somodevilla/Getty Images)
Paul Ryan. (photo: Chip Somodevilla/Getty Images)


Paul Ryan: I've Been Dreaming About Kicking the Poor off Medicaid Since I Was a Frat Boy

By Osita Nwanevu, Slate

18 March 17

 

t the National Review Institute’s Ideas Summit on Friday, House Speaker Paul Ryan had an interesting exchange with National Review editor Rich Lowry about the AHCA’s changes to Medicaid:

Lowry: You have been very clear for years—and we’ve seen compelling PowerPoint presentations—about how the entitlements and entitlements growing out of control is driving the country into a ditch on the debt. And we have a president of the United States who basically seems pledged not to touch entitlements. Where does that leave us?

Ryan: So, the health care entitlements are the big, big, big drivers of our debt. There are three. Obamacare, Medicaid, and Medicare. Two out of three are going through Congress right now. So, Medicaid—sending it back to the states, capping its growth rate. We’ve been dreaming of this since you and I were drinking out of a keg.

[Laughter]

Lowry: I was thinking about something else, he was thinking about reforming Medicaid.

Ryan: I was, I was! I’ve been thinking about this for a long time. We are on the cusp of doing something we’ve long believed in.

When Paul Ryan was doing keg stands with his Delta Tau Delta brothers, Medicaid provided insurance almost exclusively to poor families on welfare, pregnant women, and the low-income elderly and disabled on Supplemental Security Income. Today, in part due to Obamacare’s expansion of the program, Medicaid covers more than 73 million struggling Americans. Ryan’s AHCA gradually ends funding for the Medicaid expansion and allocates Medicaid funding to states based on the number of Medicaid beneficiaries rather than the actual cost of covering them as is currently the case. The Congressional Budget Office estimates that 14 million fewer Americans will be covered by the program by 2026 as a result. That number could balloon if the work requirements and block-granting currently being contemplated on the Hill make it into the final bill.

The prospect of so many being dropped from Medicaid and states footing a much larger share of Medicaid’s bills has spooked more moderate Republicans across the country—the majority of states where the federal government currently spends more than average on state Medicaid programs are deep red and 16 states with GOP governors took up the Medicaid expansion. It remains to be seen if the chance to fulfill Paul Ryan’s lifelong dream of denying the poor government insurance might tug at their heartstrings.

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+74 # CDMR 2017-03-18 14:21
This is really horrid. Ryan is a privileged frat boy just like GW Bush. They have nothing but contempt for other people. Of course, he is a follower of Ayn Rand. It might be excusable to have some interest in Ayn Rand in high school or college but at some point people need to morally and intellectually mature and go beyond Rand.

It is clear that Medicaid is the backdoor to single payer. Medicaid takes all the people that private, for-profit healthcare corporations don't want to insure. Medicaid is absolutely necessary.

Ryan is actually more dangerous than Trump. There are two reasons: 1) he is infinitely stupider in that he's an ideologue and cannot change or grow, and 2) he does not mind not being in charge of what he thinks or does. He's a pawn of the Koch Bros. They have bought him and he's satisfied with that. He does what he's told.

Medicaid should be expanding. The $54 billion Don Trumpino wants to give to transfer to the accounts of weapons corporations should be put into Medicaid

The only light at the end of this tunnel is that these TeaParty republicans now have total control of the Washington government and they are over playing heir hand. They may lose power in 2018 and 2020, if the opposition party plays its hand correctly. Sanders is doing the right things. The DNC is still licking its Nov. 2016 wounds and blaming the Russians.
 
 
+26 # librarian1984 2017-03-19 00:33
Funny how these guys disparage socialism .. but not for the rich, how they demand rugged individualism .. until their basement floods, how they embrace Ayn Rand .. until they realize they're NOT one of the elite.

Greg Palast was on Thom Hartmann this week talking about the money people behind Trump and the GOP. Very interesting, as usual. He said there are several billionaires who are running things in the government right now.

Paul 'the Vulture' Singer, a venture capitalist, owns Ryan. The Mercers, investment banker Robert and his sociopathic daughter Becca, originally backed Cruz but agreed to finance Trump when his campaign was floundering; in exchange Trump had to take on Bannon as his right hand man and had to drop the idea of eliminating the carried interest tax credit. They are writing policy. He summed it up as the Mercers running the WH, the Kochs having the Senate and Singer owning Ryan.

He said the Democrats had a few backers, like the Riyaddis (sp?) who backed the Clintons, and Penny Pritzker, who became Obama's Commerce Secretary -- but nothing to compare with the organized tentacles of the GOP.

I'm sure there are some great frat guys, but also some of the worst excuses for emotionally stunted manhood emerge from the frat system, and Ryan is such an arrogant pr!ck. I've always found that a particularly unattractive trait.Yuk.
 
 
-9 # RMF 2017-03-19 13:11
CDMR, librarian. et al:

It didn't have to be this way -- we could have elected Hillary and kept Dems in a position to veto this wholesale repeal of the progressive portfolio, dating all the way back to the New Deal or even before, with some of the TR era labor and anti-trust reforms.

But no -- the Bernie or Busters in their puritanical rage would have none of it.

Those of you out there among the Bernie or Busters know who you are -- my question is how do you sleep at night?

And before you claim it's not your fault (doth protesting too much) just know that in a close race it's a few votes at the margin that decide the outcome. (Progressives are supposed to know better, and I blame you Bernie or Busters more than the wingnuts.)
 
 
0 # lfeuille 2017-03-19 14:13
She, while further enriching those that are already rich and letting the others fall father behind. It was a matter of show death vs. quick death. The New Deal agenda had already been frayed to the point of snapping. It neoliberal economic system cannot support them because too much of the income generated has to go toward coddling the rich. The system is unsustainable and Hillary would just kick the can down the road again instead of fixing the real problems with the status quo. It is still a no win game.
 
 
-1 # RMF 2017-03-20 00:04
ifeuille
Puhleeze, even if your remarks had any semblance of credibility (they do not) it would still be better to "kick the can down the road" than to throw it in front of a speeding semi-truck.

Anyway, your remarks are totally false -- Hillary advocated support for strengthening Soc Sec and Obamacare, and her letter to AARP on Soc Sec voiced strong support for Soc Sec, and other programs part of the safety net. Trump also submitted an AARP letter, offering only tepid support for Soc Sec in the immediate term, and refusing to voice continuing support for the program going forward.

So there are the FACTS you apparently fail to comprehend. And it also seems those of you among the Hillary-hater crowd can't seem to make up your mind -- first she is a war monger, but when the topic changes, she conveniently morphs, by your lights, into a closet right winger straining to slash the health and education budget, programs which in reality she has devoted a long career to advancing.

Your position is so unfounded, so ill- informed, as to approach sophistry. The proof of that is found in your own remark about "fixing the problems with the status quo" whatever that may mean, although I will give you benefit of doubt and assume you refer to the health care system. And so, how long exactly do you believe we will have to wait for Trump/GOP to "fix" health care

Keeping Obamacare in force reserves the option to strengthen it -- killing it off and it's gone for good.
 
 
+5 # librarian1984 2017-03-20 09:35
AARP who, it was just revealed, is just peachy with Paul Ryan's plan and wants to go into the insurance business? And why not? That's where 25% of the money goes.

You are the one failing to recognize the facts, but insult away.

We've been kicking the can down the road for decades and look where it's got us. Hillary was the wrong candidate and we knew it and we were transparent about it .. and there was no fucking way I was going to vote for the corporatist warmonger who STOLE the nomination.

Hillary was and is a warmonger. That's not inconsistent with believing she wouldn't help us domestically -- not least because the wars force the neglect of domestic programs. Is there any doubt Hillary would rather fight Russians than feed kids? Not in my mind.

But I don't believe anyone said Clinton planned to gut domestic spending. She herself told us that -- after forty years of wage stagnation and poor healthcare -- WE WOULD NEED TO SETTLE FOR INCREMENTAL IMPROVEMENT.

And PLEASE, name three things Clinton did in her long and storied career to help women or children or health or education. Name a specific accomplishment.

Your arguments make no sense.
 
 
+1 # madame de farge 2017-03-20 17:08
thank you thank you thank you!!!
 
 
+1 # RMF 2017-03-20 17:41
librarian:
Don't know how you missed this story -- AARP OPPOSES TRUMPCARE -- lead story on the AARP WEBSITE and discussed at length why it's a bad deal for America.

Given the increasing stridency of your rants attacking Hillary, your real loyalties are becoming increasingly suspect, a characteristic you seem to share with a large segment of the Trump team, and we all know where that Russia-US scandal appears to be heading.

Your fact-checking failures also question your credibility in opining on these matters -- if you can't even REPORT ACCURATELY ABOUT AARP, what other false information are you attempting to disseminate, either purposely or negligently?

To inform your woeful lack of knowledge about Hillary here are several notable accomplishments:

> At Children’s Defense Fund worked with teenagers jailed in adult prisons and with families of disabled children.

> Served in instrumental role to establish the DOJ Office on Violence Against Women.

> Worked to establish the CHIP health plan for children.

> As NY Senator expanded health care for 9/11 first responders.

> Worked to expand the Family Medical Leave Act for families of injured military personnel.

But there are more, and if these aren't enough examples then check out this FOX news article, outlining ELEVEN accomplishments , which FOX claims give her bragging rights on a host of health and other issues. http://www.foxnews.com/opinion/2015/06/03/dear-hillary-clinton-help-us-help.html
 
 
0 # librarian1984 2017-03-21 12:53
Your insinuations about people's motivations reek of McCarthyist fearmongering. And you're accusing me of stridency? That's rich. Project much? How about you quit calling people names and insisting you know what they're thinking. Let's stick to facts.

As for AARP, it's sweet that you're so trusting. Watch Paul Ryan's speech introducing his plan.

Where the Russia-US scandal is heading is down the proverbial drain. It was a distraction, a way for the Dems to avoid answering for the debacle of this past year, and now it's served its purpose.

If you want to assess my accuracy, don't look forward, look back. I certainly do make mistakes, and plenty of them. But if you look back at posts of the last year I believe you'll find that the progressives here have been right at almost every turn.

Wow, that is a pathetic list of 'accomplishment s'. Where's the legislation? What were her votes? What about her totally blowing healthcare for Bill?

If you'd expand your definition of accomplishments to accommodate military interventions though, or promoting the interests of Wall Street and the fossil fuel industries -- then you might stand a chance of making your case.
 
 
+3 # librarian1984 2017-03-19 20:03
You're irrational, trying to blame anyone but the people who blew it, like those who still blame Nader. News flash: it was Hillary, her campaign, the DNC, DWS, the people who CHEATED to put Hillary in the spot even though every poll said Sanders had a better shot. Look back at the posts from six months ago. We were right about what was going to happen. You think the Dems didn't know she was a risk? They didn't care.

There ARE people who should be held accountable -- but instead they're in denial and still in power, which is going to be a problem in the upcoming elections -- and I'll tell you and them right now, I'm not voting for any more establishment politicians. They need to be following Sanders' lead. That is the only acceptable course of action at the moment.

And speaking of Hillary, why wasn't she at the Women's March? Why isn't she leading? Why isn't she out there like Bernie, rallying the opposition? Bernie has a vision. What's hers?

It was Hillary's responsibility to win votes, not ours to settle for her. The candidate was wrong. The message was wrong. The tactics were wrong. But you insist on placing the blame on people who had zero power or authority.

Tell me, what percent of the blame do you assign to Hillary and her campaign? Fifty percent, ten percent? Because it sounds like you're assigning 100% to us. Astonishingly intellectually dishonest.
 
 
0 # Skyelav 2017-03-21 19:14
She's home on the phone with George Soros.
 
 
+2 # librarian1984 2017-03-20 07:25
One assumes you've never taken a logic class. Look at this list of players and assign a percentage of responsibility to each one (add up to 100):

Clinton
Clinton's campaign
the DP
the DNC
state party members who helped cheat Sanders
DWS
Donna Brazile
Bill Clinton
Loretta Lynch
the Clinton Foundation
the Russian uranium deal
the press
Wikileaks
FBI Director Comey
Russian hackers
Putin
Jane Sanders, who retweeted Sanders' message not to follow his advice
rsn commenters

It just blows my mind that you're blaming people who had no power at all and laying not one iota of responsibility on Clinton herself.

Did progressives tell Hillary not to talk about jobs? Did Putin tell her not to go to WI? Did Comey insist she insult millennials or give secret speeches to Wall Street?

Your reasoning is fallacious. I understand you're stressed and fearful. We all are. But how is it you have not got even ONE criticism for the candidate herself? That makes your accusations suspect right off the bat.

Remember that poem, 'If you can keep your head when all about you are losing theirs and blaming it on you' etc? You should read it. Take it to heart. Your slightly hysterical and manifestly dishonest reasoning is not helping anyone.

So in your mind Hillary could be the nominee in 2020 and the ONLY change we would need to make is to not allow progressives to exercise their first amendment rights .. and then we'll win? Astonishing.
 
 
+4 # madame de farge 2017-03-20 16:58
I'll tell you what an 'entitlement' is, it is 300 corporations deducting state income taxes from their employees compensation AND KEEPING IT.... That is insanity....and causes increases in state income taxes to compensate for that....I say if they cannot make a profit without that, they CANNOT COMPETE with the small business owners and should go bankrupt....
 
 
+73 # CDMR 2017-03-18 14:44
"Ryan: So, the health care entitlements are the big, big, big drivers of our debt. There are three. Obamacare, Medicaid, and Medicare."

People pay directly into Obamacare Medicare, and Medicaid. No one gets Medicare without paying into it. No one gets Obamacare without at least some premium. These are pension programs or insurance in the case of disability. Obamacare is a subsidy to those whose jobs just don't pay enough -- that is, a subsidy to the employers so they won't have to pay a living wage.

The real driver of debt is Pentagon or spending on the US empire which amounts to about $1.5 trillion per year. The Pentagon is only about 1/3 of this money. The Dept of energy pays for all nuclear weapons, Veterans affairs pays for the cost of retired and injured soldiers. Retirement pay for officers is another budget. The State department pays for most mercenaries. Military bases around the world are concealed into several department budgets.

At least Medicare, Obamacare, and Medicaid actually help people. War and Empire spending only hurts people.

Ryan is Nietzsche's "man of resentiment." He his the privileged man whose identity was formed on the belief that others have caused his own failures. This was also Rand's pathology. He wants to punish them. The great Fyodor Dostoyevsky wrote a book about this man -- "Notes from the Underground." It is a perfect depiction of Ryan, if a little hyperbolic. There is no more despicable person in all literature.
 
 
+3 # Cassandra2012 2017-03-19 23:47
[quote name="CDMR"]"Ry an: So, the health care entitlements are the big, big, big drivers of our debt. There are three. Obamacare, Medicaid, and Medicare."

People pay directly into Obamacare Medicare, and Medicaid. No one gets Medicare without paying into it. No one gets Obamacare without at least some premium. These are pension programs or insurance in the case of disability. Obamacare is a subsidy to those whose jobs just don't pay enough -- that is, a subsidy to the employers so they won't have to pay a living wage.

The real driver of debt is Pentagon or spending on the US empire which amounts to about $1.5 trillion per year. The Pentagon is only about 1/3 of this money. The Dept of energy pays for all nuclear weapons, Veterans affairs pays for the cost of retired and injured soldiers. Retirement pay for officers is another budget. The State department pays for most mercenaries. Military bases around the world are concealed into several department budgets.

At least Medicare, Obamacare, and Medicaid actually help people. War and Empire spending only hurts people.


Time for spoiled brat 'entitled' boy Ryan to give up HIS "Cadillac" health plan... he certainly didn't earn it!
 
 
+96 # Wise woman 2017-03-18 17:05
How come single payer health care doesn't bankrupt Scandinavia, Germany, Great Britian and Canada et al? Could it be that these countries know how balance their budgets more intelligently? They're also happier less aggressive than we are. We spend on bombs. They spend on a quality and respect for life. We're truly sad.
 
 
-5 # Caliban 2017-03-19 01:38
Yes, but WE are the most powerful nation in the known universe!

The bragging rights that come with that status don't come cheap.
 
 
+1 # vt143 2017-03-21 08:43
You're joking. Right?
 
 
0 # Caliban 2017-04-29 17:02
Yes, I was joking, # vt143 -- but not very well, I see in retrospect.
 
 
+19 # Jadhu 2017-03-19 03:49
Paul Ryan has been dreaming about Medicaid cuts since his frat years?!? It's bad enough that frat boys just want to party (but somewhat understandable) . To actively want to hurt someone--you got to be sick... Comic book villians have more decency.
 
 
+20 # hectormaria 2017-03-19 06:44
Where is the humanity in this so-called Christian- I always thought Catholics cared about the poor. Just imagine the extreme anxiety and pain this policy-wonk would bring about if he ever became president.
 
 
+1 # madame de farge 2017-03-20 17:14
At least he did not spend four years as the founder and president of Fascism Forever....
 
 
0 # Skyelav 2017-03-21 19:21
HAHAHAHAH Catholics like Democrats give a lot of lip service to helping the poor but nothing has really been done to solve world hunger EVER. Notice the increase of homeless these days. What are these people doing? Nothing. At least the Republicans say they won't do anything for anyone openly.
 
 
+20 # relegn 2017-03-19 07:15
Ryan: So the health care entitlements are the big....drivers of our debt.
So Ryan doesn't think wildly over spending on a needless military buildup has an effect on national debt? Ask the Russians whose country fell apart over spending too much of their GDP on the military.
 
 
+22 # vt143 2017-03-19 07:48
Ryan is reprehensible and he still is thinking like a drunken frat boy: totally self-absorbed and unfeeling toward others. How about dropping a few more billions in bombs on poor people on the other side of the world to balance your demonic scale?
 
 
+12 # Kootenay Coyote 2017-03-19 08:00
Such a nice Christian fellow Ryan is.
 
 
+24 # REDPILLED 2017-03-19 11:31
Here is Ryan's phone number:
(202) 225-0600

Millions will suffer and many will die without Medicaid.

Call him and tell him off!

If he's a "Christian", I'm an astronaut and brain surgeon!
 
 
+14 # lfeuille 2017-03-19 14:06
This is going to kill people. He should be in jail for attempted murder.
 
 
+6 # jimallyn 2017-03-20 02:54
Paul Ryan is evil. He claims to be a Christian, but he isn't. I am a collector of quotes, and I always like to post these two together:

“I grew up reading Ayn Rand and it taught me quite a bit about who I am and what my value systems are and what my beliefs are. It's inspired me so much that it's required reading in my office for all my interns and my staff.” - Paul Ryan

“My religion is just Ayn Rand's philosophy with ceremony and ritual added.” - Anton LaVey, Founder, Church of Satan
 
 
+1 # librarian1984 2017-03-20 09:45
Fantastic.

If my potential boss gave me that cr@p to read I'd withdraw my application. Not only is the philosophy repulsive and the author a debunked hypocrite, but it fails as literature. I remember those pontificating, ponderous eighty page monologues. Ugh.

I knew a guy in HS who went weak at the knees for Randian bs. He made himself a wooden dollar sign necklace in shop class that he actually wore in public. I'll bet he's in the administration. Are you there, Stephen E? Or did you grow up?

Does Ryan have kids? If so I feel way sorry for them. Like Cruz's poor family.
 

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