WEDNESDAY, MAY 25, 2011
Volume 2 | Issue 18
Medicare Cuts, Paul Ryan, and Ulysses
By Mark V. Nadel, Senior Fellow
House Budget Committee Chairman Paul Ryan’s proposed changes to Medicare have received a lot of attention, much of it negative, including a blistering critique from President Obama. As part of the Budget Resolution passed by the House of Representatives on April 15 the Ryan plan would change Medicare from an open-ended entitlement for the nation’s elderly and disabled to a plan in which patients would get a defined contribution payable toward a private insurance policy that they would choose. Critics point out that this would shift all the financial risk to the patient and they were quick to cite a Congressional Budget Office report that the average patients would pay $6,000 more out of pocket than they would under the current system.
Upcoming GAI Course(s):
Seminar for Executives on Legislative Operations
The Seminar for Executives on Legislative Operations is designed for members of the Senior Executive Service, SES candidates, and GS/GM 14s and 15s (or uniformed service equivalent) who would benefit from more detailed knowledge of the legislative process and are more likely to interact directly with Congress.[More]
Advanced Budget and Appropriations ProcessThe formulation and enactment of the annual federal budget is a highly complex process that involves thousands of individuals in both the executive and legislative branches. Both the House and the Senate must vote on the annual Budget Resolution, as well as on the annual appropriations measures. But the process begins when an individual program manager prepares a budget request and a justification for that request within the department or agency.[More]
Director's DeskIn a Tuesday special election to fill the seat of Chris Lee (R-NY), who resigned earlier this year, a Democrat easily prevailed over a Republican and a third party candidate. The western New York district was regarded as solidly red. Lee won 68% of the vote in November, and the district supported both John McCain in 2008 and George Bush in 2004. The main issue in the election was the Republican candidate's support for the Ryan Budget and its overhaul of Medicare. While special elections have at times been indicators of what to expect in upcoming general elections, the 2012 contests are 18 months out, which is light years in political time. Before uncorking any champagne, jubilant Democrats would do well to recall their 2010 victory in a special election in the Pennsylvania 12th, only to see massive House losses 6 months later. Some Republicans, on the other hand, may want to reconsider their embrace of Medicare reform.
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Issue 17 | May 3, 2011
Issue 16 | March 24, 2011
Issue 15 | February 9, 2011
Issue 14 | January 5, 2011
Issue 13 | December 1, 2010