When you scream, scare, and threaten, and insist that a bill be passed immediately or “people will die because they don’t have insurance”. When you tell law makers that they have to pass the bill to see what’s in it. When you have to bribe, or threaten people from your own party to get them to support you, you will get a bad result.
The report’s most sober assessments concerned Medicare.
The report projected that Medicare cuts could drive about 15 percent of hospitals and other institutional providers into the red, “possibly jeopardizing access” to care for seniors.
In addition to flagging the cuts to hospitals, nursing homes and other providers as potentially unsustainable, it projected that reductions in payments to private Medicare Advantage plans would trigger an exodus from the popular program. Enrollment would plummet by about 50 percent, as the plans reduce extra benefits that they currently offer. Seniors leaving the private plans would still have health insurance under traditional Medicare, but many might face higher out-of-pocket costs.
In another flashing yellow light, the report warned that a new voluntary long-term care insurance program created under the law faces “a very serious risk” of insolvency.