2016 Postmortem
In reply to the discussion: All the sudden sanders wants obamacare saved. [View all]OrwellwasRight
(5,210 posts)Medicare Part D isn't single payer. Medicare Part D uses insurance companies as middle men--and therefore is "multi-payer." Medicare Parts A and B are single payer. That's the point of comparison. Ryan wants to eliminate A and B and move everyone into C, which is known as "Medicare Advantage," and which is privatized in a similar way to Part D. Medicare Advantage (Part C) funnels seniors into profit-making insurance companies just like Part D does. And then, once all seniors have been doled out to insurance companies by being forced into Part C, Ryan wants to slowly ratchet down what the government spends per senior so that seniors will have to fork out more of their own money or else forgo care -- this is what is known as a voucher program. Instead of paying for all eligible care, only a fixed cash amount will be covered, leaving some folks out in the cold. That is not single payer. It should be called guaranteed profit instead.