Reports by Paul N. Van de Water
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The Case Against Premium Support
December 21, 2011
On December 16, 2011, the Brookings Institution's project on Budgeting for National Priorities hosted a discussion of the proposal for Medicare premium support developed by former Office of Management and Budget Director Alice Rivlin and former Senator Pete Domenici. [1] That proposal, and the markedly similar proposal advanced by House … -
Ryan-Wyden Premium Support Proposal Not What It May Seem
Revised December 21, 2011
The proposal for Medicare premium support by House Budget Committee Chairman Paul Ryan (R-WI) and Senator Ron Wyden (D-OR) differs in key respects from how many media reports are describing it.[1] Despite claims to the contrary, it likely would shift substantial costs to beneficiaries rather than protect them from such cost increases, could … -
Media Briefing: A Closer Look at the Ryan-Wyden Plan to Reform Medicare
December 20, 2011
The Center on Budget and Policy Priorities held a conference call briefing on Tuesday, December 20 at 12:30 pm (ET) to discuss the new Medicare reform framework put forth by Rep. Paul Ryan and Sen. Ron Wyden. Ezekiel Emanuel, a world-renowned bioethicist and health care expert, former Special Adviser for Health Policy to the Director of the Office of Management and Budget and Chair of the Department of Medical Ethics and Health Policy and Vice Provost for Global Initiatives at the University of Pennsylvania, and Senior Fellow, Center for American Progress joined CBPP's Senior Fellow Paul Van de Water, and CBPP President, Robert Greenstein to discuss the implications of the Ryan-Wyden plan on Medicare, its beneficiaries, and health care costs.
Duration: 18:27
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Democrats Offer Significant Concessions
Revised November 1, 2011
The new deficit-reduction plan from several Democrats on the congressional Joint Select Committee on Deficit Reduction (the "supercommittee") marks a dramatic departure from traditional Democratic positions — and actually stands well to the right of plans by the co-chairs of the bipartisan Bowles-Simpson commission and the … -
Republican Plan Contains Minuscule Revenue Increase Alongside Deep Cuts in Medicare and Medicaid
October 31, 2011
The latest proposal by Republicans on the congressional Joint Select Committee on Deficit Reduction (the "supercommittee") contains virtually no new revenue and deep cuts in Medicare and Medicaid. In those respects, it represents little change from earlier Republican budget proposals. It stands in contrast to last week's … -
Statement: Paul N. Van de Water, Senior Fellow, on the CLASS Act
October 14, 2011
Health and Human Services (HHS) Secretary Kathleen Sebelius’ announcement today that her department has not been able to design a financially self-sustaining CLASS program within the law’s boundaries is sad but not surprising. It does not, however, eliminate the need for new … -
“Supercommittee” Should Develop Balanced Package of Tax Increases and Spending Cuts
September 27, 2011
The new congressional committee on deficit reduction (the so-called "supercommittee") not only can consider revenue increases, but must consider them — as well as spending cuts — if it's going to produce a balanced plan. [1] There are five main reasons why. Spending cuts alone can't do the job. … -
Converting Medicare to Premium Support Would Likely Lead to Two-Tier Health Care System
September 26, 2011
Some policymakers and analysts have proposed to convert Medicare to a "premium support" system — that is, replace its guarantee of health coverage with a flat payment that beneficiaries could use to help them purchase private insurance or, in some versions, traditional Medicare. But proponents have crafted a … -
Media Briefing: Raising the Medicare Eligibility Age: A Misguided Deficit-Reduction Proposal
September 12, 2011
The Center on Budget and Policy Priorities will hold a conference call briefing on Monday, September 12 at 11:00 a.m. (ET) to discuss the impact of raising the Medicare eligibility age from 65 to 67, a proposal that the Congressional Joint Select Committee on Deficit Reduction is expected to consider in its effort to reduce the nation's long-term deficit.
Duration: 15:11
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Raising Medicare’s Eligibility Age Would Increase Overall Health Spending and Shift Costs to Seniors, States, and Employers
August 23, 2011
Raising Medicare's eligibility age from 65 to 67, which the new Joint Select Committee will likely consider this fall as a deficit-reduction measure, would not only fail to constrain health care costs across the economy; it would increase them. While this proposal would save the federal government money, it would do so by shifting costs … -
Testimony: Paul N. Van de Water, Senior Fellow, On the Financial Status of the Medicare Program
July 12, 2011
Mr. Chairman, Mr. Davis, and members of the subcommittee, I appreciate the invitation to appear before you today. Although Medicare faces significant financing challenges, claims that the program is nearing “bankruptcy” are highly misleading. The 2011 report of … -
Testimony: Paul Van de Water, Senior Fellow, on Budget Enforcement Mechanisms
May 4, 2011
Mr. Chairman, Senator Hatch, and members of the committee, I appreciate the invitation to appear before you today. The federal budget is on an unsustainable path. If we continue current policies — including a further extension of the 2001 and 2003 tax cuts and AMT relief — deficits will remain high throughout the … -
Proposed Cap on Federal Spending Would Force Deep Cuts in Medicare, Medicaid, and Social Security
Revised April 15, 2011
A prominent proposal by Senators Bob Corker (R-TN) and Claire McCaskill (D-MO) to limit total federal spending to no more than 20.6 percent of the Gross Domestic Product (GDP), which is attracting increasing attention, may sound benign, but it would inevitably force enormous cuts in Medicare, Medicaid, and possibly Social Security. The … -
Podcast: The Effect of Chairman Ryan’s Radical Budget Plan on Medicare
April 13, 2011
Paul Van de Water, Senior Fellow, discusses how Chairman Paul Ryan’s budget plan would affect Medicare.
Duration: 4:22
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Ryan-Rivlin Plan Would End Guaranteed Medicare, Shift Medicaid Costs To States And Beneficiaries
Revised March 22, 2011
Rep. Paul Ryan (R-WI), chair of the House Budget Committee, and Alice Rivlin, former director of the Congressional Budget Office and the Office of Management and Budget, issued a proposal in November that would make deep reductions in Medicare and Medicaid benefits and fundamentally alter the nature of those programs.[1] The proposal … -
Testimony: Paul Van de Water, Senior Fellow, Before the Committee on the Budget
March 17, 2011
Mr. Chairman, Mr. Van Hollen, and members of the committee, I appreciate the invitation to appear before you today to discuss health and retirement security. Our landmark public programs — Social Security, Medicare, and Medicaid — are bulwarks in defending the well-being of America’s seniors and people with disabilities.… -
Testimony of Paul N. Van de Water, Senior Fellow, Before the Committee on Finance
March 16, 2011
Mr. Chairman, Senator Hatch, and members of the committee, I appreciate the invitation to appear before you today. When Congress was about to enact health reform last March, the Congressional Budget Office (CBO) estimated that the legislation would reduce the deficit — modestly in its first ten years, but substantially in the … -
Bowles-Simpson Social Security Proposal Not a Good Starting Point for Reforms
February 17, 2011
The Social Security proposal from the co-chairs of President Obama’s fiscal commission is not a suitable starting point, let alone a reasonable outcome, for Social Security reform because it relies far too much on deep benefit cuts to restore solvency to the program and makes a number of harmful changes. The Social Security proposal … -
Testimony: Paul Van de Water, Senior Fellow, Before the Committee on Education and the Workforce U.S. House of Representatives
February 9, 2011
Mr. Chairman, Mr. Miller, and members of the committee, I appreciate the invitation to appear before you today to discuss the impact of health reform on the economy, employers, and the workforce. My testimony draws on a letter that I and over 250 other economists have submitted to the committee (a copy of which is attached). The … -
Health Policy Brief: Governance Issues for Health Insurance Exchanges
February 1, 2011
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Corker-McCaskill Spending Cap Doesn’t Account for Basic Changes in Society and Government
February 1, 2011
The proposal from Senators Bob Corker (R-TN) and Claire McCaskill (D-MO) to limit total federal spending to 20.6 percent of gross domestic product (GDP), the average from 1970 to 2008, would force draconian cuts in Social Security, Medicare, and many other programs while making it harder for the nation to recover from recession. That’s because the proposal, which … -
Testimony: Paul Van de Water, Senior Fellow, Before the Committee on the Budget
January 26, 2011
Mr. Chairman, Mr. Van Hollen, and members of the committee, I appreciate the invitation to appear before you today. When Congress was about to enact health reform last March, the Congressional Budget Office (CBO) estimated that the legislation would reduce the deficit — modestly in its first ten years, but substantially in the following decade. [1] CBO has reiterated that finding … -
Social Security Benefits are Modest
January 11, 2011
Social Security benefits may be on the chopping block as policymakers wrestle with the nation’s long-term fiscal challenges. The co-chairs of the President’s fiscal commission, Erskine Bowles and Alan Simpson, proposed a plan to ensure Social Security’s long-term solvency that relies on benefit cuts for two-thirds of its savings over the next 75 years, and … -
Debunking False Claims About Health Reform, Jobs, and the Deficit
January 7, 2011
Proponents of repealing the health reform law (the Affordable Care Act) argue that that the law will increase deficits — contrary to the Congressional Budget Office’s finding that it will reduce deficits by $143 billion over 2010-2019 and by about $1.3 trillion over the following decade [1] — and that it will “kill jobs.” Independent evidence … -
No Evidence for House Republican Charge that Health Reform Is a “Job-Killer”
January 6, 2011
Health reform will change the American economy in many ways over the next few decades, but it will not significantly change the number of jobs or the unemployment rate. A nonpartisan economic assessment by the Congressional Budget Office (CBO) finds a variety of possible labor market effects, some positive and some negative, …
