A Question for Paul Ryan

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Earlier this morning I wrote a post about the differences between Paul Ryan’s 2012 Medicare plan and Paul Ryan’s 2013 Medicare plan. My point was simple: the 2013 plan is quite different from the 2012 plan, and if we’re going to attack his plan, we should be attacking the current one.

So here’s the main point of attack: Ryan’s 2013 plan relies on competitive bidding to lower costs. Healthcare providers all bid for Medicare contracts, and seniors get a voucher equal to the second lowest bid. That way, there are always at least two plans they can buy without having to fork out any money beyond the value of the voucher.

But Ryan also includes a “fallback” growth cap. The overall cost of Medicare won’t be allowed to rise faster than GDP + 0.5%.

So here’s the question reporters should be asking Ryan: What happens if all the bidders submit bids that are over the growth cap? Who pays the difference? Seniors?

If not seniors, then who? You can’t just arbitrarily force everyone to lower their bids. Nor can you lower payments to providers for specific services, since you’re just soliciting bids for insurance coverage, not paying providers directly for services. So what happens?

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Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

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Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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