Medicare Is Probably Not On the 2017 Agenda

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According to Paul Ryan, he has six top priorities for the upcoming year:

Regulatory relief….Obamacare relief….reforming the tax code….foreign policy, rebuilding the military….securing the border….And then while we work on that, we want to work on poverty and restoring our constitutional separation of powers….So those are effectively the six pieces that we’ve been talking about.

I have a couple of comments about this. First, there’s nothing here about entitlement reform, or Medicare reform in particular. This doesn’t mean Medicare is safe forever, but it does suggest it’s not a briar patch Ryan wants to jump in right away.

Second, these are all really, really complex. Regulatory relief—whatever that actually means—is dauntingly complicated. Repealing Obamacare is all but impossible without Democratic support, which means months or years of negotiation. Tax cuts are easy, but Ryan seems to want wholesale tax reform on the 1986 model, which has a ton of moving parts. Securing the border is a lot more than just building a wall. And “working on poverty”—I shudder to think what he means by this—is obviously no cakewalk.

On the bright side, rebuilding the military is fairly easy. You just give them more money and hope it doesn’t go down a rat hole.

If Ryan is serious about this stuff, he’s mapped out two years of work already—and that’s not even counting whatever Donald Trump wants to throw in the mix. Put it all together, stir in Trump’s promise not to touch entitlements, and I suspect that we’re not going to see any serious movement on Medicare for at least a year, maybe more.

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Truth #1: The chaos is the point.

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

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Truth #5: It's about minority rule.

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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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