The Call-In: Answering Your Questions About The Republican Health Care Plan : NPR:

Among other things, sounds like reduction in Medicaid will hurt senior citizens who needs help with long-term conditions. (Maybe that part of the market-based/evolutionary forces of the “Ryancare” plan? The poor and the elderly are no longer “productive” for society, so, cut them loose, leave to the sole care of their families, to die on their own? That’s what it seems like to me.)


MARTY ALLEN: My name is Marty Allen. I’m going on to Medicare in April. I don’t know how the Republican plan is going to affect Medicare, but I’m hearing here and there that it will. Do you have any answers to that question? I realize it’s rather large and broad, but I don’t know how to make it more specific.

GRAYSON: That’s a great question. So how about I make the answer large and broad and then try to get specific? Trump has said he is not going to touch Medicare. End of story. I’m putting that on the table. The bill does actually repeal some taxes that right now go to fund Medicare. That’s actually more of a political problem. Politicians are going to have to figure out how to fund Medicare. I’m not sure somebody who’s actually on Medicare is going to really feel that. But here’s a sort of more nuanced answer. Medicare is the health insurance for people 65 and older, and it takes care of routine medical care. It will also take care if you need to go to the emergency room. You break a hip or something, you need to be hospitalized for a bit, that’s Medicare.

Say you’ve got Alzheimer’s and you need long-term care. That’s actually Medicaid that pays for that. Medicaid pays for a lot of seniors who need longer term care – they’re in nursing homes, they’ve got disabilities. And Medicaid under this bill is actually going to be cut substantially. And states, when they lose this money from the federal government, are going to have to make some pretty tough decisions about who they’re going to cover.