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January jobs report: Unemployment rate falls to 4%, wages rise more than forecast; Trump signs order imposing sanctions on International Criminal Court over investigations of Israel; Ten Commandments in public schools debate reaches South Dakota; Virginia ranks among worst states for wage theft; Mexican long-nosed bat makes appearance in Arizona.

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Attorney General Pam Bondi strikes a Trump tone at the Justice Department, federal workers get more time to consider buyouts, and an unclassified email request from the White House worries CIA vets.

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During Black History Month, a new book shares how a unique partnership built 5,000 schools for Black students, anti-hunger advocates say ag communities would benefit from an expanded SNAP program, and Americans have $90 billion in unpaid medical bills.

Presidential Debates: Where Exactly is That Medicare Cut?

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Wednesday, October 10, 2012   

CONCORD, N.H. - Proposed cuts to Medicare were a major point of contention in the first presidential debate, and they are likely to be a heated issue in Thursday's debate between the vice presidential candidates.

In the first debate, Republican challenger Mitt Romney warned that re-electing President Obama means "a $716 billion cut to Medicare." But Paul Van de Water. senior fellow at the Center on Budget and Policy Priorities, says what's being reduced under the Affordable Care Act are overpayments to private Medicare Advantage plans and the rate of growth in payments to health-care providers.

"None of this involves actually reducing the benefits that Medicare beneficiaries will receive, in terms of doctor's visits and hospital stays and nursing home stays."

Romney argues that up to 4 million Americans could lose their Medicare Advantage plans. Van de Water says the budget proposal made by Rep. Paul Ryan, R-Wis., included the same reductions in provider payments and Medicare Advantage as does Obamacare, but now as the vice presidential nominee, Ryan has indicated he will follow the Romney plan.

Stephen Gorin, executive director of the New Hampshire chapter of the National Association of Social Workers, says all sides in this debate need to remember the gains that many folks in New Hampshire have made under the Affordable Care Act.

"It's provided free wellness and preventive-service benefits to older adults and, in addition, it begins closing the Medicare prescription drug 'doughnut hole,' which so many older adults are concerned about."

Whether you call them cuts or savings, Van de Water says, Medicare actuaries say those that were built into the Affordable Care Act are expected to extend the life of the program through 2024.

"The savings are legitimately viewed as making the program run more efficiently and, very importantly, these savings extend the life of the Hospital Insurance Trust Fund by eight years."

Conversely, Van de Water says Romney's pledge to kill Obamacare could shorten the life of the trust fund, with it running out of funds as soon as 2016.


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