Writings and observations

Ryan, district by district

The budget proposal by U.S. Representative Paul Ryan – especially, his proposal for Medicare and Medicaid – is bound to continue to be a centerpiece of political discussion nationally. At least, it will if Democrats have anything to say about it.

Some of the shape of that may emerge through some online documents developed by the Democratic caucus on the House Energy & Commerce Committee. These are reports outlining the effect of the Ryan plan congressional district by district.

They’re accessible on a map page.

Here’s sample, a small slice of the report from Oregon’s 1st district:

The Republican proposal would have adverse impacts on seniors and disabled individuals in the district who are currently enrolled in Medicare. It would:

• Increase prescription drug costs for 8,500 Medicare beneficiaries in the district who enter the Part D donut hole, forcing them to pay an extra $84 million for drugs over the next decade.
• Eliminate new preventive care benefits for 97,000 Medicare beneficiaries in the district.

The Republican proposal would have even greater impacts on individuals in the district age 54 and younger who are not currently enrolled in Medicare. It would:

• Deny 620,000 individuals age 54 and younger in the district access to Medicare’s guaranteed benefits.
• Increase the out-of-pocket costs of health coverage by over $6,000 per year in 2022 and by almost $12,000 per year in 2032 for the 128,000 individuals in the district who are between the ages of 44 and 54.
• Require the 128,000 individuals in the district between the ages of 44 and 54 to save an additional $29.9 billion for their retirement – an average of $182,000 to $287,000 per individual – to pay for the increased cost of health coverage over their lifetimes. Younger residents of the district will have to save even higher amounts to cover their additional medical costs.
• Raise the Medicare eligibility age by at least one year to age 66 or more for 71,000 individuals in the district who are age 44 to 49 and by two years to age 67 for 496,000 individuals in the district who are age 43 or younger.

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