If Romney wins the Republican nomination, his plan promises to become a major issue in the general election against President Obama. Obama’s forces have begun characterizing Romney’s solution as a bid to dismantle Medicare, even though it contains concepts that have been backed by some Democrats.
“It shouldn’t be a surprise that Romney’s Medicare plan is missing the details,’’ said Kara Carscaden, an Obama campaign spokeswoman.
The downside for seniors is they would be exposed to potential costs that they do not pay now. Some analysts fault Romney’s plan for its lack of detail on this crucial point, saying it amounts to a politically calculated attempt to appear simultaneously bold yet protective of the popular entitlement.
“He’s trying to put in place something but he doesn’t want to admit what it would do,’’ said Stuart Altman, a national health policy professor at Brandeis University. “It’s going to start extracting more money from beneficiaries. Romney’s been very vague to hide what are tough political issues. He clearly wants to have his cake and eat it too.’’
Dr. Ezekiel Emanuel, a senior fellow at the left-leaning Center for American Progress and former Obama health adviser who helped craft the health reform law, criticized Romney for failing to address a crucial point: “This is nothing more than a cost shift from the government to individuals. There’s nothing built in that has any serious cost control.’’
Other important details are missing from his plan, health policy analysts say, including the size of vouchers and how they would grow. Romney also does not provide estimates on how much the plan would save the federal government.[/B] Nor does his proposal address how geographic variances in costs may affect premiums and seniors’ options. Without knowing these answers, the plan is difficult to evaluate, analysts say.
“The details really matter because they ultimately determine what it will mean for seniors’ costs and for Medicare spending,’’ said Tricia Neuman, a senior vice president at the Henry J. Kaiser Family Foundation and director of the organization’s Medicare research.
Senior advocates lambasted Romney’s plan. While it preserves traditional Medicare as an option, they contend, it would ultimately erode the program.
“Instead of eliminating Medicare, this is an approach that would lead to it withering on the vine,’’ said Max Richtman, chief executive of the National Committee to Preserve Social Security and Medicare.
Older, sicker seniors would be more likely to opt for traditional Medicare while younger, healthier ones would choose cheaper, less comprehensive private plans, Richtman said. That would mean the Medicare plan would cost the government more, because it would be paying to care for the sickest patients.