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Friday 17 August 2012
Health Reform Strengthens Medicare, Doesn't "Rob" It

The 2010 health reform law (the Affordable Care Act, or ACA) has significantly improved Medicare’s long-term financial outlook, as we have previously pointed out. Recent claims that health reform “robs Medicare” and does not “shore up Medicare’s finances” are flatly false, as the recent report of the program’s trustees shows.

The Congressional Budget Office estimates that the ACA will reduce Medicare’s projected spending by $716 billion over the 2013-2023 period. As John McDonough of Harvard’s School of Public Health explains: “None of these reductions were financed by cuts to Medicare enrollees’ eligibility or benefits; benefits were improved in the ACA. Cuts were focused on hospitals, health insurers, home health, and other providers.”

Medicare’s trustees confirm that health reform has improved the program’s finances: “The financial status of the HI [Hospital Insurance] trust fund was substantially improved by the lower expenditures and additional tax revenues instituted by the Affordable Care Act.” (See page 4 here.)

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