No one would accuse TIME columnist Joe Klein of harboring any love for Republicans. That’s why it’s interesting to read Klein taking Democrats to task for reviving the strategy of scaring people about their Medicare.
Meet Linda … who joins Harry and Louise, and dozens of other average Americans–some real, some conjured–in the long, sordid history of political ads designed to scare the bejeezus out of other average Americans over health care. Linda appears to be real. She’s from Little Rock. She’s been married to the same lucky fellow for 37 years, and they have two “great” kids. We know this because a black-and-white family photo is shown prominently at the beginning of the ad. Then we see Linda, who seems to be in her 50s, with tightly curled gray hair and glasses, sitting in her breakfast nook gazing at her Apple computer. Retirement is just around the corner, she says. “That’s why I was so concerned when I read”–and here she seems to be reading off her computer–”that Tom Cotton voted to turn Medicare into a voucher system” that would allow insurance companies to “increase rates, cut benefits and cost seniors thousands more each year.”
It’s a brilliant ad, classic Mediscare. The fact that Linda seems to be reading the horrific news about Cotton off her computer lends a subtle authority to the information. Is it accurate? Well, yes and no. Cotton and 218 of his colleagues in the House did indeed vote for the Paul Ryan budget, which would slash costs by moving to a privatized “premium support”–or voucher–system of health care delivery for senior citizens. Is that a bad idea? Probably not. In fact, a more generous version already exists in the form of Medicare Advantage, the private-sector Medicare alternative that seems to be going great guns in the Obamacare era: an estimated 30% of seniors have signed up, an increase of 38% in recent years. The brute force of competition (plus some federal subsidies that both parties want to diminish) has allowed increased benefits like gym memberships and free medication. The fact that many of these plans are based within systems where doctors are paid salaries makes it potentially more cost-effective than classic fee-for-service Medicare. It would be very valuable to have a serious conversation about this. Pryor is a fiscal conservative. He’s said that all programs (including Medicare, presumably) should be on the table. He could be part of the solution, rather than hiding behind traditional Democratic battlements.