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center for american progress
Dr. Oz Nomination Seen as Potential Boon for Medicare Privatization
"Dr. Oz wants to fully privatize Medicare," warned one advocacy group. "That’s why Donald Trump put him in charge of Medicare."
Nov 20, 2024
Dr. Mehmet Oz, whose unsuccessful 2022 Pennsylvania Senate bid included pitching voters on a plan to expand the privatized Medicare Advantage program, is now in a position to potentially actualize that plan.
President-elect Donald Trump announced Tuesday that Oz, also known by his TV personality name Dr. Oz, is his pick to lead the Centers for Medicare and Medicaid Services (CMS).
"Dr. Oz—a massive investor in Pharma—told the voters of Pennsylvania his plans to privatize Medicare… and they rejected him. Now Trump is giving him the authority to see his industry-approved plan carried through," wrote the progressive-leaning outlet The Lever, which covered Oz's support for Medicare Advantage back in 2022.
Through Medicare Advantage, which has been promoted by Trump and other congressional Republicans, seniors can opt out of traditional government-run Medicare health plans and instead choose plans administered by private insurers, such as UnitedHealthcare and Cigna.
According to The Lever's 2022 reporting, Oz pushed Medicare Advantage plans on his show The Dr. Oz Show and co-wrote a 2020 column for Forbes with a former healthcare executive in which they argued that a "Medicare Advantage For All" plan can "save" our healthcare system. In the column, Oz and his co-author articulated a plan to expand Medicare Advantage by imposing a 20% payroll tax.
Oz "is not a good pick for a very powerful position in charge of a trillion dollars of healthcare spending," wrote Matt Stoller of the American Economic Liberties Project on X, in reference to The Lever's investigation.
The Lever also reported that Oz's plan to expand private plans under Medicare Advantage could "boost companies in which he invests." For example, Oz and his wife owned up to $550,000 worth of stock in UnitedHealth Group, at the time of reporting. UnitedHealthcare and Humana account for nearly half, or 47%, of Medicare Advantage enrollees nationwide, according to the health policy organization KFF.
Additionally, a 2022 investigation by The New York Timesfound that major health insurers have exploited Medicare Advantage to boost their profits by billions of dollars.
Project 2025, a list of right-wing policy proposals led by the Heritage Foundation that Trump has tried to distance himself from, calls for making Medicare Advantage the default option for Medicare beneficiaries, which, if enacted, "would be a multibillion-dollar annual giveaway to corporations at the expense of Medicare enrollees and taxpayers," according to the liberal research and advocacy organization the Center for American Progress.
Robert Weissman, co-president of Public Citizen, offered a related critique of Oz: Americans "need someone who will crack down on insurers who want to deny care to the sick, providers who skimp on quality healthcare, corporations that want to privatize Medicare, and Big Pharma profiteers and ideologues who want to slash Medicaid and refuse care to low-income people. What they do not need is a healthcare huckster, which unfortunately Dr. Mehmet Oz appears to have become, having spent much of his recent career hawking products of dubious medical value."
In addition to the potential boon for private insurers, some researchers, news outlets, and members of Congress have also raised concerns about the quality of care administered under Medicare Advantage.
A 2022 government report found that "[Medicare Advantage Organizations] sometimes delayed or denied Medicare Advantage beneficiaries' access to services, even though the requests met Medicare coverage rules" and also "denied payments to providers for some services that met both Medicare coverage rules and [Medicare Advantage Organization] billing rules."
In October, a group of three Democratic lawmakers wrote to the current CMS administrator about increasingly widespread abuses and care denials by for-profit Medicare Advantage insurers.
"We are concerned that in many instances MA plans are failing to deliver, compromising timely access to care, and undermining the ability of seniors and Americans with disabilities to purchase the coverage that’s right for them," Sen. Ron Wyden (D-Ore.), Rep. Frank Pallone Jr. (D-N.J.), and Rep. Richard Neal (D-Mass.) wrote in a letter.
"We continue to hear alarming reports from seniors and their families, beneficiary advocates, and healthcare providers that MA plans are falling short, and finding a good plan is too difficult," they wrote.
In particular, they pointed to Medicare Advantage plans' growing reliance on prior authorization, a complex, barrier-ridden process whereby doctors must demonstrate a proposed treatment is medically necessary before the insurer will cover it.
"Overuse of prior authorization is not only harmful to patients, it hinders healthcare providers' ability to offer best-in-class service," they added.
Social Security Works, a progressive advocacy group, warned in a social media post Tuesday that "Dr. Oz wants to fully privatize Medicare."
"That's why Donald Trump put him in charge of Medicare," the group added. "We will fight to stop this charlatan from getting anywhere near our Medicare system."
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Project 2025 Would Lower Taxes for Rich, Hike Them for Everyone Else: Analysis
"This analysis lays bare how the extreme, conservative Project 2025 plan is more of the same from conservative leaders—delivering handouts to the wealthy and corporations on the backs of working people."
Aug 28, 2024
The Center for American Progress on Tuesday released an analysis of the tax plans in Project 2025, a right-wing manifesto whose authors have close ties to Republican presidential nominee Donald Trump, showing that conservatives aim to lower taxes on corporations and the rich while raising them on working- and middle-class Americans.
The liberal research and advocacy group, which published the analysis as part of a series of in-depth articles on Project 2025, found that the right-wing plan would raise income taxes for the median family of four by about $3,000, cut taxes by at least $1.5 million for a household earning more than $10 million per year, on average, and cut the corporate tax rate to 18% from 21%, an already historically low rate instituted by Republicans in 2017.
The analysis, authored by Brendan Duke, a senior director of economic policy at CAP, shows that, of households with a married couple and two children, only those earning more than $170,000 per year would see a tax break under the Project 2025 plan.
"This analysis lays bare how the extreme, conservative Project 2025 plan is more of the same from conservative leaders—delivering handouts to the wealthy and corporations on the backs of working people," Kobie Christian, a spokesperson at Unrig Our Economy, an advocacy group, said in a statement.
Project 2025’s income tax plan would increase taxes on middle class families. Only families making over $170,000 would get a tax cut.
cc: @amprog pic.twitter.com/O76weQ9MGm
— Steven Rattner (@SteveRattner) August 27, 2024
The Project 2025 plan would consolidate seven tax brackets into just two—15% and 30%—on the grounds that it would "simplify" the tax code. However, CAP says that the existing number of tax brackets don't create any additional complexity and are easily dealt with by tax-filing software. Moreover, 70% of tax filers only deal with the two lowest tax brackets—10% and 12%—"so they effectively are already in a two-bracket system," Duke wrote.
CAP's findings about the impact of Project 2025's tax proposals on median earners are in keeping with those of the Democrats on the U.S. congressional Joint Economic Committee, who released a similar analysis earlier this month.
CAP included projections of the impact that Project 2025 would have on median income earners in each state and in the District of Columbia. Only in D.C., a high-earning area, were median earners projected to pay lower taxes under the right-wing plan; in all 50 states, their taxes went up.
It's unclear how popular the Project 2025 tax plans would be. Polling from Navigator Research, a progressive polling firm, in February showed that the vast majority of Americans favor increasing taxes on the rich and large corporations.
In addition to the immediate tax plans laid out above, Project 2025 also puts forth a long-term plan to replace all income taxes with a value-added tax—a flat, regressive proposal endorsed by some U.S. House Republicans. In addition to the injustice of such a plan, it may also be impractical. CAP found that it would require a value-added tax—similar to a sales tax—on everything, even essential items such as groceries and healthcare, of at least 45%, if it were to replace lost government revenues, and warned that this would cause inflation.
Project 2025 policy agenda is a 920-page manifesto written by right-wing groups including the Heritage Foundation. The plan has drawn intense media attention in recent months and has proven unpopular with the American public, leading Trump, who was president from 2017 to 2021, to repeatedly try to distance himself from it. However, 140 of his former administration officials helped create the manifesto.
Stephen Moore, a Heritage Foundation fellow and an outside economic adviser to Trump, helped write Project 2025 tax plan, according to Duke. Moore drew scrutiny this week for questioning the need for the child tax credit.
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Project 2025's Plan to Kill Medicare Via Default Enrollments in For-Profit Alternative
"If implemented, Project 2025 would lead to a multibillion-dollar annual giveaway to corporations at the expense of Medicare enrollees and taxpayers," warns a new Center for American Progress report.
Aug 15, 2024
Project 2025—the far-right initiative to expand U.S. presidential power and purge the federal civil service—poses a dire threat to the government-run healthcare coverage enjoyed by tens of millions of senior citizens by making private, for-profit Medicare Advantage plans the default option for all Medicare enrollees, a report published Thursday warned.
The Center for American Progress (CAP) report said the goal of the Heritage Foundation and other right-wing groups behind Project 2025 involves "pushing the United States toward a future of fully privatized Medicare."
"If implemented, Project 2025 would lead to a multibillion-dollar annual giveaway to corporations at the expense of Medicare enrollees and taxpayers, and at the expense of Medicare's financial sustainability," CAP said, noting that "Medicare Advantage costs the Medicare program 22% more per enrollee than traditional Medicare."
"If Project 2025's plan to make MA the default option were to expand the proportion of Medicare beneficiaries in MA to 75%—up from its current enrollment level of 51%—CAP estimates that wasteful spending could approach an eye-popping $2 trillion over 10 years," the publication states.
Furthermore, the report says that "making Medicare Advantage the default option would restrict more Medicare enrollees' options over which doctors and hospitals they can receive care from."
Report co-author and CAP research associate for health policy Brian Keyser said in a statement that "Project 2025's plan to make Medicare Advantage the default option would give corporations even more power and strip doctors and patients of the freedom to make decisions about what care enrollees can or cannot receive."
"Project 2025's plan makes it clear—its priority is to help boost profit-driven corporations' bottom lines at the expense of Medicare enrollees' access to care and the future solvency of Medicare," Keyser added.
Often derided as "Medicare Disadvantage" by critics, MA was created by a GOP-controlled Congress and signed into law in 2003 by then-President George W. Bush "as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies," according to frequent Common Dreams opinion contributor Thom Hartmann.
A report published last year by Physicians for a National Health Program revealed that MA plans are overcharging U.S. taxpayers by up to $140 billion per year, enough to completely eliminate Medicare Part B premiums or fully fund Medicare's prescription drug program.
The MA report is part of a CAP series on Project 2025—which also includes ananalysis from last week showing how the initiative "would make it easier for big corporations to dump dangerous toxins that poison Americans."
According to the report, the initiative's plan to dismantle environmental regulations—as former President Donald Trump, the 2024 GOP nominee, did during his first term—threatens to reverse progress in protecting Americans from toxins like lead, soot, and other poisons including per- and polyfluoroalkyl substances (PFAS), also known as "forever chemicals" because they don't break down easily over time.
In an attempt to distance himself from the extremist agenda, Trump has claimed that he "knows nothing about" Project 2025 or who is behind it.
However, at least 140 people who worked in the first Trump administration have been involved with Project 2025, and last week The Washington Post published an article revealing that Trump took a private jet flight with Heritage Foundation president Kevin Roberts to a conference where the GOP nominee said that the conservative think tank is "going to lay the groundwork and detail plans for exactly what our movement will do."
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