Medicare Cuts Worry Hill GOP
By Emily
Pierce,
Roll Call Staff
In what is
already shaping up to be a
critical election year for the
Republican majority, President
Bush may have created a more
dangerous political minefield
for Congressional Republicans by
advancing more cuts to Medicare
and Medicaid in his newly
released budget.
Privately,
Members on both sides of the
aisle are questioning Bush's
decision to push for the cuts,
particularly as the
administration is already being
criticized for problems with the
recent rollout of the Medicare
prescription drug program.
"I can't imagine
that the majority party here ...
will let this come through in an
election year," said Sen. Tom
Harkin (D-Iowa) during a press
conference in which he pounced
on the president's proposed
health care cuts as "heartless."
Indeed, that is
exactly the kind of criticism
Republicans quietly fear from
Democrats this year as
Republicans' favorability
ratings have been sinking along
with the president's.
"It strikes me
that [the White House] isn't
thinking about the election at
all," said one senior Senate
Republican staffer. "I can't
quite figure out why they are
going to make us jump off this
cliff."
And it appears
that few are looking forward to
a repeat of last year's bruising
intraparty battles between
conservatives and moderates over
cuts to entitlement spending.
"Probably we
would prefer not to have it this
year, but it happens every year,
so we're just used to it," said
Sarah Chamberlain Resnick,
executive director of the
Republican Main Street
Partnership, many of whose
members face tough re-election
races in Democratic-leaning
districts.
Bush's fiscal
2007 budget proposes slowing
Medicare's growth rate by nearly
$36 billion over five years by
reducing government payments for
hospitals, skilled nursing
facilities and home health care.
Additionally, higher-income
seniors would have to pay
increased Medicare premiums.
"Seniors are
already angry about the drug
benefit, and now they're saying
we should increase premiums for
[seniors with] higher incomes?"
the senior Senate Republican
aide asked incredulously.
Bush also called
this year for nearly $5 billion
in cuts to Medicaid, the
government health insurance
program for the poor and
disabled.
Despite some
nervousness about reigniting the
spending debate, particularly
among those up for re-election,
there is still a core faction of
conservatives in both chambers
pushing for another budget that
calls for cuts to entitlements,
such as Medicare and Medicaid.
"Under the
president's budget, we would
increase spending for Medicare
by 7.5 percent every year for
the next five years, rather than
by 7.8 percent. That is not a
'cut,'" Rep. John Shadegg
(R-Ariz.), a leading fiscal
conservative, said in a
statement. "The program will
still spend more than $2
trillion in those years. Surely
at a time of war, and facing a
mountain of debt, it is
reasonable to slow the growth of
spending by three-tenths of 1
percent."
Similarly, Senate
Budget Chairman Judd Gregg
(R-N.H.) said Congress needs to
continue the success it had in
cutting entitlements last year
and that he would use the
president's proposed cuts to
Medicare and Medicaid as the
basis for any budget
reconciliation measure this
year.
Still, Gregg
bemoaned "the usual
grandstanding that comes in this
area" and said those complaining
about having the debate again
have "absolutely no political
courage."
"You cannot
demagogue this issue any
longer," Gregg added.
Still, lawmakers
in both parties immediately
pushed back at the
administration on Monday when
the proposed entitlement cuts
were revealed.
Resnick said the
president is unlikely to get all
he's asking for on entitlement
cuts anyway.
"This is only the
beginning. This will end up
being compromised out," she
said. "This will once again
force the [GOP] moderates to
hang together and forge a
compromise."
That's exactly
what happened during last year's
budget debate, when Bush asked
for a $60 billion cut in
Medicaid's growth over 10 years,
primarily from targeting fraud
and abuse. GOP centrists,
concerned that poor
beneficiaries would suffer from
any cuts, pared that down to
just $7 billion in savings. An
additional $6.4 billion was
trimmed from Medicare.
But it's not just
centrist Republicans who are
reacting coolly to the proposed
cuts in Bush's budget.
Conservatives such as Sen. Rick
Santorum (R-Pa.), who has been
trailing his Democratic
challenger in polling since last
year, are also signaling their
displeasure.
"The Senator
appreciates the president
putting forth a budget that
restrains spending, but he is
also going to take a long, hard
look at issues important to
Pennsylvania," said Santorum
spokesman Robert Traynham. He
added that Santorum is
particularly concerned about the
president's proposed cuts to
Medicare, Community Development
Block Grants and Social Services
Block Grants.
"If you look at
[the president's] popularity
right now - and the popularity
in general of Republicans and
the popularity of Congress
overall - this is not something
that you want to go
head-over-heels and support
unless you are in a nice, cozy
75 percent-for-re-election
Republican district," said one
Republican source.
Still, others
said that the GOP's commitment
to fiscal responsibility would
end up as a boon come Election
Day in November.
"In 2002 and
2004, we saw Democrats use very
similar tactics, whether it was
scaring old people or painting
Republicans as anti-child," said
Brian Nick, spokesman for the
National Republican Senatorial
Committee. "Cuts to entitlement
programs are not something I
think will hurt Republicans in
'06."
Democrats
disagree. "The president is
going to have a very tough sell
up here," said one Senate
Democratic aide of the
entitlement cuts. "He does play
a little into our hand on this.
I don't know what he's
thinking."