Michael Tanner
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Deconstructing one of President Obama’s speeches can be a bit like taking a trip to an alternate universe. Take his remarks last week to the Associated Press, contrasting his budget vision with that of Paul Ryan and Republicans. All that was missing was a Rod Serling voice-over announcing, “You’re traveling through another dimension, a dimension not only of sight and sound but of mind; a journey into a wondrous land whose boundaries are that of imagination.”

For instance, the president denounces the Ryan budget as “thinly veiled Social Darwinism.” One would think that Social Darwinism would mean actually cutting the budget. But in reality, Ryan’s budget increases federal spending by more than $1 trillion over the next 10 years.

Ryan does spend roughly $352 billion less over 10 years on domestic discretionary spending than would the president. The president suggests that this means that children could no longer go to college, the weather service would be abolished, and roads and bridges would crumble into dust. In reality, the largest gap between the president’s spending plans and Ryan’s would occur in 2016, when Ryan would spend $43 billion less on domestic discretionary programs than the president. That amounts to roughly 1.1 percent of projected total federal spending that year. Ryan would, in fact, slightly increase discretionary domestic spending from $1.170 trillion in 2013 to $1.212 trillion in 2022. Social Darwinism should be made of sterner stuff.

And, of course, what presidential speech would be complete without a denunciation of Ryan for wanting to “end Medicare as we know it.” The president’s rhetoric raises the specter of seniors being wheeled out of their hospital beds tomorrow morning. But Ryan has not proposed any changes to the program for current recipients. It is true, of course, that Ryan would restructure Medicare for those under age 55 to give recipients a choice between the traditional program and a voucher that would allow them to purchase private insurance. But, his plan, drafted together with Democratic senator Ron Wyden of Oregon, hardly slashed Medicare spending — in 2022, it would spend just $21 billion less than the president’s budget.

The president manages to leave out his own proposal for Medicare, which is to have an unelected 15-member board further reduce payments to physicians. Even Medicare’s own actuaries warn that those cutbacks could lead to hospital closures and reductions in access to care or the quality of care.

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Michael Tanner

Michael D. Tanner is a senior fellow at the Cato Institute, heading research into a variety of domestic policies with particular emphasis on health care reform, welfare policy, and Social Security. His most recent white paper, "Bad Medicine: A Guide to the Real Costs and Consequences of the New Health Care Law," provides a detailed examination of the Patient Protection and Affordable Care Act (Obamacare) and what it means to taxpayers, workers, physicians, and patients.