Instead of noting his contradiction, she moved on to another topic. FYI: Federal employees buy their insurance from private carriers, with the government acting as an employer making a premium contribution. That’s no different from General Motors, an employer, contributing to the premiums of its workers who buy their policies from Michigan Blue Cross and other private carriers. Indeed, that is a privatized system.
The CBO report was not lost on Woodruff’s colleagues at other news outlets, many of whom better served their audiences. Janet Adamy of The Wall Street Journal reported that Ryan’s proposal would give seniors an $8,000 voucher, on average, to buy a policy from a private company in 2022. They would have to pay the rest—whatever the going rate for insurance is ten or twenty years from now. Dean Baker, posting on the site of the liberal Center for Economic and Policy Research, calculated what those out-of-pocket expenses might mean. Using CBO assumptions about inflation, he estimated that the voucher would grow to almost $10,000 in twenty years and that the cost of a Medicare type plan for someone age sixty-five would be around $30,500, leaving consumers to pay the difference—around $21,000.
Julie Appleby of Kaiser Health News led led her story with the CBO news, while Rick Zaldivar at the AP delivered a comprehensive piece that explicitly said there would be a “cost shift to future retirees.” That parallels what’s happening for people under age sixty-five. Zaldivar also made two crucial points, reporting that the CBO said that private plans would cost more than traditional Medicare because of higher administrative costs and that the federal voucher would grow more slowly than health care cost inflation leaving a bigger gap for beneficiaries to pay.
Stephanie Condon, Washington correspondent for CBS Interactive, picked up another point—the Republicans’ Medicare bait and switch. During the fall elections the GOP successfully targeted key Democrats with ads accusing them of cutting Medicare benefits for seniors, which in turn scared the bejesus out of them. The health law reduced payments to health care providers but did not cut benefits to seniors, a point lost during the election noise. Condon remembered all that. It’s Ryan’s plan that will actually cut benefits for seniors over time, an irony for journos to bookmark.
Correction: This article initially reported that a typical sixty-five-year-old today pays 25 percent of his or her medical expenses. Actually, he or she pays 39 percent. The article has been corrected; CJR regrets the error.

Trudy, I wish you had a bigger platform for your work. It would be great if you'd be a regular guest on any of the cables, NPR, or the like. You are doing the best work overall on health care coverage, and although I love your work here at CJR, it would greatly benefit more Americans if they were familiar with your coverage as well. Virtually no one else has done such equivalent fine work in the mainstream media, and they won't.
Won't you consider going on NPR?
#1 Posted by James, CJR on Thu 7 Apr 2011 at 05:12 PM
Thanks so much for the compliment, James. I am glad you enjoy my posts.
#2 Posted by Trudy Lieberman, CJR on Thu 7 Apr 2011 at 08:57 PM
Great article. I sometimes wonder if PBS (and NPR) are reacting to the perception (false I believe) that they are "too liberal". Do they hold back sometimes, lest they appear to be too far to the left? If so, we are all worse off.
#3 Posted by Rick Sullivan, CJR on Fri 8 Apr 2011 at 10:52 AM
Finally, someone shining a critical light on Woodruff.
I cringe almost every time she conducts an interview.
Perhaps she is too nice and polite.
And, I don't find her liberal at alll.
Yes...I would have preferred that part-timer, crusty Texan Jim Lehrer to take on Ryan and his babbling.
Austin, Texas
#4 Posted by lex wadelski, CJR on Sat 9 Apr 2011 at 01:45 PM
I second Jame's comment that you need a larger and more national platform so that people will understand Obamacare, proposed changes to Medicare and Social Security, what cuts to Medicaid will do to low-income earner's access to care, etc.
Other than Trudy, I have yet to find a journalist who understands these topics and/or bothers to explain or tell the truth instead of pandering to the people on behalf of the politicians. This is a great disservice to we the people who will be/are living under these so-called reforms.
The worst is when the pundits on the nightly TV talking head shows who know zip trot out their guests who know very little to nothing but are suddenly experts on health care reform, Medicare and Medicaid. I've stopped watching. It's too distressing and bad for my health.
Trudy, can you get more widespread coverage?
#5 Posted by dianne, CJR on Sun 10 Apr 2011 at 12:42 AM
If I understand the Ryan plan correctly, a key element would be the repeal of the Affordable Care law (critics call it Obamacare). If that law were repealed, it would allow insurance companies to again deny coverage to those with "pre-existing" conditions. And that would include a great many, if not most people now covered by Medicare. So why would those insurance companies honor the vouchers that Ryan would hand out to seniors? Why should the companies take on the risk of covering people with a host of illnesses, a population that only will become more frail with each passing year? I hope some media can look into this aspect of what Ryan proposes.
#6 Posted by Michael in Texas, CJR on Mon 11 Apr 2011 at 03:54 PM