Medicare could be gone in six months - Jon Chait

With Romney now leading in the polls, we are forced to confront what it would mean.  Think Medicare is so entrenched that it is the third rai of politics?  NO.  The Republican majority in the House of Representatives has already voted for the Ryan budget which turns it into a premium subsidy -not an insurance program.  Did you resent Obama's compromise on the public option?  Welcome to the end of "Medicare as we know it".  Think the Senate will save it?  NO.  It is a budget reconciliation measure requiring only a majority - not subject to veto.  A couple of blue dog Democrats and it's bye-bye Medicare for everyone below the cut-off age.  Jonathan Chait explains:

Let’s first imagine that, on January 20, Romney takes the oath of office. Of the many secret post-victory plans floating around in the inner circles of the campaigns, the least secret is Romney’s intention to implement Paul Ryan’s budget. The Ryan budget has come to be almost synonymous with the Republican Party agenda, and Romney has embraced it with only slight variations. It would repeal Obamacare, cut income-tax rates, turn Medicare for people under 55 years old into subsidized private insurance, increase defense spending, and cut domestic spending, with especially large cuts for Medicaid, food stamps, and other programs targeted to the very poor.
Few voters understand just how rapidly Romney could achieve this, rewriting the American social compact in one swift stroke. Ryan’s plan has never attracted Democratic support, but it is not designed for bipartisanship. Ryan deliberately built it to circumvent a Senate filibuster, stocking the plan with budget legislation that is allowed, under Senate “budget reconciliation” procedures, to pass with a simple majority. Republicans have been planning the mechanics of the vote for many months, and Republican insiders expect Romney to use reconciliation to pass the bill. Republicans would still need to control 50 votes in the Senate (Ryan, as vice-president, would cast the tiebreaking vote), but if Romney wins the presidency, he’ll likely precipitate a partywide tail wind that would extend to the GOP’s Senate slate.

One might suppose that at least a handful of Republicans might blanch at the prospect of reshaping the entire face of government unilaterally. But Ryan’s careful organizing of the party agenda has all taken place with this vote as the end point, and with the clear goal of sidestepping any such objection. When Republicans won control of Congress during the 2010 elections, Ryan successfully lobbied the party to take a vote on his budget plan the following April. The plan stood no chance of passage (given Obama’s certain veto) and exposed dozens of vulnerable House members to withering attacks over its unpopular provisions. So why hold a vote carrying huge potential risk and no chance of immediate success? So Ryan could get the party on record supporting his plan, depriving quiet dissidents of any future excuse to defect should the real vote come in 2013..