<html><head><meta http-equiv="Content-Type" content="text/html charset=windows-1252"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div><br></div><div><div id="BLOG_Ccontainer" class="redesign_entry" style="padding: 0px; margin: 0px; width: 624px; overflow: visible; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; text-align: left; "><div id="blog_branding" style="padding: 0px; margin: 10px 0px 2px; width: 623px; position: relative; overflow: hidden; "><a href="http://www.esquire.com/blogs/politics" style="padding: 0px; margin: 0px; color: rgb(191, 1, 3); text-decoration: none; "><img src="http://www.esquire.com/cm/esquire/imagesv01/blogs/branding-politics.jpg" border="0" alt="The Politics Blog" style="padding: 0px; margin: 0px; vertical-align: bottom; border: none; "></a><div id="blog_title" style="padding: 0px; margin: 0px; position: absolute; bottom: 9px; right: 6px; "><a href="http://www.esquire.com/blogs/politics" style="padding: 0px; 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margin: 0px; "><div class="blog_entry_meta" style="padding: 0px; margin: 0px 0px 8px; clear: both; color: rgb(153, 153, 153); font-size: 14px; line-height: 20px; font-family: Arial, Helvetica, sans-serif; "><div class="date_block" style="padding: 0px 7px 0px 16px; margin: 0px 0px 0px -15px; font-size: 12px; line-height: 18px; font-family: ProximaNova-ExtrabldIt, sans-serif; color: rgb(248, 239, 236); background-color: rgb(234, 85, 45); display: inline-block; text-transform: uppercase; position: relative; "><div class="entry_month" style="padding: 0px; margin: 0px; display: inline; letter-spacing: 1px; ">DEC </div><div class="entry_date" style="padding: 0px; margin: 0px; display: inline; letter-spacing: 1px; ">10, </div><div class="entry_year" style="padding: 0px; margin: 0px; display: inline; letter-spacing: 1px; ">2012</div></div><h1 style="padding: 0px; margin: 11px 0px 0px; font-size: 34px; color: rgb(38, 38, 38); font-weight: normal; line-height: 34px; font-family: ProximaNovaExCn-Bold, sans-serif; text-transform: uppercase; ">THE ACTUAL COST OF WASHINGTON'S CLEVER DEBT DEAL</h1><div class="entry_author" style="padding: 0px; margin: 0px 5px 0px 0px; float: left; font-weight: bold; ">By <a href="http://www.esquire.com/archives/blogs/politics/by_author/68/15;1" style="padding: 0px; margin: 0px; color: rgb(64, 182, 240); text-decoration: none; ">Charles P. Pierce</a></div><div class="entry_time" style="padding: 0px; margin: 0px; text-transform: lowercase; font-weight: bold; ">at 11:15<span style="padding: 0px; margin: 0px; ">am</span></div></div><div class="blog_entry" style="padding: 0px 0px 10px; margin: 0px; "><p style="padding: 0px; margin: 0px 0px 20px; font-size: 15px; line-height: 22px; font-family: Arial, Helvetica, sans-serif; color: rgb(38, 38, 38); "><strong style="padding: 0px; margin: 0px; ">Jonathan Chait and Ezra Klein</strong> have both been taking a terrible hiding for suggesting — and, in<a href="http://nymag.com/daily/intel/2012/12/go-ahead-raise-the-medicare-retirement-age.html" target="_blank" style="padding: 0px; margin: 0px; color: rgb(20, 165, 237); text-decoration: none; font-weight: bold; ">Chait's case, recommending</a> — that raising the eligibility age for Medicare might be the the key to breaking the impasse as we slouch toward the Gentle Fiscal Incline. I disagree with both of them, for reasons we'll get to in a minute, but I'm not inclined to crank up the Enola Gay on this issue. I would just gently point out that almost every part of the primary rationale for doing what they suggest — that any deal is better than none, and that some Democratic blood-sacrifice on entitlements is required so that John Boehner is not cannibalized by his caucus — is pure Beltway group-think in that it renders almost insignificant the human cost out in the country of the policy proposed to solve what is essentially a conundrum devised by unaccountable elites.</p><p style="padding: 0px; margin: 0px 0px 20px; font-size: 15px; line-height: 22px; font-family: Arial, Helvetica, sans-serif; color: rgb(38, 38, 38); ">For example, let's talk for a moment about a particularly nasty dog I happen to have in this fight — <a href="http://www.amazon.com/Hard-Forget-Alzheimers-Charles-Pierce/dp/0679452915/ref=as_at?tag=esq_autolink-20&linkCode=as2&s=books&ie=UTF8&qid=1355150933&sr=1-1&keywords=hard+to+forget" target="_blank" style="padding: 0px; margin: 0px; color: rgb(20, 165, 237); text-decoration: none; font-weight: bold; ">namely, Alzheimer's Disease.</a></p><p style="padding: 0px; margin: 0px 0px 20px; font-size: 15px; line-height: 22px; font-family: Arial, Helvetica, sans-serif; color: rgb(38, 38, 38); ">We are on the <a href="http://www.alz.org/alzheimers_disease_facts_and_figures.asp#quickfacts" target="_blank" style="padding: 0px; margin: 0px; color: rgb(20, 165, 237); text-decoration: none; font-weight: bold; ">brink of an epidemic</a> of AD in this country. There are 5.4 million people with the disease right now, and there are estimated to be another 15 million people — mostly, aging spouses and economically stressed children — providing what amounts to $210 billion in unpaid care. (There are estimated to be 800,000 people with the disease who are living alone.) The disease already costs $140 billion to Medicare and Medicaid. By 2050, it is estimated, and assuming a cure is not found, the total cost of caring for Alzheimer's patients could soar past $1 trillion.</p><p style="padding: 0px; margin: 0px 0px 20px; font-size: 15px; line-height: 22px; font-family: Arial, Helvetica, sans-serif; color: rgb(38, 38, 38); ">The current plan being bruited about in Washington would raise the Medicare eligibility age from 65 to 67 years of age. This is the low end of the Alzheimer's spectrum, but the increase in diagnosed cases is still significant, rising three percent per thousand people nationally just between 2000 and 2008. In John Boehner's Ohio, there are 13,000 people roughly within that window with the disease. There are 7,100 in Eric Cantor's Virginia, and 5700 in Paul Ryan's Wisconsin. All of these people represent not only the ravages of the disease, but the severe emotional and economic strain that it puts on their families. All of these people represent a considerable amount of pain that is not being factored into the shrewd political calculations that get you on the Sunday shows.</p><p style="padding: 0px; margin: 0px 0px 20px; font-size: 15px; line-height: 22px; font-family: Arial, Helvetica, sans-serif; color: rgb(38, 38, 38); ">Make this deal, and what do all these people and their families do? Shop for private insurance for another two years? Does that sound remotely practical to anyone who are not: a) members of Congress enjoying the benefits of a government-run, single-payer health care system?, or b) well-remunerated pundits who can afford a Cadillac plan of their own. This is a great rock rolling down the hill in American health-care, and there simply is no "private-sector" solution to it that isn't laughable on its face. Raising the Medicare eligibility age will hurt people. It will hasten their deaths. It will bankrupt their families. These people will not appreciate how clever you all were.</p></div></div><span style="padding: 0px; margin: 0px; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; text-align: left; "><br style="padding: 0px; margin: 0px; "><br style="padding: 0px; margin: 0px; ">Read more: <a href="http://www.esquire.com/blogs/politics/medicare-age-increase-and-alzheimers-121012#ixzz2Eltst0As" style="padding: 0px; margin: 0px; color: rgb(0, 51, 153); text-decoration: none; ">Medicare Age Increase and Alzheimer's - The Actual Cost Of Washington's Clever Debt Deal - Esquire</a> <a href="http://www.esquire.com/blogs/politics/medicare-age-increase-and-alzheimers-121012#ixzz2Eltst0As" style="padding: 0px; margin: 0px; color: rgb(0, 51, 153); text-decoration: none; ">http://www.esquire.com/blogs/politics/medicare-age-increase-and-alzheimers-121012#ixzz2Eltst0As</a></span></div></body></html>