Senator Biden Voted for Reagan's 1981 Spending and Tax Cuts
As
What the administration does not mention in its attacks is that the president was not always so opposed to every kind of benefit adjustment. During his long tenure in the
It has already been noted that Biden voted in favor of the 1983 bipartisan plan to prevent
Two years earlier,
The 1981 spending plan was a groundbreaking measure. It used the congressional budget process established by the 1974 Congressional Budget Act to pull together into one bill a comprehensive set of spending reduction provisions. The final vote in the
The
* Phased out student benefits beyond high school,
* Eliminated minimum payments,
* Eliminated death benefits when there were no eligible survivors,
* Strengthened coordination between workers' compensation and disability insurance, and
* Eliminated certain parental benefits when children reached age 16.
The
The Medicare amendments were notable too. The law:
* Increased the deductibles for both parts of the program—Hospital Insurance (HI) and
* Eliminated coordination of the SMI deductible across calendar years;
* Increased the HI coinsurance rate; and
* Implemented more restrictive eligibility rules for home health services.
Beyond these benefit changes, the measure also cut Medicare's reimbursement rates for hospitals, drugs covered by SMI, home health agencies, and many other providers of services.
The Reagan administration also prioritized significant changes to Medicaid with a focus on giving the states more authority to implement reforms. The law created two new options for state waivers that remain relevant today, including one which allows states to contract with privately-administered managed care insurance plans to provide Medicaid coverage. It also gave states the authority to set reimbursement rates for nursing homes with less federal interference.
While the 1981 law was significant, it did not resolve the nation's budgetary challenges. Spending on
Learn more: President Biden Wants to Debate Debt Stabilization, Not Enact a Plan | Making a Deposit into a Congressional Bank Account | Biden's Underwhelming Plan to Cut Health Costs | We Used to Want Government to Work Well—and We Still Can
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