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First Read is an analysis of the day's political news, from the NBC News political unit. First Read is updated throughout the day, so check back often.

Chuck Todd, NBC Political Director

Mark Murray, NBC Deputy Political Director

Domenico Montanaro, NBC News Political Reporter



Obama hits McCain on Medicare

Posted: Friday, October 17, 2008 3:57 PM by Mark Murray

From NBC/NJ's Athena Jones
ROANOKE, Va. -- Returning to the issue of health care, Obama used his seventh trip to Virginia in the general election to criticize McCain for proposals that he said would result in $882 billion in cuts to Medicare.

The Wall Street Journal reported earlier this month that McCain would cut Medicare and Medicaid funding by $1.3 trillion dollars over the next decade to keep his plan budget-neutral -- based on estimates by independent analysts -- and that McCain’s campaign had acknowledged his plan would pay for his health care tax credits in part with savings from the two programs. The paper said the campaign had not given a specific figure for the cuts, but did not dispute the analysts' estimate.

Saying McCain had voted 40 times against protecting Medicare, Obama argued the “drastic cuts” in Medicare proposed by McCain -- at a time when the program is already facing budget problems -- would pay for a plan he argued was ill-conceived and would not provide more health care to people.

The senator went on to list what McCain’s proposed cuts in Medicare would mean. “It would mean a cut of more than 20% in Medicare benefits next year. If you count on Medicare, it would mean fewer places to get care, and less freedom to choose your own doctors,” he told a mixed crowd of some 8,250 people packed into a convention center on a rainy day. “You’ll pay more for your drugs; you’ll receive fewer services; you’ll get lower quality care. I don’t think that’s right. In fact, it ain’t right.”

Obama, who drew his biggest applause when he said every single American “had a right to affordable accessible health care," proposes strengthening Medicare by ending subsidies to big HMOs and allowing the program to negotiate with drug companies for lower prices.

The comments coincided with a new TV ad on the subject.

The McCain campaign sent reporters a memo called “The Truth About Barack Obama's Lies About The McCain Health Care Plan,” in which his senior policy adviser Douglas Holtz-Eakin said McCain’s health-care plan would not result in a tax increase for “millions of families” and said the Arizona senator would reduce Medicare spending by billions without cutting benefits, eligibility, or both as Obama’s latest ad argues.

“John McCain believes that we can achieve savings in Medicare without reducing benefits or eligibility. He has proposed common-sense reforms that will not only put Medicare on a path of financial stability, but ensure access to quality care for millions of Americans,” read the memo, which listed promoting payment reform, eliminating fraud and abuse, and allowing greater use of generic drugs as some of those methods.

McCain Spokesman Tucker Bounds also sent a statement responding to the speech. "It’s absurd for Barack Obama to label John McCain’s plans to trim spending for Medicare and Medicaid as ‘drastic cuts,’ only to then say that his own plans to make cuts will ‘strengthen’ those programs," the statement read in part. "For Barack Obama to talk about the hope of America and then proceed into misleading and hypocritical accusations only underscores what voters already know: Barack Obama is not who you think he is.”

Webb blasts McCain for judgment VP pick
Virginia Congressman Rick Boucher and Sen. Jim Webb introduced Obama, with Webb telling the crowd here that Obama was “like you.”

“There’s a lot of comments that have been made about certain ethnic issues in this campaign. I would like to say, we know, Barack Obama’s father was born in Kenya. Barack Obama’s mother was born in Kansas, by way of Kentucky," he said. "We are going to see on Election Day the 14th president of the United States whose ancestry and whose family line goes back to mountains of this area. Barack Obama understands you."

Webb hailed Obama’s pick of Biden to be his running mate and questioned McCain’s judgment for choosing Palin as his running mate. “John McCain chose Gov. Palin,” he said to sustained boos from the audience. “If I were standing here at a McCain rally it would say "Country First." But do you really think that Sarah Palin was the most qualified person in the Republican Party?”

As the crowd chanted “No," Webb said McCain must be second-guessing himself now. “I don’t know how many people here like country music; I like country music. There was a song about two years ago, 'I know what I was doing, but what was I thinking?' I think John McCain is probably singing that song right now,” he said. “So folks, if you are trying to talk to your friends about clear distinctions in terms of judgment, temperament, vision -- this is something you can really ask them to take a look at."

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Comments

Senator McCains medicare and healthcare plan will probably move a few more voters into Obama's court.  I would not want to be on medicare where I don't receive quality care and it's hard to find a doctor to take it, and then turn around and maybe cut some of those benefits by 20%.  I'd be afraid I'd have no healthcare benefits by the time McCain puts his spending freeze into place.
[I don’t think that’s right. In fact, it ain’t right.”]
--Somebody should tell the greatest orator of our generation that "ain't" ain't a word.
(Okay, now I'm just being smug.)
hit em where it hurts Sen Webb... make her out to be the tired, mudslinging wench, she really is.
McCain’s misrepresentation of “Joe the Plumber” typifies the fraud that is deeply woven into the entire McCain campaign.

McCain’s fraudulent representation of  “Joe the Plumber” compares to his fraudulent  representation (1) of  Obama’s tax proposals, (2) of  his own health care proposals and (3) of himself as the candidate of change.

The final word on the McCain campaign is fraud.
John McCain does not have to worry about health care like the majority of us. He does not realize we are paying for his health care because he has been in office so long. My sister died of cancer in July. She worked hard her entire life. We needed medicare to help with the bills and we are grateful she had Medicare. Without medicare by brother in-law would have to sell the home they worked so hard for and file for bankruptcy. Senator Obama's Mother died of cancer in her early 50's. He knows what it is like to fight with insurance companies when you are dying.
Independent- I Already Early Voted for Obama-Biden.
Having worked in the medical arena for 20 years, anyone can find that fewer and fewer drs want Medicare patients. The reimbursement just isnt there for them. They want something more stable. Omaba is promising this. McCain just wants to mess around with it just like he did with the deregulation on Wall St. With more and more seniors either now on Medicare or approaching Medicare age, we need more drs, not fewer. Just read some of the AMA articles telling that more and more drs dont want to get involved in Medicare issues as it isnt financially beneficial to them (paperword, claims,financial reimbursment,etc). They have financial responsibilites themselves such as homes,practices, and BIG student loan paybacks and their practices have a hard time making money off Medicare. Barak is right on this. McCain is too risky.
As a mother of a child born with multiple heart defects I am voting for Obama because (amongst many other reasons) I know that it will be IMPOSSIBLE for my daughter to get insurance as an adult. Her defects are congenital and she has had 7 surgeries thus far. Thanks to modern medicine my daughter lives a fairly normal life and is a happy beautiful girl.  But due to the current healthcare situation I was forced to declare bankruptcy before she turned five.  The unpaid portion of her care totaled over a MILLION dollars.  I consider myself fortunate, as I have good job, I am college educated, and am self-sufficient; but there is NO way I would EVER have been able to pay all of those bills. I had insurance. I had what many would consider GOOD insurance but in the face of a devastating illness it was not enough. It wasn’t nearly enough.

How in God's name, can we continue to say we live in the greatest country on Earth and yet leave so many people uncared for, in debt, bankrupt or destitute?  

I am grateful for the life of my precious daughter, but I am saddened at what has become of so many people due to the healthcare crisis in this country. The last time my daughter was hospitalized I met a mother who was forced to make the most devastating decision I could have ever imagined possible... she had a very, very sick baby boy who would need extensive care for his entire life. But her insurance company had dropped her and she had lost her job because of all the time his illness had required her to take off work.  She had to give up her child, make him a ward of the state in order to continue the care he would need to save his life.  This story has haunted me for quite some time.  How can this be? How is this story possible, in this day and age? John McCain’s healthcare plan will devastate my daughter’s chances of getting healthcare, and if he is elected, I will in all likelihood get dropped from my employer’s healthcare plan. Then none of us will be insured. As a parent what will I do?  I do not have an answer and that alone keeps me up at night.  

To all those parents out there who have yet to vote, yet to decide: I implore you--Look at your children.  What wouldn't you do for them?  What if I told you, your vote may very well save their lives?  

Please consider. Vote Obama/Biden 08

God bless,
Debbie
Jim Webb is a good man and advocate.
keep saying this is fl and pa. the seniors will vote Obama after hearing McCain's plan to cut medicare and medicaid.
This has been the elephant in the room since the Republican convention. If there is any one thing that defines the difference between Obama and McCain, it is the VP selection. Obama made an intelligent, carefully considered, choice that will complement his own decisions. McCain's choice was a ridiculous, ill-considered attempt to put show over substance which didn't even work to that end.
Gov.Palin said yesterday in a NC fundrasier  she loved to visit the "pro-America" areas of the country, of which North Carolina is one. No word on which states she views as unpatriotic.

I ma assuming California where I live, is probably "Anti-American". This is ridiculous, trying to divide us further and claiming only small towns are filled with patriotic people. I have nothing against small town folks. But please do not trash the rest of us. We are Americans too.

What do you expect?  

McCain has to get money he's giving to the oil companies from somewhere.

This just goes to show how much McCain really cares about seniors.
I've been in meetings all day; notice no one mentioned the David Letterman show last night.  Letterman OWNED McCain.  Really punched him hard on the VP pick and ripped him pretty good on his "map" about where he was when he cancelled.

I thought it was a GREAT, hard hitting interview for the late night funny man.  It will be interesting to see if Palin really does show up.  I won't hold my breath.
The decent republicans have to be concerned,
disgusted and upset about the way the republican
party is conducting the sleeziest campaign in our
countries history.
Mccain/palin are very dangerous for our country.
Our country cannot survive their being even
close to leading our country.
Middle class, we will be non existant if the
republicans get in office. They have shown
these last eight years how much they care
for us by nearly destroying us and our once
great nation.
Would it or would it not be nice if we had a media who would report all that these two would do? I mean, John says he would balance the budget by the end of his first term. Yeah, when pigs fly. What the hell would he get rid of, instead of the 18b pork that he talks so much about? What else is there? Bush has gotten rid of most of what we have paid for, you know, for roads, bridges, schools, medicare that I have paid for all of my life. And even now, with medicare, I can't afford to use it unless I spend several hundred dollars before they pay a dime. And don't tell me I waste it either, because I have not used it!!! I love it when these young kids come on TV for McCain, they are still wet behind the ears, and are trying to tell me how McCain will treat us proper. Put somebody on the air with a little bit of knowledge, instead of just smut.
Every four years, like clockwork, the Democrats pull out their Halloween masks and jump out of the buses to scare the elderly by shouting:  THE REPUBLICANS WANT TO TAKE YOUR SOCIAL SECURITY AND MEDICARE!!!!

There is something fundamentally lacking in  human beings who think nothing of frightening the elderly with undocumented threats in an attempt to gain votes.  It is morally reprehensible.

As morally reprehensible as taking money that cost some low level worker his or her job.  


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