A Medicare dental-vision-hearing benefit is very expensive and very popular. Photo: Ben Hasty/MediaNews Group/Reading Eagle vi There’s a big new debate among Democrats now that it’s clear the price tag of the Build Back Better budget-reconciliation bill will have to come down from $3.5 trillion to the roughly $1.5 to $2 trillion their senatorial majesties Joe Manchin and Kyrsten Sinema will allow.
Aside from imposing that approach on unhappy progressives favoring a broader if less permanent agenda and on “centrists” who want means-testing or other limitations on the “transformative” items remaining, there’s the question of choosing what’s in and what’s out. It won’t be easy to achieve consensus, and any resolution will leave significant elements of the Democratic coalition unhappy.
This could be one way out of the current Democratic dilemma: Remove from the FY 2022 budget-reconciliation package and reserve for a FY 2023 follow-on measure — to be debated and enacted in 2022 — some tasty, poll-tested initiatives that aren’t central to any short-term economic-stimulus strategy. A very good candidate for this treatment is the expansion of Medicare to include dental, vision, and hearing benefits. It’s very popular . It’s also pretty expensive .
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