Paul Ryan says he fantasized about cutting health care for the poor at his college keggers

Ian Millhiser

Ian Millhiser Senior Constitutional Policy Analyst, Think Progress

Oh, college! It’s a time when young adults discover their professional interests, when they live alone for the first time, when many people come into their sexuality, and when youth get to explore other adult pleasures.

And, if you were House Speaker Paul Ryan (R-WI), it was a time to dream about how, someday, you would take health care away from millions of poor people.

In a conversation with the National Review’s Rich Lowry on Friday, Ryan bragged about how conservatives now have a once-in-a-generation opportunity to take health coverage away from the most vulnerable Americans.

“So Medicaid,” Ryan told Lowry, “sending it back to the states, capping its growth rate. We’ve been dreaming of this since I’ve been around — since you and I were drinking at a keg. . . . I’ve been thinking about this stuff for a long time. We’re on the cusp of doing something we’ve long believed in.”

Ryan is 47 years old, which means that, if he started “drinking at a keg” early in his college career, he’s fantasized about all the poor people who could be stripped of health care for nearly three decades.

Speaker Ryan’s health bill, if enacted, would lead to 24 million fewer people having health insurance by 2026, according to the Congressional Budget Office. Of those 24 million, 14 million would lose health coverage because of the changes Ryan wants to make to the Medicaid program.

An estimated 17,000 will die who otherwise would have lived in the first year Ryan’s health bill is in effect, should it become law. By 2026, that number will grow to 29,000 deaths in just one year alone.

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This was reposted from Think Progress.

Ian Millhiser is a Senior Constitutional Policy Analyst at the Center for American Progress Action Fund and the Editor of ThinkProgress Justice. He received a B.A. in Philosophy from Kenyon College and a J.D., magna cum laude, from Duke University. Ian clerked for Judge Eric L. Clay of the United States Court of Appeals for the Sixth Circuit, and has worked as an attorney with the National Senior Citizens Law Center’s Federal Rights Project, as Assistant Director for Communications with the American Constitution Society, and as a Teach For America teacher in the Mississippi Delta. His writings have appeared in a diversity of legal and mainstream publications, including the New York Times, The Los Angeles Times, U.S. News and World Report, Slate, the Guardian, the American Prospect, the Yale Law and Policy Review and the Duke Law Journal; and he has been a guest on CNN, MSNBC, Al Jazeera English, Fox News and many radio shows.

Posted In: Allied Approaches

Union Matters

Get to Know AFL-CIO's Affiliates: National Association of Letter Carriers

From the AFL-CIO

Next up in our series that takes a deeper look at each of our affiliates is the National Association of Letter Carriers.

Name of Union: National Association of Letter Carriers (NALC)

Mission: To unite fraternally all city letter carriers employed by the U.S. Postal Service for their mutual benefit; to obtain and secure rights as employees of the USPS and to strive at all times to promote the safety and the welfare of every member; to strive for the constant improvement of the Postal Service; and for other purposes. NALC is a single-craft union and is the sole collective-bargaining agent for city letter carriers.

Current Leadership of Union: Fredric V. Rolando serves as president of NALC, after being sworn in as the union's 18th president in 2009. Rolando began his career as a letter carrier in 1978 in South Miami before moving to Sarasota in 1984. He was elected president of Branch 2148 in 1988 and served in that role until 1999. In the ensuing years, he worked in various roles for NALC before winning his election as a national officer in 2002, when he was elected director of city delivery. In 2006, he won election as executive vice president. Rolando was re-elected as NALC president in 2010, 2014 and 2018.

Brian Renfroe serves as executive vice president, Lew Drass as vice president, Nicole Rhine as secretary-treasurer, Paul Barner as assistant secretary-treasurer, Christopher Jackson as director of city delivery, Manuel L. Peralta Jr. as director of safety and health, Dan Toth as director of retired members, Stephanie Stewart as director of the Health Benefit Plan and James W. “Jim” Yates as director of life insurance.

Number of Members: 291,000 active and retired letter carriers.

Members Work As: City letter carriers.

Industries Represented: The United States Postal Service.

History: In 1794, the first letter carriers were appointed by Congress as the implementation of the new U.S. Constitution was being put into effect. By the time of the Civil War, free delivery of city mail was established and letter carriers successfully concluded a campaign for the eight-hour workday in 1888. The next year, letter carriers came together in Milwaukee and the National Association of Letter Carriers was formed.

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