Ezra Klein

Wyden Walks Medicare Policy Tight Rope

His Medicare reform white paper co-authored with GOP presidential running mate Paul Ryan has Democratic Oregon Senator Ron Wyden in the political crosshairs of just about everybody.Democratic Oregon Senator Ron Wyden, who isn't even on the ballot this fall, nevertheless finds himself in the middle of a hard-fought, negative presidential campaign. And he isn't happy about it.

Wyden co-authored a provocative white paper on Medicare reform options earlier this year along with House Budget Chair and now GOP presidential running mate Paul Ryan. The Mitt Romney-Ryan campaign seized on the white paper — and Wyden — as evidence of bipartisan support for their approach to Medicare reform.

Wyden has gone to great pains, including a speech this week to the Portland Rotary, to say ‘no dice.’

Defending the white paper and his collaboration with Ryan, Wyden says what Romney has endorsed and House Republicans have passed is not consistent with the white paper's approach to "preserve the Medicare guarantee."

In an interview with Ezra Klein of The Washington Post, Wyden said the major differences between his views and those of Romney involve the Affordable Care Act and Medicaid. Romney and Ryan favor repeal of the Affordable Care Act and Wyden doesn't. The Ryan-inspired House budget would give states more freedom to run their Medicaid programs for low-income citizens, but also provide less money. Wyden says that will harm lower-income seniors who qualify for both Medicare and Medicaid.