Quote from CaptainObvious:
That's fine, but Ryan has a plan. Let's tweak it, refine it, at least it's a starting point. Just leaving things be will turn out poorly for future generations, and those generations ain't all that far down the road. We need an intelligent, adult conversation, without seeing visions of granny shoved off a cliff.
ryan has no plan. he is banking on the discredited idea that private enterprize is always cheaper than the government. in healthcare that is not true.
we already have a private enterprize healthcare system outside of medicare and it costs us 50% more than any other nation on earth.
Ryan, the Wisconsin representative Republican presidential candidate Mitt Romney announced today as his running mate, is both thoughtful and prolific. I could have many policy debates with him on a range of issues. Today, though, Iâm going to focus on health care. Ryanâs approach to health care is somewhat akin to a doctor observing that an arm is finally showing some signs of healing -- and then deciding to amputate it.
Over the past several years, health-care costs have decelerated dramatically -- suggesting our broken arm may slowly be starting to heal. But rather than reinforcing that progress, Ryan would chart a drastically different course, one that would not only shift substantial risk to beneficiaries but also, according to the Congressional Budget Office, actually raise health-care costs.
CBOâs analysis, not surprisingly, confirms that federal expenditures under the Ryan Medicare plan would be reduced sharply. Federal payments for a typical beneficiary by 2030, for example, would be more than 20 percent lower than current projections.
But CBO also analyzed a more relevant question: What would happen to total health-care costs, including the extra costs for the beneficiaries as the federal share was reduced? Total costs are what matters, since simply shifting costs around without altering the total does not accomplish much.
Costs Shared
According to CBO, Ryanâs plan would not reduce total health-care costs. Instead, it would increase the total, because more cost-sharing for consumers doesnât do that much to constrain spending and because private plans have higher administrative costs and less negotiating leverage than the federal Medicare program.
You read that right: According to CBO, the Ryan Medicare plan would increase health-care spending. In 2030, total health- care spending for the typical beneficiary would be more than 40 percent higher under the Ryan plan than under existing Medicare.
http://www.bloomberg.com/news/2012-08-11/paul-ryan-is-thoughtful-handsome-and-misguided.html