utgibbs
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Paul Ryan did his best to lay out the long-term story as clearly as possible with his plan to privatize Medicare. The analysis by the non-partisan Congressional Budget Office (CBO) shows that Ryan's plan would hugely increase the cost of health care to seniors. Under the Ryan plan a Medicare equivalent policy is projected to cost almost half of a median 65-year old retiree's income by 2030. It would soon exceed the income of most retirees as health care costs outpace income growth.
However most of the additional burden projected for retirees is not the result of cost shifting from the government. The vast majority of the additional burden that the CBO projected for retirees comes from the higher cost of private insurance compared with the government-run Medicare system. The additional cost as a result of adopting Ryan's privatized system is more than $30 trillion over Medicare's 75-year planning horizon.
The CBO analysis should have led every budget reporter in the country to point out the enormous cost savings that Medicare provides relative to private insurers. They should have been pointing out that the country will face an enormous burden from exploding health care costs if it does not fix its health care system. And, that the Medicare system is an important part of the solution.
This fits the usual suspects story. The choices are between those who prefer the government and those who prefer the market. But as every viewer of Casablanca knows, the real choice is between those who want to redistribute tens of trillions of dollars to insurance and health care industry and those who don't. Preferences for the government or the market have nothing to do with it.
From Dean Baker. Health care is not a market.