Another in the running series of measure proposing to change how Medicare works was delivered by the Bush administration last week. The Republican sponsored package includes the beginning of means tested premiums for the Medicare prescription drug benefit and requirements that better information be released to Medicare recipients on cost and quality of care (with the idea that consumers of health care will be empowered to make better choices). The former is designed to save money for the Medicare trust fund – currently on course to run out of money in 11 years – but is a drop in the bucket in the scheme of things. The latter is another piece of an admirable, though piecemeal, effort to look at ways to reduce long term costs and have the health care system operate more efficiently. Read more about the package, rejected by the Dems in Congress, here.
What we have here really is another piece of creeping incremental health care reform from the Bush Administration when what is needed is coherent, significant reform on a number of fronts as has been proposed by Senator Obama and the other Dems. The Republicans say they want to get to a more efficient system based more on private choice. I am not against that. The problem is the forgotten millions who don’t have the money or coverage to make choices. The problem also is the need to push the coordinated measures on many fronts likely necessary to get to a more efficient health care system which actually improves quality of care.
Why don’t the Republicans get that? I think in the back room they probably do. It is just more important for them politically to keep equating real health care reform with socialism than to join the discussion on real solutions. This is the test the new Democratic President will face in passing health care reform. Can we frame the debate differently this time and reach across constituencies to make it happen. I like Hilary and think her heart is in the right place on this. But I think Barack is more likely to make it happen. What about you?
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