By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Is the GOP Ready to Get Serious About Medicare?
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > Is the GOP Ready to Get Serious About Medicare?
Health ReformPolicy & Law

Is the GOP Ready to Get Serious About Medicare?

DavidEWilliams
DavidEWilliams
Share
4 Min Read
SHARE

One of the most despairing aspects of the last 10 years has been Republicans’ failure to get serious about Medicare spending. As I’ve written many times, Medicare is the monster that will swallow us up if we don’t do something about it. Yet Republicans have made matters worse over the years in a number of ways. Two of the most serious are the passage of the wildly expensive and totally unfunded Medicare Part D prescription drug coverage under President Bush, and the cynical scare tactics used on seniors during the presidential election and health care reform debates to try to preserve the status quo. I’m therefore very encouraged that House Budget Committee Chairman Rep. Paul Ryan has made a proposal to limit the growth of Medicare spending. In particular I’m grateful that this proposal actually goes directly at the unsustainable spending issue and is sufficiently bold to address the problems. It doesn’t dance around the edges or focus on red meat but irrelevant issues like “death panels” and tort reform. There are plenty of problems with the specifics but Ryan has opened the debate in a useful way. Ironically, there is a chance that Ryan’s move will actually bring Republicans and Democrats closer together on health care reform and that Ryan will help in making PPACA more successful. Here’s what I mean:

  • The effects of health care reforms in the commercial market –whether by private industry, states of the federal government– are heavily muted by Medicare. As the largest customer by far of most hospitals and many physician practices, what Medicare does dominates provider decision making. When commercial payers try to change something they get ignored. Under the Ryan proposal, Medicare patients would act much more like commercial patients than they do today, and insurance market reforms would presumably cross into the Medicare population to a much greater extent.
  • Putting seniors into the private health insurance market will lead to a convergence of views about how that market should operate. In particular, the debate over the treatment of people with pre-existing conditions (which is most people in Medicare) will become much more real.
  • We’ll also see the limitations (some would say the folly) of relying on private health insurers to control costs. It will become clear that very serious delivery system restructuring is needed along with changes in attitude on the part of patients and providers. I can’t wait for that discussion to begin in earnest
  • Today seniors –regardless of income or wealth– are subsidized by many working class people who pay Medicare taxes and income taxes. Reducing the burden on them will make health insurance more affordable or at a minimum share the societal burden more equally

While I’m not ready to buy in to the Ryan plan as it stands, I’m very appreciative of the fact that he’s putting it forward and hope it will lead to a serious, civil debate.

TAGGED:GOPhealth care reformMedicare
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

dental care
Importance of Good Dental Care for Health and Confidence
Dental health Specialties
October 2, 2025
AI in Healthcare
AI in Healthcare: Technology is Transforming the Global Landscape
Global Healthcare Policy & Law Technology
October 1, 2025
Choosing the Right Swimwear for Health and Safety
News
September 30, 2025
sports concussions
Concussion In Sports: How Common They Are And What You Need To Know
Infographics
September 28, 2025

You Might also Like

aed
Public Health

The Tragedy of the Life-Saving Device That Is Largely Ignored

September 16, 2013

Medicare Has Lower Than Expected Premium Increases

November 10, 2011

Hospital Mortality Rates Rise in July

July 13, 2011

Does Your Hospital Have Social Media Guidelines for Employees in Place?

July 11, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?