pinksugarsub
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Social Security reform plans are a dime a dozen, but credible Medicare reform proposals are scarce. Why? Because Medicare's financial problems are so immense as to seem beyond resolution, and the policy environment is complex. Would-be entitlement reformers decry the lack of courageous leadership from politicians, but, truth be told, even the so-called experts are at a loss over how to begin closing Medicare's yawning financing gap. The most recent report from the program's board of trustees, issued in late March, only adds to the sense of hopelessness. Medicare's liabilities are expected to exceed revenue dedicated to paying for the program by $36 trillion over the next 75 years, and the trust fund that pays for hospital services is expected to go bankrupt in 2019. Total Medicare spending is projected to more than triple as a share of the national economy, rising from 3.2 percent of GDP in 2007 to 6.3 percent in 2030, 8.4 percent in 2050, and 10.7 percent in 2080. Federal individual income tax collections amount to only about 8.5 percent of GDP. Covering just the increase in Medicare spending expected by 2030 would require a 36 percent across-the-board individual income tax hike. http://www.weeklystandard.com/Content/Public/Articles/000/000/015/201axcrt.asp Medicaid programs presents similar financial issues. So far, the 'band aid' approach used by politicans and regulators has been to engage in attrition of benefits. The Medicare D drug coverage is a good example -- it's the illusion that an insured has drug coverage and the reality that virtually no coverage is provided. Similar attrition has occured for hospitalisation, mental health care and durable medical equipment. What alternative do we really have to socialised medicine? pinksugarsub
< Message edited by pinksugarsub -- 6/13/2008 1:26:22 AM >
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