Third, we must save Medicare and Medicaid by placing them on fiscally sustainable paths. Without reforms, these programs will eventually cease to be available for those that need them. I believe we must move Medicaid into a per-capita cap system, preserving funding for Medicaid's unique populations while freeing states from Washington mandates. Medicare, meanwhile, should be transitioned into a premium support system, empowering seniors with choice and market competition, just like Medicare Advantage and Part D already do.This part of Rubio's plan may look like an aberration, but it follows a proposal to mix needed loosening of government control of insurance companies with what he calls "federally-supported, actuarially-sound high risk pools". Controls breed controls as the precedent for government intervention leads to calls for more of the same to "correct" for market distortions caused by earlier "corrections" of the market. That's how we got the ACA in the first place and staying that course can only rid us of it in name or saddle us with something even worse.
This reminds me of something I said about Paul Ryan a few years back:
[Paul] Ryan, who imagines that such programs as Social Security and Medicaid can be "reformed," ... is no capitalist. (Otherwise, he'd be clear that the best way to "encourage" competition is for the government to stop manipulating the economy altogether, and would speak of phasing out instead of reforming entitlement programs.)We can just about swap the names out, here.
Perhaps Senator Rubio could have gone with, "My Plan to Tee Up My Democratic Successor", but I'm open to other suggestions.
-- CAV
No comments:
Post a Comment