Commentary Magazine


Contentions

A Plan Everyone Hates

Mort Kondracke makes a powerful case that the model for healthcare reform should be the much-criticized Medicare Part D drug plan, and not a public option model or another individual-mandate plan. He explains:

The Medicare Part D program is based on competition among private insurance plans, whereas they are determined to model health reform on government-run, price-controlled Medicare Parts A and B or on Massachusetts’ individual-mandate plan.

But, as the latest Medicare trustees report warned, Medicare’s hospital insurance plan (Part A) is scheduled to go bankrupt in 2017. And Part B, which pays doctor bills, is experiencing “steep cost increases” for taxpayers and will demand “unusually large premium increases” for seniors who can afford to pay.

Meanwhile, Massachusetts’ heavily regulated plan, while covering 355,000 previously uninsured residents, is costing much more than expected – 32 percent more in its first year and an anticipated 20 percent more this year.

Many conservatives think of Medicare Part D as a disaster, a Republican-conceived entitlement plan. But it is one that actually works and is popular:

That’s partly because premiums are lower than expected. The monthly average for this year originally was expected to be $44. It’s actually $28, up just $3 from 2008.

The secret of Part D is that private insurance companies are competing for customers and offering them a wide array of choices. Seniors can switch plans once a year.

Some conservatives think they can stop ObamaCare simply by saying “no.” But if they want to maximize their chances of derailing a government-run nationalized and rationed healthcare system, then Medicare Part D offers the “compromise.” Liberals hate it because there is no price-fixing and it is fraught with competition. But that’s precisely why it works and why, if critics of Obama’s approach were smart, they’d take another look at the most effectively run and popular healthcare legislation we have.


Join the discussion…

Are you a subscriber? Log in to comment »

Not a subscriber? Join the discussion today, subscribe to Commentary »





Welcome to Commentary Magazine.
We hope you enjoy your visit.
As a visitor to our site, you are allowed 8 free articles this month.
This is your first of 8 free articles.

If you are already a digital subscriber, log in here »

Print subscriber? For free access to the website and iPad, register here »

To subscribe, click here to see our subscription offers »

Please note this is an advertisement skip this ad
Clearly, you have a passion for ideas.
Subscribe today for unlimited digital access to the publication that shapes the minds of the people who shape our world.
Get for just
YOU HAVE READ OF 8 FREE ARTICLES THIS MONTH.
FOR JUST
YOU HAVE READ OF 8 FREE ARTICLES THIS MONTH.
FOR JUST
Welcome to Commentary Magazine.
We hope you enjoy your visit.
As a visitor, you are allowed 8 free articles.
This is your first article.
You have read of 8 free articles this month.
YOU HAVE READ 8 OF 8
FREE ARTICLES THIS MONTH.
for full access to
CommentaryMagazine.com
INCLUDES FULL ACCESS TO:
Digital subscriber?
Print subscriber? Get free access »
Call to subscribe: 1-800-829-6270
You can also subscribe
on your computer at
CommentaryMagazine.com.
LOG IN WITH YOUR
COMMENTARY MAGAZINE ID
Don't have a CommentaryMagazine.com log in?
CREATE A COMMENTARY
LOG IN ID
Enter you email address and password below. A confirmation email will be sent to the email address that you provide.