by Hyperion » Thu Jan 10, 2013 7:52 pm
Medicare is such a blight on our budget because the American approach towards health-care provision and costs is abysmal. Medicare only emphasizes this problem because it encompasses those patients who require the most care.
To fix Medicare, you have to fix health care. You have to implement a strong public option, open the prescription drug market to include purchasing across borders, move people off of private insurance and into private health saving accounts, etc.
Outside of that we need to reform the program's fee-for-service options and tighten down the budget. It might inevitably mean 1 out of 1,000 disabled/elderly dies who otherwise would not have, but the savings justify this, I believe. The money could be better spent on children who need more nutrition in their diet, a young adult's education, a healthy entrepreneur's enterprise.