Many of the big supporters of the Health Care reform have said that the idea was to eventually apply apply its logic to Medicare. That is, that Medicare would eventually be a subsidy system with "choice" among private insurers and perhaps a public option (as long as the industry says it's ok.) I don't know that people understood that to be the eventual goal of the health care reforms, but evidently that was understood by many of those who were most enthusiastic about it.( In fact, a lot of people understood the opposite --- that the health care reforms would eventually lead to single-payer.)
Last night Democratic Senator Ron Wyden took a step toward making that "dream" a reality. He and Paul Ryan announced that they have teamed up to promote a plan to make Medicare a voucher plan by 2022, (just as the second half of the baby boom enters the system.) One might have thought the prudent thing would be to wait and see how the health care reforms work before throwing the sickest population into the mix, but apparently we just "know" it's the way to go.
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