By Paul Krugman
So there it is: the draft Republican platform says of Medicare and Medicaid,
The first step is to move the two programs away from their current unsustainable defined-benefit entitlement model to a fiscally sound defined-contribution model.
That means that instead of Medicare as we know it, which pays your medical bills, you’d get a lump sum which you can apply to private insurance — they’ll yell when we call it a voucher, but that’s what it is ….
…. So where are the savings? The answer is, it’s basically a way to deny health care to people while denying that you’re doing so. You don’t say, “we won’t pay for this care”, you just hand people a voucher and let them discover that it won’t buy adequate insurance. It’s health-care rationing — but by money instead of deliberate choice. Read more.