Joe Lieberman’s Plan to Make Health Care Worse and More Expensive

http://krugman.blogs.nytimes.com/2011/06/10/joe-liebermans-plan-to-make-health-care-worse-and-more-expensive/

June 10, 2011, 12:25 PM
Paul Krugman

So Joe Lieberman is proposing that we raise the Medicare eligibility age. That’s a truly cruel idea; as it happens, I know several people who are hanging on, postponing needed medical care, hoping that they can make it to 65 before something terrible happens. And if I know such people in my fairly sheltered social circles, just imagine how widespread such stories must be.

But beyond that, think about what it means to move people out of Medicare into private insurance, if they can get it.

Medicare has its problems — but all the evidence says that it is substantially more cost-effective than private insurance. Partly this is because it has lower administrative costs; partly it’s because Medicare is able to use its market power to negotiate lower prices. And the international evidence is overwhelming: single-payer systems are much cheaper than systems centered on private insurance.

So think of this as a national interest thing rather than a budget thing: Lieberman is proposing that we move a substantial number of older Americans into a worse, more expensive health care system. Why would you want to do such a thing, as opposed to raising enough additional revenue to keep them on Medicare?


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