Tuesday, March 23, 2010
It's Well Past Time for Medicaid Reform
The demand that the healthcare reform bill be "revenue neutral" killed any chance that the bill would address the many woes of Medicaid. Nationalizing the program and funding it at adequate levels would require a significant infusion of federal cash. It may be possible to engage in a privatization of the system through the exchanges created by the current bill, but that would also likely be significantly more costly than the status quo. Also, no private insurer is going to want to touch the end of life costs that Medicaid picks up for many of the nation's long-term nursing home residents and elderly population.
If any Republicans are listening to David Frum, or if Frum himself is done wringing his hands, maybe they could share some ideas?