[T]he real shocker in this year's report is a letter that the chief actuary of Medicare attached to the very end of the report, basically saying that things are much worse than the trustees suggest. The letter (which starts on page 265 of the document and pretty much makes the prior 264 pages moot) first says that the trustees were compelled to adopt some near-term assumptions that are highly implausible....
Then it says that Obamacare, because it calls for across-the-board cuts in Medicare funding but does not put in place the market mechanisms for encouraging greater productivity in health care, spells disaster for Medicare providers, and therefore for Medicare recipients2014? 2016?
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