Forbes October 8, 2019
Update: This article has been edited since publication to add clarity and to include a quote from the Trump Administration.
Last Thursday, President Trump signed an Executive Order (EO) with sweeping implications for how Medicare is priced and, by extension, how much the government winds up spending annually on Medicare. In fact, the whole EO signing ceremony is really designed to satisfy the optics of executive action where none is legally permissible. Congress still holds the purse strings, so any increases to Medicare spending would obviously require congressional approval. Executive Orders have all the pomp and appearance of real legislation – including the requisite chorus of fist pumps and smiling faces – but they aren’t.
Congress keeps a pretty...