MedPage Today May 30, 2024
— Having them buy insurance or pay for services directly would bring down prices, supporters say
Everything old is new again.
Back in 1989, U.S. conservatives were promoting an approach to Medicare known as “defined contribution,” under which — instead of receiving a certain set of defined benefits from the government, seniors would receive money they could use to buy their own private health insurance policy. Under such a system, “the elderly would have more incentive to question costs,” wrote Stuart Butler, PhD, who was then with the Heritage Foundation. “By fostering consumer sensitivity, the reforms also would encourage the same kind of competition through Medicare as the tax reforms would accomplish for the working population.”
On Thursday, David Hyman,...
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