David Stockman Thoughts
And there is this.
Mr. Ryan must have been surprised and disappointed when the C.B.O. determined that changing Medicare in this fashion would actually increase total health care costs (as a percentage of the economy).
The reasoning is straightforward. At present the federal government buys health care for about 100 million Americans. Buying at scale and pooling risks, the government can get lower prices than you would get on your own.
Medicare is also highly efficient in terms of its administrative costs, which are about one-fifth of what it costs to run leading private insurance companies.
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