CBO expects that Medicare spending under the legislation would increase at an average annual rate of roughly 6 percent during the next two decades—well below the roughly 8 percent annual growth rate of the past two decades (excluding the effect of establishing the Medicare prescription drug benefit). Adjusting for inflation, Medicare spending per beneficiary under the legislation would increase at an average annual rate of roughly 2 percent during the next two decades—well below the roughly 4 percent annual growth rate of the past two decades. It is unclear whether such a reduction in the growth rate could be achieved, and if so, whether it would be accomplished through greater efficiencies in the delivery of health care or would reduce access to care or diminish the quality of care.
What the Moderate Republican Stands For
Republicans came to power as the party of big ideas, and without returning to that model they could be looking at a long winter. Additionally, those big ideas need to focus on Middle America. Three issues that could work are conservation, reform and localism.
Conservation- a return to the Teddy Roosevelt model of conservation. One doesn’t necessarily have to buy into global warming to appreciate the need to protect the natural resources we have.
Reform- the federal government is bigger than ever, and won’t be getting any smaller over the next four years. Republicans need to fashion themselves as national reformers. Much of Middle America wants the government as safety net, but bloated bureaucracies breed corruption that needs to be dealt with.
Localism- this is the lynchpin that brings it all together. If we bought our food locally, shopped locally, governed locally, many of the issue we now have to deal with would go away, or at the least become manageable.Below is a collection of writers who speak about the things that matter. Some are Right, some Left and some Center, but all intelligent and rational voices.
The Soap Box
Health Care Reform or Not?
More math on health care bill from the Congressional Budget Office:
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