Hard Choices � Alternatives for Reining In Medicare and Medicaid Spending

Rosenthal, Meredith B.
May 2011
New England Journal of Medicine;5/19/2011, Vol. 364 Issue 20, p1887
Academic Journal
The article discusses the proposal to control Medicare and Medicaid spending by Republican Congressman Paul Ryan and the U.S. White House. Ryan's Roadmap for America's Future includes a provision that would ultimately replace the existing Medicare program with one providing beneficiaries with a fixed dollar contribution, or a voucher, toward the purchase of a qualifying private insurance plan. Meanwhile, the White House's plan calls for changing the payment systems for physicians and hospitals.


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