Paul Ryan is a LIEbertarian.
I made phone calls for Trump, and talked to seniors whose number one concern was Medicare and Social Security going away. They had no other source of income or healthcare.
The LIEbertarian stance is privatizing Medicare to solve the problem, but you can’t do that for current generations.
The only way to resolve the Medicare imbalance is to have the American economy go full throttle capitalism with pro-growth economic policy and focus all your efforts there.
This country paid for the rebuilding of the rest of the world. It’s enough. They need to start paying it back by investing in America. Because without America, they will slide back into the same communism, fascism, dictatorships, etc.
See 37... privatization of medicare is a fools errand IMHO... not only from a political standpoint but from a practical reality standpoint. The industry is far more complex than any of these let the private industry solve it types understand... For good or bad.. .and these are some of the most vulnerable people in our population who are needing the most from the health care system.
Understand, 80% of what you spend on health care in your ENTIRE LIFE.. on average is spent during the last 2 years of your life. Private industry insurance, has no clue how to handle pooling for that reality... because guess what? Thanks to medicare they don’t worry about that reality... because if you are over 65 you are on medicare... expenditures related to you are not something their cost pools need to deal with... so their pooling is devoid of roughly 80% of the overall cost of care for individuals.
Could they do it? Perhaps, but it will require complete repooling and will raise EVERYONE’S rates to cover it.. it would also, due to the movement of demographics from more younger people and less as the age group goes up... like a pyramid which made up most of human history... now is more of a column where the number of people at each age group alive today is closer to the same, and only int eh 70s and 80s does the group size really tail off...
This isn’t a simple problem, and its not something you can toss and private industry and hope for the best... it will wind up with the same kind of crap that went on with ITT and others.. where folks will just defraud the government and leave these seniors with squat.
This isn’t a simple or easy problem, not even close, and anyone just claiming let the market deal with it is flippant and ignorant.
I am open to private industry ideas, but flippant just let the market take care of it? Not going to happen folks... whether you like it or not ideologically.