"Medicare’s problem is not just overspending. In a sense, the program’s travails mirror (and severely exacerbate) those of our economy and welfare state more generally: The stifling of competition and innovation creates a crushing inefficiency that makes the system unsustainable—giving off a strong whiff of institutional decline, and intimations of a terrible crash to come. Yet correcting the problem, in Medicare’s case as with our broader predicament, presents an enormous political challenge, because recipients of benefits are powerfully resistant to change. "
[Weekly Standard]
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