This One Goes to Eleven (Robert Wright & Mickey Kaus)

[DWAnderson]

Originally Posted by AemJeff

As soon as it costs $15001 to obtain minimal benefits. The vouchers are indexed at half the rate medical costs have historically risen.

Why not just reduce the benefits so the expected payout is $14,000?

BTW, these issues are not unique to the Ryan plan. They exist under the ACA as well the difference is who is making decisions about coverage, is it a government panel or is its decided in the marketplace.

It is also true that even if the Ryan plan passed right now there would still be debates about what an appropriate voucher level would be. There are no guarantees about what future Congresses would to to benefit levels under either the Ryan plan or the ACA.

My only point is that for any given level of expenditure we are better off under the system Ryan has described than under the ACA-- and neither is rationing.