Conversion of Medicare to a "premium support" program for private insurance sounds a lot like Obamacare.
From what I've read about the basic idea, converting Medicare to a premium support program entails;
Instead of paying out for expenses as they arise like Medicare does now, eligible retirees would receive a voucher to go out to the private market and purchase whatever private health insurance they wanted (paying any premiums over and above the voucher out of their own pockets), this caps annual Federal Medicare expenditures at # of beneficiaries * voucher face value versus the far more open ended program that we have now.
Obamacare on the other hand dictates the specifics of the insurance that can be purchased, how it can be purchased, includes penalties for failure to purchase and adds subsides based on income qualifications and carrier subsidies on the other end of the transaction to protect private insurers from market risk. All that's FAR more intrusive into the transaction and FAR less cost controlled than just handing someone a voucher and essentially saying "
here, go buy what you want with this".
Per beneficiary Medicaid limits mean headlines of all the people who get cut off from dialysis treatment or cancer therapy, babies needing open heart surgery who use their benefits by the time they're three.
Apparently some people don't understand the concept of SCARCITY, time to get with the program before all this faux "compassion" ends up strangling the goose that laid the golden egg, bad stuff happens, you want to help mitigate it? PRIVATE charities are the answer because we need to stop trying to run the federal government like it's a charity with infinite resources.
I have no idea how privatizing Social Security is supposed to save the program.
It means you accrue assets in a private account instead of accruing obligations against the incomes of future tax payers in the general fund, not to mention if structured correctly unused SS assets can be transferred FORWARD to future generations instead of transferring wealth BACKWARDS to current ones.
Ryan is driving a spike through the bottom of the boat, if you ask me.
Yeah that's why I give him some credit, the boat of the welfare state needs to be sunk and a new, much smaller & cheaper one built in its place.