we are here today because our Medicare status quo is not working and it hasn't been working for a long time. For decades, Medicare has been on a path to insolvency. In 1997, Congress attempted to impose some fiscal discipline on the program by creating the sustainable growth rate or SGR. This is a budget-enforcing mechanism that calls for annual adjustments to the amounts physicians are reimbursed for treating Medicare patients. The SGR was originally billed as a permanent solution to Medicare's unsustainable fiscal trajectory. The idea was to restrain Medicare spending by linking physician reimbursements to a target amount based on the general performance of the economy as a whole. While this may have seemed like a good idea at the time--when the economy was relatively strong and stable and growing--it quickly lost its appeal when we went into the 2001 recession just a few years later. The plan also suffered from the central planners' fatal conceit that trusts bureaucracies, rather than consumer preferences and real price pressures, to determine the cost of a particular good or service. As it turns out, the actual cost of medical goods and services and the practice patterns of physicians do not necessarily align with the health of the economy or the predictions of government bureaucrats.…
Share
More from Bill Lee
Medicaid, healthcare outcomes and the cost of healthcare are of the utmost importance to our states. Not only because they are such a big piece of our budget but because it is about serving some of the most vulnerable in our communities.
Tennessee has a “really good chance” at being one of two states in the running for a $50 billion nuclear energy campus.
across the country, our guardsmen are on the frontlines of our national security. They are on the frontlines of our national security, securing our cities and our border, and, most commonly, leading natural disaster recovery efforts in our…
I appreciate the skill and the passion that my friend and colleague the distinguished Senator from the State of Washington brings to the table on this. I appreciate her thoroughness in making the case that she has made to the Senate. I…





