the very same members of congress who voted this month to privatize Medicare in 2022 and enact draconian cuts throughout the 2020s and 2030s are here in town right now defending health care providers’ right to charge the government high prices for services that don’t work. Indeed, as recently as 2009 no less a figure than Paul Ryan himself was fuming at the idea of reducing government subsidies to for-profit insurance companies.
Being against rationing but in favor of cost-controls is a self contradictory position. Rationing is cost control and there is no type of cost control that isn’t a form of rationing. We have to be honest about this and make a call for rationing.