Walking the Tightrope on Medicare Reform
探讨医疗保险支出是否过多或应扩大，认为平均而言支出值得，但边际上服务过度使用且价值低，改革需促进高价值护理并消除低价值护理。
A central controversy in the debate about Medicare is whether the program spends too much money or whether instead it should be expanded to cover more. I consider the value of increased Medicare spending. I argue that on average Medicare spending is worth it: the health gains brought by medicare have been greater than their cost. At the margin, however, services are overused and have low value. Medicare reforms need to promote the high average value of care while eliminating care of low value. Many of the proposed reforms fall short of this goal.