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...politicians increasingly profligate with the public purse--expanding government entitlement and nonentitlement spending, seemingly without regard for future economic consequences.
The main focus of the book is on the runaway costs in the health care sector--the main threat to future fiscal solvency and economic security. The book draws a clear contrast between the conventional view that higher health care spending properly reflects our collective preference to allocate more of our money to health care for retirees--versus the alternative--according to which today's decisions to increase pay-as-you-go retiree health expenditures expropriates resources from future generations.
The author has convincingly argued, here and elsewhere, that the intergenerational redistributive effects of current fiscal decisions--which may well bankrupt the nation--are underemphasized in public policy debates and ignored by lawmakers motivated more by their desires for reelection than by their duty as stewards of the nation's economic future.
The Healthcare Fix identifies three problems plaguing the U.S. medical care system: Many millions of uninsured people, escalating federal and state health care entitlement costs for Medicare and Medicaid, and increasing costs of employer-provided and privately purchased health insurance. The book's goal...
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