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Tuesday, November 25, 2003

# Posted 7:49 AM by Patrick Belton  

MEDICARE PRESCRIPTION DRUG BENEFIT TO PASS TODAY: And hardly anyone seems too terribly happy about it. The left, c.f. Senator Kennedy, is worried that the introduction of competitive mechanisms will pave the wave for the privatization of social security. The right perhaps might not think that would be such a terribly bad thing, but is concerned that we've just created a quite large entitlement without really thinking about how to pay for it. On these lines, the WaPo was opposed to the bill, arguing principally that the cost-control provisions to be passed along with the new pricey drug benefit were not powerful enough - but also because an extremely important, 1,100-page bill with profound effect on the nation's fiscal and physical health was brought up for a House vote only one day after it was finished in largely secretive conference, making it impossible for legislators to have any real idea of what they were voting for or against. TNR's Jonathan Cohn criticizes the bill for giving unduly sweet deals to the large-contributing insurance and pharmaceutical industries, while including a competitive mechanism (Senator Breaux's) which he argues costs the government more than it saves. Equally critical is The Economist, which calls it "At a price-tag of $400 billion over the next ten years (and far more thereafter)...an extremely expensive way to buy votes."
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