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Opinion Piece Suggests Grant Program To Address Growing Costs Of "Welfare State"
"Providing access to basic medical care for everyone is easy for a country as rich as the U.S. -- if we don't insist on doing it through the structure of the welfare state," which "as we know it cannot survive," Charles Murray, a scholar at the American Enterprise Institute, writes in a Wall Street Journal opinion piece. According to Murray, the author of "In Our Hands: A Plan to Replace the Welfare State," federal spending on Social Security, Medicare and Medicaid will account for 28% of the gross domestic product in 2050 "if past growth rates continue," and "major change is inevitable," though "Congress seems utterly unwilling to face up to it." Murray proposes a plan that would give "a $10,000 annual grant to all American citizens who are not incarcerated, beginning at age 21, of which $3,000 a year must be used for health care." The grant would come from collecting and dividing up taxes and sending "the money back in cash grants to all American adults," Murray writes. According to Murray, a health plan covering the "essentials" could be available for $3,000 annually, if individuals offered to start paying a constant premium for the rest of their lives. He adds, "It can be so inexpensive for the same reason that life insurance companies can sell generous life insurance cheaply if people buy it when they're young -- the insurance company makes a lot of money from annual payments before eventually having to write the big benefit checks." The plan initially would cost about $355 billion more than the current system, but by 2020 could "cost about half a trillion dollars less per year that the conservative projections of the cost of the current system," he says. Murray maintains that his plan would "confe[r] personal accountability whether the recipient wants it or not, producing cascading secondary and tertiary effects" and "confe[r] responsibility for dealing human needs on all of us, whether we want it or not." He concludes, "The solution is not to tinker with the welfare state. The solution is to put responsibility for our lives back in our hands -- ours as individuals, ours as families and ours as communities" (Murray, Wall Street Journal, 3/22).
"Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
Avizul Floare sugereazã Grant program sã Adresa Creºterea costurilor de "stat al bunãstãrii" - Opinion Piece Suggests Grant Program To Address Growing Costs Of "Welfare State" - articole medicale engleza - startsanatate
