The entire column is found at the link.
The Deadly Doughnut
By Paul Krugman
The New York Times
Friday 11 November 2005
http://www.truthout.org/docs_2005/111105K.shtml -snip-
Once you recognize that the drug benefit is a purely political exercise that wasn't supposed to serve its ostensible purpose, the absurdities in the program make sense. For example, the bill offers generous coverage to people with low drug costs, who have the least need for help, so lots of people will get small checks in the mail and think they're being treated well.
Meanwhile, the people who are actually likely to need a lot of help paying their drug expenses were deliberately offered a very poor benefit. According to a report issued along with the final version of the bill, people are prohibited from buying supplemental insurance to cover the doughnut hole to keep beneficiaries from becoming "insensitive to costs" - that is, buying too much medicine because they don't pay the price.
A more likely motive is that Congressional leaders didn't want a drug bill that really worked for middle-class retirees. Can the drug bill be fixed? Yes, but not by current management. It's hard to believe that either the current Congressional leadership or the Mayberry Machiavellis in the White House would do any better on a second pass.
We won't have a drug benefit that works until we have politicians who want it to work.-snip-
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