A Matter of Character: on Health Care


George W. Bush: Medicare bill uses market-based solutions to reduce costs

The December 2003 Medicare Prescription Drug, Improvement, and Modernization Act embodied Bush’s approach. On the one hand, it helped seniors, many with low incomes, by covering prescription drugs and checkups that were not covered before. While coverage would not start until 2006, a prescription discount card was to start giving seniors savings of 10% to 25% in June 2004. On the other hand, by introducing competition, free enterprise, deductibles, and preventive health care, the new law used free market approaches of the private sector to keep costs in line.

The Bush approach was to use elegantly simple market-based solutions to reduce costs. Under the old Medicare, there was no preventative care. Now when you are a senior and turn sixty-five, you will get a physical. Medicare can identify problems rather than waiting until you are seventy-five and they are more serious. And how could anyone be against giving the elderly prescription drugs that they did not have before?

Source: A Matter of Character, by Ronald Kessler, p.267-68 Aug 5, 2004

  • The above quotations are from A Matter of Character: Inside the White House of George W. Bush, by Ronald Kessler.
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Page last updated: Feb 15, 2019