Medicare is based on the cost of seniors' health care being borneprimarily by younger workers. The demographic reality is there arediminishing numbers of workers per senior. Promises to today's andfuture beneficiaries must be kept, but not at the expense of futuregenerations. Building incentives for high quality, efficient caredirectly into the Medicare payment structure and using the power ofpersonal choice and competition are key reform elements.
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