Dr. Vladeck is Senior Advisor to Nexera, Inc. He was Administrator of the Health Care Financing Administration (now Centers for Medicare and Medicaid Services) from 1993-97, and was subsequently appointed by President Clinton to the National Bipartisan Commission on the Future of Medicare.
The usual laundry lists of proposals for Medicare savings are already being circulated throughout official Washington. Most of these ideas have been around for years, and have never gotten past the talking stages because of political opposition or because they are simply bad ideas. But one especially pernicious proposal appears to have increasing traction among both politicians and policy analysts.