Medicare is a $500 billion program on track to become a $1 trillion program before hitting insolvency in 2024, even under the rosiest projections. Historically, Republicans have made it part of their platform to change the system, which, most all observers agree, is a necessary change. So necessary, in fact, that Democrats have also starting calling for program cuts. "What innovative solution does Obama propose to begin fixing America's biggest fiscal problem?" asks Peter Suderman. Simple: He would change the way providers are paid for Medicare's services. Pay less, spend less. Right? It is so obvious that one might wonder why it hasn't been tried before. The answer is that it has — many, many times.
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