The White House's 2011 budget is only the second-most interesting budget proposal released recently. First prize goes to Congressman Paul Ryan, the ranking Republican on the House Budget Committee, who's released a budget proposal that actually erases the massive long-term deficit. [...]
But Ryan's budget -- and the details of its CBO score -- is also an object lesson in why so few politicians are willing to answer the question "but how will you save all that money?" [...]
That's a bit of a slog, so here's the translation: The proposal would shift risk from the federal government to seniors themselves. The money seniors would get to buy their own policies would grow more slowly than their health-care costs, and more slowly than their expected Medicare benefits, which means that they'd need to either cut back on how comprehensive their insurance is or how much health-care they purchase. Exacerbating the situation -- and this is important -- Medicare currently pays providers less and works more efficiently than private insurers, so seniors trying to purchase a plan equivalent to Medicare would pay more for it on the private market.