Megan McArdle gives a fair summary of the practical choices that the two parties offer voters when it comes to Medicare and Medicaid reform.
Derek Thompson is just obtuse. I especially like where he writes:
This picture is a partisan Rorschach test. Washington promised to pay for every senior's health care. We can't. Paul Ryan's sees the graph and says, "Let's change our promise." The White House's sees the graph and says, "Let's change health care."
Obamacare started to "change healthcare" by sharply cutting doctor reimbursements for current Medicare clients (which will make it harder for seniors to see providers) and using the savings to fund a new middle-class entitlement. We can look forward to future attempts by the Obamas of the world (and their media enablers like Thompson) to try to "change health care" through waiting lists, denials of service and other, less transparent ways of cutting back services.
We have to get this straight and repeat it always. The Ryan patient-centered approach will let future retirees decide on the care they get and they will get better value for their money. The Obama bureaucrat-centered approach will get seniors ever fewer medical services even as they are told a thousand lies about a thousand waiting lists and service reductions. And then they will tell you about how great they are for changing health care. The Ryan method is both more honest and will get seniors better care and more choices at a lower price.