The Corner

Knowledge Is for Sissies

Virginia Postrel did a post which asked what I think is a very reasonable question: If the Obama administration is so sure that we can eliminate lots of medical costs without a reduction in health outcomes, why doesn’t it actually do this for Medicare first and prove it, before restructuring the U.S. health-care sector around its theories?

Peter Orszag at OMB responded. As far as I can see from his e-mail as reproduced phone conversation as summarized at Ms. Postrel’s blog, his response to this specific point boils down to this:

Medicare First—changing Medicare and waiting to see how it works before messing around with the rest of the health care system—won’t work politically.


Jim Manzi is CEO of Applied Predictive Technologies (APT), an applied artificial intelligence software company.


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