"The first step towards recovery is admitting there is a problem. Fee-for service Medicare doesn't encourage quality care, and is a great way to waste money, so CMS is right to want to move to alternatives," Mr. Holtz-Eakin said. "The second step, however, is choosing the right therapy. In its desire to trump Congress with executive action CMS has set ambitious goals with no evidence that these particular alternatives will be effective at reducing costs or improving care."
"A rule is, 'You should have everybody who is receiving benefits have a stake in paying for those benefits,' so you don't get an unstable democracy, where people vote themselves benefits at somebody else's expense," said Douglas Holtz-Eakin, a former CBO director who is now president of the conservative-leaning American Action Forum.