Yes, Medicare and Medicaid reform are essential to ensuring the sustainability of these programs in the long-term. Unfortunately, doctors seems to be rather hostile to changes in these programs, especially if the changes are to trim down costs. These two programs likely have a very large patient base, and therefore carry a lot of weight in the medical payments area. Therefore they have the duty to set a good example and not allow doctors to overcharge insurance.
Medicare and Medicaid reform are greatly needed in order to keep these programs solvent over the long term. Without reform, it could be a matter of years before they both collapse because the tax payers can not afford to keep supporting these money losing ventures. Reform is needed right away.
Yes, I think that we need to make a lot of changes to these programs so that we can make sure that they are not being messed up just because they are old and out dated. I think that it would be a good idea to make them all new.
Either taxpayers are going to have to foot the bill on these programs to a greater degree, the recipients of the services will have to bear a bigger cost, or the programs will have to be redesigned to ensure continuation of services. The real issue is a screwy medical system that is overpriced and unfair, however.
Medicare and Medicaid are only parts of the health care and insurance industry.These programs exist because health care insurance is both private and public. If all people have access to affordable health care, then the programs will operate as initially intended and can endure over the long term. Public health care insurance offered through Medicaid and Medicare does not need reform as it does not greatly influence health care costs.