By Robert Samuelson
WASHINGTON
-- Overlooked in the furor surrounding Paul Ryan's Medicare proposal --
a plan, it should be recalled, that wouldn't start until 2023 and even
then would affect only new beneficiaries -- is a just-published study in
The Journal of the American Medical Association (JAMA) suggesting that,
well, Ryan might be right. The study finds that a voucher-type system
might noticeably reduce costs compared to "traditional" fee-for-service
Medicare. Three Harvard economists did the study, including one
prominent supporter of President Obama's health care overhaul.
The study compared the costs of traditional Medicare withMedicare Advantage ,
a voucher-like program that now enrolls about 25 percent of
beneficiaries. Medicare Advantage has cost less for identical coverage.
From 2006 to 2009, the gap averaged 11 percent between traditional
Medicare and voucher plans that, under the proposal by Ryan and Sen. Ron
Wyden, D-Ore., would serve as a price "benchmark."
The study compared the costs of traditional Medicare with