I have a “modest proposal.” http://en.wikipedia.org/wiki/A_Modest_Proposal. Rather than creating a voucher system in education, as some have suggested, why not convert Medicare — which is a voucher system — into something that works like the public schools?
Under the Medicare program, the federal government pays for health care, but the elderly are allowed to choose any health care provider they please. If the nearest public clinic isn’t good enough, they are allowed to use other non-profit, for-profit, and public health facilities elsewhere, and still have Medicare pay. Moreover, the level of Medicare reimbursement is the about same (with an adjustment for the cost of living) whether the patients were dishwashers or doctors in their working lives, and whether they live in Scarsdale or the South Bronx.
