The basic structure of Medicare is outdated. Without fundamental reform, the program's costs will explode.UNIVERSAL COVERAGE
Make the program available to all seniors, not just the poor. Design it to attract healthier people when their need for drugs is modest.MARKET RELIANCE
Rather than mandating prices, the plan should allow competition that permits insurers to buy in bulk. That should help trim drug costs.ADD OPTIONS
Offering a limited array of coverage choices will help seniors tailor plans to their needs without overwhelming them with too many options.RISK-SHARING
Now, taxpayers bear the brunt of spiking health costs. Insurance companies, docs, hospitals, drug companies, and seniors must share costs.