Arnold Kling    Morality and Medicare  Future of Political
Philosophy... Genetics, Politics, Culture, a...  M.S. writes
(for the Economist blog),  Mr Ryan's plan ends the guarantee
that all American seniors will have health insurance. The
Medicare system we've had in place for the past 45 years
promises that once you reach 65, you will be covered by a
government-financed health-insurance plan.  The key word here is
promises. There is essentially zero chance that the government
will keep its current promises. The author concludes,  I agree
with Mr Ryan that the government needs to limit taxpayers'
exposure to Medicare cost inflation. I think this plan is a
fundamentally immoral way to do it.  Baloney sandwich. The term
"cost inflation" means a pure increase in prices charged for the
same services. Some of that takes place. But most of the rise in
health care spending reflects increased use of expensive inputs,
in particular fancy equipment and medical specialists.  There
are always three ways to deal with the