Word: voucherization
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...Dole's G.O.P. colleagues responded to his proposal with surprise. Despite its being a traditionally Republican solution to public housing, congressional Republicans (including Dole) over the past 18 months have repeatedly voted to shrink the voucher program and refused to pass the Clinton Administration's proposal to convert all federal housing programs into such a system...
...Creating a new "G.I. Bill" which would provide a lump sum voucher for $2500 for continuing college education...
...whack, too bad. "If Congress can't get spending under control, why punish the rest of the nation?" he asks. Forbes' second area of concern is education, where he embraces the Republican idea of replacing what he calls the "inbred monopolistic structure" of the public schools with voucher plans. But on other social issues he is laissez-faire--moderately pro-choice, for instance, and against restricting immigration...
Certainly it is hard to see how a voucher system can save Medicare much money unless it pushes people, subtly or otherwise, away from fee-for-service and into managed care (or gets them to pay for the difference out of their own pockets). Leaked reports about the Republican plan for Medicare say that it might impose caps on Medicare's annual cost, and that if costs exceed the caps, the difference would be taken out of the government's payments for fee-for-service insurance only. That is one way to drive people into managed care...
...seniors lobby is worried that if Medicare is turned into a cash payment or voucher, it will become indistinguishable from food stamps. It will be seen more like a welfare program, and people may start to wonder why we are financing gold-plated health-insurance welfare for the elderly, many of whom don't need it, when we do nothing for 41 million Americans--mostly workers and their families--who have no health insurance at all. The worry is reasonable. But so is the question...