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In effect, Medicare officials said today, they will now do the study that Congress ordered 13 years ago.
Although special interests like the insurance and pharmaceutical industries will vigorously oppose it, single-payer national health insurance -- in effect, Medicare for all -- would bring affordable health care to every American.
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This has had a destructive effect on Medicare's finances: the fastest-growing type of Medicare Advantage plan, private fee-for-service, costs taxpayers 17percentt more per beneficiary than Medicare without the middleman.
The true effect on Medicare Advantage is more complex.
Mr Ryan's plan would raise no taxes and, in effect, privatise Medicare.
Mr Ryan's proposals include, in effect, privatising Medicare, the government-run health scheme for the elderly.
Private insurers nationwide have begun enrolling beneficiaries in A.C.O.'s, but they may have an even bigger effect on Medicare participants.
As for the prescription drug proposal, it would create an income-linked system of premiums similar to the one already in effect in Medicare Part B, which covers doctor visits and outpatient services.
Under a federal law that took effect this summer, Medicare will pay doctors a 1.5percentt bonus incentive for reporting quality measures set out by a program called P.Q.R.I., for Physician Quality Reporting Initiative.
Early estimates of the law's effect on Medicare spending projected that the program would grow at an average yearly growth rate of 6 percent between 2010 and 2020, down from 8 percent average yearly growth from the previous two decades.
Here's the bottom line: The recently passed health care reform bill is promising to have a positive effect on Medicare, assuming Republican opponents don't succeed in killing the reform in court or otherwise undermining its main provisions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com