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Time is running out for entitlement reform

K Elliott

    Academic Medicine : Journal of the Association of American Medical Colleges
    |December 1, 1994
    PubMed
    Summary

    The Bipartisan Commission on Entitlement and Tax Reform identified significant entitlement challenges. Its interim report highlights the need for bipartisan agreement on reforms impacting federal funding for medical research and education.

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    Area of Science:

    • Health Policy
    • Economics
    • Public Administration

    Background:

    • Established in 1993 by President Clinton to address economic growth and budget deficits.
    • Chaired by Senator J. Robert Kerrey and Senator John C. Danforth.
    • Focused on long-term entitlement reform and tax system structural changes.

    Purpose of the Study:

    • To seek bipartisan consensus on critical entitlement and tax reform issues.
    • To inform the academic medicine community about potential impacts on federal funding.
    • To analyze the nature and magnitude of the entitlement problem.

    Main Methods:

    • Review of the commission's interim report submitted to the president.
    • Analysis of commissioners' near-unanimous agreement on entitlement issues.
    • Focus on the implications for Medicare and Medicaid financing.

    Main Results:

    • Commissioners reached near-unanimous agreement (30 to 1) on the scope of the entitlement problem.
    • Interim report submitted to the president on August 8.
    • Final recommendations are anticipated by December 15.

    Conclusions:

    • The entitlement problem is substantial and requires bipartisan solutions.
    • Reforms will significantly affect federal funding for medical research and education.
    • Medicare and Medicaid financing for teaching physicians and hospitals is a key consideration.

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