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The basic structure of Medicare is outdated.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