Doug Elmendorf Quotes
We do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount and, on the contrary, the legislation significantly expands the federal responsibility for health care costs.
Elmendorf, Douglas W. Testimony. The Long-Term Budget Outlook: Hearing Before the Committee on the Budget, United States Senate, U.S. Government Printing Office, 16 July 2009.
Unlike most forms of insurance virtually everyone will have one or more claims and collect in his or her lifetime. Many of use will never have an automobile crash and collect on our insurance policy, but health is different in that we all change health status from well to ill at times and if we are fortunate we return to a state of wellness. But as Eigen observes, most of us who are tell are only temporarily well, With time our state will change to ill and if we are not very fortunate we will never use our health insurance as we will be dead. There is almost no way to age in a modern society without needing health care or funeral services, That is the consequence of the normal process of aging. So with health insurance schemes we, in effect, pass money from the living well to the living ill. So if health care costs increase fastr than inflation, which it has almost always done in the last half century, the temporarily well will be paying more and more. The only way to break that cycle is to somehow limit the cost increases of health care to that of the inflationary increase. Eigen has argued that most of us focus on the wrong problem--the details of the way the well pay for the ill, when the only soltuion is to reduce the rate of increases of health care costs. And there are only 2 ways to do that: Reduce the compensation for all the health care actors--physicians, nurses, other staff, hospitals, and manufacturers of medical equipment, supplies and expecially pharmaceuticals which have been increasing at the fastest rate of all or wer privide more and more effective prevention.
Douglas William Elmendorf is an American economist who is the dean and Don K. Price Professor of Public Policy at Harvard Kennedy School. He previously served as the Director of the Congressional Budget Office (CBO) from 2009 to 2015. He was a Brookings Institution senior fellow from 2007 to 2009, and briefly in 2015 following his time at the CBO, and was a director of the Hamilton Project at Brookings.
