3. Once upon a time a country called the United Skates was concerned that the gr

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3. Once upon a time a country called the United Skates was concerned that the growth of "entitlement programs" for an aging generation of "baby boomers" would cause an "unsustainable growth" of the Federal Budget deficit and would eventually bankrupt the country. It was decided to spend $75,000,000,000 (at time zero) to set up "The Commission for Health Care Rationing for the Aging". After a debate on the Senate floor it was decided to rename the organization "The Commission for Preservation of Quality Health Care for Seniors" (no change in objective though). The simplest plan called the "Obamanation Plan" would simply fix an amount that could be spent each year and would charge a group of 15 highly paid bureaucrats to cut payments to health care providers. While the plan forms the baseline against which all other alternative programs will be compared there is question as to whether it will be real or whether there will be an endless parade of annual "Doctor's fixes" to raise payments so that medical facilities don't loose money treating senior citizens and consequently just stop servicing the senior population at all. The cash flow against which others must compare is given below. (fist negative at time 0 is -$75 Billion) The commission would like to find a way to make "more targeted cuts" that would preserve the availability and quality of care for millions of healthy seniors who otherwise find it difficult to find a doctor or hospital willing to take them. Alternative #1 is to raise the eligibility age for Medicare to 67 to match the age for full Social Security Retirement. While the change would reduce the number of people eligible for Medicare by 10% it would be the healthiest part of the population that would be removed and those who's health simply would not let them work to age 67 would end up diverted into Medicare's disability program. The cash flow estimated for Alternative #1 is shown below. Commissioner Adolf proposes alternative #2. Medicare roles contain over 20% of people who are on disability and not even retirement age. These are people who should be working but are defective and not able to

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