In an editorial the New York Times on November 17 said this:
Paul Ryan, for instance, said on Fox News on Thursday, that “because of Obamacare, Medicare is going broke.” That statement is false. According to the Medicare trustees, cost controls in the A.C.A. are one of the reasons that the system’s hospital trust fund is projected to remain solvent through 2028 — 11 years longer than before the A.C.A. was enacted.
But as you see, the solvency period varies from year to year both before and after the implementation of the ACA so the actual impact of the ACA on Medicare is yet to be determined. In any case, currently Medicare has twelve years before it hits a crisis. In addition, the Medicare trustees urge that legislative action be taken to preserve Social Security.
Mention privatization in any form and you become the target of the political left. There are some problems with privatization, especially if proposed vouchers to pay for the insurance do not keep up with actual costs; a strategy employers are using for their retirees. However, to a large extent Medicare is already privatized.
In addition, Medicare doesn’t work without private supplemental coverage.
The trick is to change Medicare, save money and not shift those costs to beneficiaries or take them from physician’s pockets.