Washington Examiner:

As Congress and the White House began to discuss health care reform, author and journalist Virginia Postrel offered a modest suggestion: If simple and decisive government action can curb costs in health care, as Obamacare advocates claim, why not begin by fixing Medicare before rushing in with sweeping changes to the entire system? The government already runs half of America’s health care system. According to federal statistics, federal and state governments together spent virtually the same amounts on health care in 2007 as did all private insurers and patients combined — $1.036 trillion and $1.045 trillion, respectively. Medicare, which serves the elderly, is the largest public program, accounting for 19 percent of all health care spending in the U.S.

President Barack Obama’s Council of Economic Advisers issued a report earlier this month estimating that as much as 30 percent of Medicare spending is unnecessary for improving health outcomes. Given such opportunities for easy savings within government, and Medicare’s weighty influence in the broader system (many private insurers set payments by adding a percentage to Medicare’s rates), it would make sense to reform Medicare first, see what works and what doesn’t, and then apply the lessons of that process later to any system-wide fix. Unfortunately, Obama and Democratic congressional leaders are hellbent on turning the system upside down with radical reforms that are sure to have vast and unexpected consequences.

Because know-it-alls never have enough power or any sense of their fallibility.