Journalists covering Medicare in the coming debates over entitlements will hear that seniors must have more “skin-in-the-game,” to help the government balance its budget. Tennessee Republican Senator Bob Corker has introduced a bill that would do just that. The NAIC’s report is a starting point for asking Corker and others advocating this approach some tough questions about the underlying assumptions behind it.

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.