As went the ADA, so went health care generally, a landscape of mixed outcomes and motivations. Medicare Part D, as previously seen, was a huge subsidy, to the old and to the drug companies. Because there is no long-term plan to finance Part D, it is a temporary gift to the Boomers and a permanent liability to everyone else. It is a liability made larger by the Boomers’ lack of antitrust enforcement, which permitted huge consolidation in drug, insurance, and hospital companies.
