Medicare sets prices for medical devices and procedures. The cost of health care (high, low, whatever) is Medicare’s doing.

“Go through every single payment system in Medicare and each one is highly political,” Scully said. “I can tell you a war story about every one of them.”

“When you are creating winners and losers, the losers will cry pretty loudly,” said Stephen Zuckerman, a health economist at the Urban Institute.

-JD Cross