The perversion comes in when you look at how it has been managed ever since. Each year the congress has waived the "Doc fix' thus saving (to the rescue) the doctors but also negating the savings to the program.
In my view this is perversion They are using this issue like a control button to manage public sentiment. The CBO financial scoring for the recently passed "Obamacare" assumed the savings from the "Doc fix". That gave Congress the cover to stand up in front of us and say the bill would save money. The CBO had to use this assumption because it is the current law. Now, as we approach the midterm elections they let the the "Doc Fix" happen so that they can be seen as reducing spending. Every year they play the options based on political considerations. What's best for the country be damned.
In my view this is perversion They are using this issue like a control button to manage public sentiment. The CBO financial scoring for the recently passed "Obamacare" assumed the savings from the "Doc fix". That gave Congress the cover to stand up in front of us and say the bill would save money. The CBO had to use this assumption because it is the current law. Now, as we approach the midterm elections they let the the "Doc Fix" happen so that they can be seen as reducing spending. Every year they play the options based on political considerations. What's best for the country be damned.
def: the alteration of something from its original course, meaning, or state to a distortion or corruption of what was first intended.)
Just a thought.