H.R. 1, the Medicare Prescription Drug and Modernization Act of 2003

Problems:
With the Bill Itself
Division A
Title I
Title II
Section 200
The assumption in (3) is that competition between a Federal Program (insurer of last resort) and Private Programs will "promote greater efficiency and responsiveness to medicare beneficiaries" is flawed for reasons.
They will be competing for different clients, based on wealth & income

When it really counts a patient doesn't need better service from their insurer, they need a doctor right away. There is no time elasticity of demand in emergency cases for Insured Clients to "shop-around" and find the best Insurer who won't let them down at a critical juncture

Division B
Title XII
Section 1202
This Amends the Internal Revenue Code of 1986, to make payments to your prescription drug plan an itemized deduction. This helps, in the majority, only those who itemize, who are "this section" of the ownership curve.

The exemption doubles from 2004-2009, with a very low inflation picture. This pushes a lot of the cost of this tax off into the future.

Overlooked by the Bill
Solutions: