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President Clinton’s health-policy advisor plans have been developed to disease in a new health care system, even when it is satisfied that the elderly have no major changes in Medicare were imminent.

Even if it knows that it may cause an outcry among the elderly, concern about major changes in a safety net, administration officials say it is difficult to control health costs, if people aged over 65 remain outside the new system.

Officials also hope to offer additional benefits such as lower supplements for the elderly in the new system, so that the change be made more attractive. Impact on deficit

Finance Medicare health care for 32 million elderly and 3.6 million disabled people, with a price of over $ 140 billion this year. They represent 15 percent of health spending to the USA, of which 40 per cent of revenue that hospitals care for patients. Efforts to reduce growth by monitoring their hospital and doctor fees were largely confused by the increased use of medical services and higher bills disease are an important factor in the Federal Republic of the budget deficit.

During recent weeks, the administration thinks, as the restructuring of the health sector has steadily larger, more ambitious and sweeping. White House officials confirm that the Workers’ Compensation, the medical section of automobile insurance and Medicaid, the health program for the poor.

Medicare is bigger than other programs and their beneficiaries are a well-organized political force, the centre of the health system. It is the future of the disease is important that the president’s proposal. A.A.R.P. It reacts with caution

A powerful organization, which for many seniors have reacted with restraint tonight. A. Martin Corry, director of Federal Affairs of the American Association of Retired Persons, said: “If you talk about changes in Medicare, it makes people nervous.” He said it was good for the Government to provide incentives for seniors to submit voluntarily to health care in organizations.

But he warned: “Dropping disease in a new system tested on the basis of a theory unbewiesene on how health care can be increased, it would be very controversial. Before we do, we should ensure that the new system works. ”

Among the proposals of the hotel, which will be presented to Congress in June, most people under 65 would be denied health insurance by major consumer cooperatives that offer a number of plans in health. The plans would be less costly maintenance of health look like all organizations that care for a certain fee and require the use of certain doctors and hospitals.

The people retain the power of this scheme, if 65 And in the proposals currently being discussed, people in roles of the disease would be invited, through a series of incentives and sanctions, HMO’s.

The National Association has asked the White House to fold disease in the new health system. In many rural areas, a large proportion of the elderly population. Governors fear that in these areas, it will not be enough patients to maintain health care networks, if the elderly are excluded. A quarter of the nation population lives in rural areas.

At a conference of national legislators on Saturday, C. Ira Magaziner, head of the President’s Task Force on National Health Care Reform, said management wanted Medicare, under the new system “a State by State.” Hillary Rodham Clinton, head of the Task Force, said that members of Congress that Medicare beneficiaries should be the new networks of doctors and hospitals as quickly as possible.

Confidential documents of work of the Task Force say that Medicare recipients may have to pay more if they insist on first aid by the remuneration fixed-for-service arrangements. Under these agreements, the government pays separately for each hospital admission and the different services in a Doctor’s Office. Under the new system, the elderly may be additional benefits, including the possibility of long-term treatment, they have joined HMO’s, saying the documents.

Currently, only 2.4 million beneficiaries are Medicare HMO’s. The elderly have been reluctant to HMO’s, in part, because they are doctors and some are not ready to change. Some HMO’s have been reluctant even to the elderly, in part because the HMO’s check payments disease is too low.

But after Mr. Clinton’s plan, most doctors would be linked to a health organization, maintenance or a network of health care providers and elderly patients may also be able to stay long term with their doctors. The advantage of membership?

The elderly may also be an advantage that the new system, if the accession of an HMO they can drop additional benefits such as supplements or coverage for prescription drugs, thus the need for insurance, or Medigap policy.