RT Journal A1 Song Z, Cutler DM, Chernew ME T1 POtential consequences of reforming medicare into a competitive bidding system JF JAMA JO JAMA YR 2012 FD August 1 VO 308 IS 5 SP 459 OP 460 DO 10.1001/jama.2012.7909 UL http://dx.doi.org/10.1001/jama.2012.7909 AB Proponents of premium support cite 2 potential strengths. First, competition may lower health care spending. Second, by pegging the Medicare contribution to one of the lower-cost plans and limiting the increase in the government's contribution over time, public spending on Medicare will slow.1 Critics state that bidding essentially shifts costs to beneficiaries by increasing their required premiums.2