I think I’ve got it figured out. The Bush Administration truly is compassionate, and the drug companies actually care about getting medicines to sick people. So they deliberately designed Medicare Part D (the prescription-drug benefit) to fail in order to generate public support for some sort of true national health coverage.
Yes, I know: any theory that attributes good motives to Bush or Big Pharma requires a lot of believing. But I can’t come up with an alternative explanation for how badly the damned thing was designed and implemented, and in particular for the “donut hole.”
What’s your theory?