Description: Essay recommending establishing a consistent and actuarially sound foundation for assessing the costs and benefits of each and every current and new Medicare or other healthcare proposal.

Description: Actuaries and the Actuarial profession have an obligation to act in the public interest. It is not enough to pass exams, keep current and do "good actuarial work.” Both Science and public service must be reflected in all of our activities...The intent of this article is to clarify what "acting in the public service” means for actuaries, particularly U.S. actuaries. It emphasizes the importance (necessity) of examining the "public interest" in everything we do ... and to warn the public where we have concerns. ...Acting in the public interest (a requirement for any profession or professional, is critical to the profession's future reputation and relevance.