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Politics : Liberalism: Do You Agree We've Had Enough of It? -- Ignore unavailable to you. Want to Upgrade?


To: Kenneth E. Phillipps who wrote (80918)3/13/2010 9:50:47 PM
From: Hope Praytochange2 Recommendations  Read Replies (2) | Respond to of 224729
 
In fact, CBO is careful to stress that it doesn't really know "because the uncertainties involved are simply too great" over such a long time period. CBO also says that the new entitlement will grow by 8% a year, even as Medicare and Medicaid grow by similar magnitudes and overall federal spending is already at 25% of GDP. If this new entitlement actually "saves" money, it will be the first in history.

• Insurance premiums will fall. Dan Pfeiffer, Mr. Obama's communications director, took to the White House blog to claim that the plan "will make insurance more affordable by providing the largest middle class tax cut for health care." So subsidies are really tax cuts?

Insurance subsidies are transfer payments in which government takes money out of the private economy and gives it to someone else. Subsidies thus put an even larger share of health-care spending in government hands. When you subsidize something, you get more of it, which means higher demand for insurance and health-care services. Combine this with new mandates that have raised costs in every state where they have been tried, and you will get higher premiums.

In Massachusetts—where Mitt Romney imposed the beta version of ObamaCare in 2006 in the name of controlling costs—insurance carriers asked regulators this week to approve premium increases ranging from 8% to 32% for small businesses and individuals. That isn't far from the top 39% increase by Anthem Blue Cross in California that Mr. Obama claims his plan would prevent.

• The Cadillac tax. This is the 40% excise tax on high-cost insurance plans that the White House proposed because it lacked the political will to directly reduce the $250 billion annual tax subsidy for employer-based insurance. But then the White House scaled back even this effort, delaying its start until 2018 because of union opposition.

Not to worry, says Mr. Orszag, the tax would still create a "gradually increasing incentive to seek higher-quality and lower-cost health plans." In other words, some future Congress will impose the pain Democrats refuse to impose today.

Mr. Orszag also says these future politicians won't block the tax because this "would violate the statutory pay-go law just enacted." He's referring to the same "pay-go" rule that Congress has violated to the tune of $800 billion or so just in the last year.

• Pilot programs. Mr. Orszag and Ms. DeParle also boast about the bill's micro-initiatives and Medicare demonstration projects. They write that "even if we thought we had the answer for containing costs and improving quality today, that would quickly change as health care evolved."

It sounds reasonable. Yet they're forced into this vague hope because their other ideas have either been killed by Congress or because CBO says they won't save money.

About the "Hospital Value-Based Purchasing Program," CBO says it will cut spending by $0 over 10 years.

The "National Pilot Program on Payment Bundling"? Also $0.

• The Medicare commission. This is the real secret of Mr. Orszag's cost-control confidence, and Harvard economist David Cutler wrote in our pages this week that this "independent board" of sages will have the power to recommend spending cuts and create "a process for fast-tracking such recommendations through Congress." We'll believe that when we see it, given how Congress has long overruled specific Medicare spending cuts.

But let's say Congress does cede power to this unelected group of wise men. The commission will then function much like similar bodies do in Europe—controlling costs by denying coverage for new technologies or patients at the end of life, or by limiting spending on certain treatments and thus creating longer waits. Governor Deval Patrick has already announced the early stages of such a price-control regime in Massachusetts.

***
ObamaCare's real cost-control plan boils down to this: First subsidize coverage so much that costs explode, raise taxes as much as possible to pay for it, and when that isn't enough hand power to an unelected committee to limit treatment and control prices by government order. This is what Democrats are voting for.
online.wsj.com



To: Kenneth E. Phillipps who wrote (80918)3/14/2010 2:51:33 PM
From: H-Man4 Recommendations  Read Replies (1) | Respond to of 224729
 
This year, for the first time since the 1980s, when Congress last overhauled Social Security, the retirement program is projected to pay out more in benefits than it collects in taxes — nearly $29 billion more.

Wasn't supposed to happen for 10 more years.

Source:, that radical right wing blog, the Associated Press.

Social Security to start cashing Uncle Sam's IOUs

By STEPHEN OHLEMACHER (AP) – 6 hours ago

PARKERSBURG, W.Va. — The retirement nest egg of an entire generation is stashed away in this small town along the Ohio River: $2.5 trillion in IOUs from the federal government, payable to the Social Security Administration.

It's time to start cashing them in.

For more than two decades, Social Security collected more money in payroll taxes than it paid out in benefits — billions more each year.

Not anymore. This year, for the first time since the 1980s, when Congress last overhauled Social Security, the retirement program is projected to pay out more in benefits than it collects in taxes — nearly $29 billion more.

Sounds like a good time to start tapping the nest egg. Too bad the federal government already spent that money over the years on other programs, preferring to borrow from Social Security rather than foreign creditors. In return, the Treasury Department issued a stack of IOUs — in the form of Treasury bonds — which are kept in a nondescript office building just down the street from Parkersburg's municipal offices.

Now the government will have to borrow even more money, much of it abroad, to start paying back the IOUs, and the timing couldn't be worse. The government is projected to post a record $1.5 trillion budget deficit this year, followed by trillion dollar deficits for years to come.

Social Security's shortfall will not affect current benefits. As long as the IOUs last, benefits will keep flowing. But experts say it is a warning sign that the program's finances are deteriorating. Social Security is projected to drain its trust funds by 2037 unless Congress acts, and there's concern that the looming crisis will lead to reduced benefits.

"This is not just a wake-up call, this is it. We're here," said Mary Johnson, a policy analyst with The Senior Citizens League, an advocacy group. "We are not going to be able to put it off any more."

For more than two decades, regardless of which political party was in power, Congress has been accused of raiding the Social Security trust funds to pay for other programs, masking the size of the budget deficit.

Remember Al Gore's "lockbox," the one he was going to use to protect Social Security? The former vice president talked about it so much during the 2000 presidential campaign that he was parodied on "Saturday Night Live."

Gore lost the election and never got his lockbox. But to illustrate the government's commitment to repaying Social Security, the Treasury Department has been issuing special bonds that earn interest for the retirement program. The bonds are unique because they are actually printed on paper, while other government bonds exist only in electronic form.

They are stored in a three-ring binder, locked in the bottom drawer of a white metal filing cabinet in the Parkersburg offices of Bureau of Public Debt. The agency, which is part of the Treasury Department, opened offices in Parkersburg in the 1950s as part of a plan to locate important government functions away from Washington, D.C., in case of an attack during the Cold War.

One bond is worth a little more than $15.1 billion and another is valued at just under $10.7 billion. In all, the agency has about $2.5 trillion in bonds, all backed by the full faith and credit of the U.S. government. But don't bother trying to steal them; they're nonnegotiable, which means they are worthless on the open market.

More than 52 million people receive old age or disability benefits from Social Security. The average benefit for retirees is a little under $1,200 a month. Disabled workers get an average of $1,100 a month.

Social Security is financed by payroll taxes — employers and employees must each pay a 6.2 percent tax on workers' earnings up to $106,800. Retirees can start getting early, reduced benefits at age 62. They get full benefits if they wait until they turn 66. Those born after 1960 will have to wait until they turn 67.

Social Security's financial problems have been looming for years as the nation's 78 million baby boomers approached retirement age. The oldest are already there. As that huge group of people starts collecting benefits — and stops paying payroll taxes — Social Security's trust funds will shrink, running out of money by 2037, according to the latest projection from the trustees who oversee the program.

The recession is making things worse, at least in the short term. Tax receipts are down from the loss of more than 8 million jobs, and applications for early retirement benefits have spiked from older workers who were laid off and forced to retire.

Stephen C. Goss, chief actuary for the Social Security Administration, says the crisis has been years in the making. "If this helps get people to look more seriously at that in the nearer term, that's probably a good thing. But it's only really a punctuation mark on the fact that we have longer-term financial issues that need to be addressed."

In the short term, the nonpartisan Congressional Budget Office projects that Social Security will continue to pay out more in benefits than it collects in taxes for the next three years. It is projected to post small surpluses of $6 billion each in 2014 and 2015, before returning to indefinite deficits in 2016.

For the budget year that ends in September, Social Security is projected to collect $677 million in taxes and spend $706 million on benefits and expenses.

Social Security will also collect about $120 billion in interest on the trust funds, according to the CBO projections, meaning its overall balance sheet will continue to grow. The interest, however, is paid by the government, adding even more to the budget deficit.

While Congress must shore up the program, action is unlikely this year, said Rep. Earl Pomeroy, D-N.D., who just took over last week as chairman of the House subcommittee that oversees Social Security.

"The issues required to address the long-term solvency needs of Social Security can be done in a careful, thoughtful and orderly way and they don't need to be done in the next few months," Pomeroy said.

The national debt — the amount of money the government owes its creditors — is about $12.5 trillion, or nearly $42,000 for every man, woman and child in the country. About $8 trillion has been borrowed in public debt markets, much of it from foreign creditors. The rest came from various government trust funds, including retirement funds for civil servants and the military. About $2.5 trillion is owed to Social Security.

Good luck to the politician who reneges on that debt, said Barbara Kennelly, a former Democratic congresswoman from Connecticut who is now president of the National Committee to Preserve Social Security and Medicare.

"Those bonds are protected by the full faith and credit of the United States of America," Kennelly said. "They're as solid as what we owe China and Japan."