in Health Reform , 335 references
Here it comes folks, in two reports -- one from the Medicare trustees, and the other from Social Security.
Let's start with the easy one: Social Security.
The "fear" is that it will be unable to pay full benefits (because it will have run out of bonds that are there as a buffer) in 2034. This is predicated on a few things, so let's list them:
- Income levels will not generally lift. Oh really? More to the point, neither will the cap-out point (where you stop paying every year.) But the latter does lift every year (it's gone up a lot since I was running MCSNet) and the former is a rather-pessimistic view of the world. It's one that might prove correct, but it's still quite pessimistic.
- Disability has actually improved due to fewer people going on the rolls. Gee, how many were disabled and how many didn't want to work? Funny how people who were and are disabled suddenly become not disabled as the economy improves. That's fraud folks, but nobody cares. You should, because the money being stolen is yours.
- Through 2039 (five years beyond the projected depletion date) expenditure goes up. However, the system was designed for this; that's why it holds Treasuries and built a huge surplus while the boomers were working. Granted, the "surplus" was immediately spent but it was replaced by Treasury bonds, which can and are being (right now) sold. The Fed, Congress and Obama intentionally destroyed the actuarial health of the system; the current yield on a blended basis is only 3% which is about half of what it should be for a ladder of bonds of appropriate duration. This is not small potatoes when you're talking about a couple of trillion dollars! I want to know where the handcuffs are for Congress and the entire Federal Reserve plus all of the administrations back to the 2000 tech wreck who have all deliberately suppressed yields and continue to do so today. But for that the retirement program would probably be sound on an actuarial basis. Note that had interest been at normal levels the difference last year would have been roughly $80 billion, along with the years prior back to 2008 and on a forward basis. $80 billion a year is real money, especially over a few decades and in fact it's probably enough to make it through the "bump" when the boomers die! Too bad America has forgotten what a pitchfork and torch is.
- Note that Social Security is fairly easy to "fix." First, we can stop tampering with rates on a forward basis. Second, we can (and probably have to) lift either the cap on wages at a faster rate (or once on a step-function basis), modestly increase the FICA tax, or some blend of both. A less than 3% increase in the FICA rate (both halves; you pay both even though you don't see both directly) is roughly where the line is, assuming wages do not lift faster than inflation (payouts.) If they do some or all of that will disappear; the reason is that Social Security is a progressive system; that is, your first dollar of earnings (taxable) get you more benefit when you retire than higher earnings dollars do. So if people shift toward the higher end (before the cap-out, at which you neither pay or get more) then the deficiency closes.
The bad news is found in Medicare.
Medicare goes bust in eight years and there is no rational revenue-raising way to fix it.
For most of us who are not 75+ it will not be there unless the medical monopolists are jailed, hung or both right now.
Yes, after trial and conviction (I still believe in due process) but if we don't do it, and I remind you there is 100+ year old law that is more than sufficient to go after this issue right here and now everyone in this nation is absolutely and irrevocably fucked if they need medical care and are over 65 just eight years from today.
There is no payroll tax adjustment that can plausibly be passed and fix this. Medicare was designed for a medical system that consumed four percent of GDP. Today it's nearly 20%, or five times as much. Cost-shifting from Medicare and Medicaid is already is screwing the rest of the public blind; there is little or no more of that which can be possibly foisted off on working people.
THIS IS WHERE THE EMERGENCY IS AND WHY I HAVE RAISED HELL ABOUT IT FOR MORE THAN TWO DECADES CONTINUALLY. IT IS AND WAS OBVIOUS EVEN IN THE 1990s WHERE THIS WAS GOING TO GO IF NOT STOPPED.
Well, it not only hasn't been stopped the scamming has accelerated and unless the government puts a stop to all of the scams now within the next few years you are going to get reamed up the chute.
This is no longer a "distant" threat. It now will occur prior to the end of the next Presidential term, and any acceleration in the deficit in these programs, which will happen instantly when there is a recession, will likely bring forward that date by three to four years immediately rendering the problem both instant and catastrophic.
I have published several articles on real fixes for these issues. One can be found here, and it's a good place to start.
We either demand it as a nation and back that demand up with whatever we need to in order to make it happen or this nation, it's economy, and our government are all gone inside of the next ten years.
Politicians will not act until and unless we, the people force them to do so. They only care about the next election and being able to "retire" into some lobbying position at five times their government salary.
You either get off your ass now and force your government to hold the entire medical system to account under anti-trust law or you had better make damn sure you don't need medical care of any sort -- no prescription drugs, no doctors and no hospitals -- and are willing to either get on a plane (if you can) for treatment or die should that change for you.