Tag: Medicare

Definition of Insanity: Obama

 In an interview with AP reporter Ben Feller, President Obama gave his “vision” of how his second term would be different. If he really believes that this will happen, he has a big problem with the reality of what has gone on for the last three and a half years:

“Obama also offered a glimpse of how he would govern in a second term of divided government, insisting rosily that the forces of the election would help break Washington’s stalemate. He said he would be willing to make a range of compromises with Republicans, confident there are some who would rather make deals than remain part of “one of the least productive Congresses in American history.”  [..]

Obama’s view of a different second-term dynamic in Washington, even if both he and House Republicans retain power, seems a stretch given the stalemated politics of a divided government. He said two changes – the facts that “the American people will have voted,” and that Republicans will no longer need to be focused on beating him – could lead to better conditions for deal-making.

If Republicans are willing, Obama said, “I’m prepared to make a whole range of compromises” that could even rankle his own party. But he did not get specific.”

Pres. Obama doesn’t need to “get specific” because we all know it would mean implementing the “Grand Bargain” that would destroy the social safety nets and making the Bush tax cuts permanent. He has already told the New York Times that he’s frustrated that he and the Democrats have not gotten credit for their willingness to accept cuts in Medicare and Social Security.

Transcript of the entire interview is here. h/t David Dayen at FDL News Desk

The problem here is 99% of Americans are getting screwed by Obama’s insane fetish with bipartisanship that hasn’t worked. Obama has been the best thing to happen to the Republican Party since Ronald Reagan.

Honest Questions All Democrats Must Ask Themselves

Ever since last weekend, I’ve been seeing Paul Ryan’s mug everywhere and it is all anyone can talk about. I can’t help but think this constant attention elevates him a little, even though as Elliot Spitzer said, if he turned his budget to the SEC he would be fined for turning over fraudulent documents. I also don’t believe Ryan helps the Romney ticket at all, except for the pretense by the corporate owned media that he’s an intellectual instead of someone who just likes crazy immoral Ayn Randian ideas and terrible mathematical projection fantasies.

Regardless, there are too many negatives and a lack of anything at all for Romney to run his campaign on. It won’t be a contest, in my opinion, when you look at electoral votes(though the media will have fun playing up the head to head match-ups as if the popular vote still matters) and the President is lucky he doesn’t have an opponent who excites the base at all. He’s lucky because his record is a mediocre one at best when it comes to what should have been pursued in what many are now calling a depression(economic inequality and private debt overhang is on par with the Great Depression).

This isn’t the 90s. He shouldn’t have hired people from the 90s that helped crash the economy. He wasted this crisis, which conservatives never do when they get a chance to exploit one, ruining any chance for real reform and stability. It’s really not OK because the opportunity only comes once every 20 or 30 years and he blew it. There will be more financial panics and bailouts in the nearer than you think future because of this wasted crisis.

History shows that Dodd Frank will not stop implicit bailout guarantees, specifically, with the massive political power, the biggest power, of TBTF banks. Our safety net is not safe even if Democrats win this election. The banks own our government, so we must be on guard when the lame duck period comes after next November.

I hope there is a major moment of self reflection for a party I’m having trouble recognizing by the second so I’m asking these questions to spur one. I’ll give my take on each of them, but you all can answer them for yourself.

How to Kill Grandma and Grandpa Faster; or, Paul Ryan’s Gonads

In April of 2011, Rollingstone‘s contributing editor Matt Taibbi wrote a piece about Paul Ryan and budget proposal titled, Tax Cuts for the Rich on the Backs of the Middle Class; or, Paul Ryan has Balls

I heartily laughed at Matt’s description of Paul Ryan:

Paul Ryan, the Republican Party’s latest entrant in the seemingly endless series of young, prickish, over-coiffed, anal-retentive deficit Robespierres they’ve sent to the political center stage in the last decade or so, has come out with his new budget plan. All of these smug little jerks look alike to me – from Ralph Reed to Eric Cantor to Jeb Hensarling to Rand Paul and now to Ryan, they all look like overgrown kids who got nipple-twisted in the halls in high school, worked as Applebee’s shift managers in college, and are now taking revenge on the world as grownups by defunding hospice care and student loans and Sesame Street. They all look like they sleep with their ties on, and keep their feet in dress socks when doing their bi-monthly duty with their wives.

You have to admit that is scathingly accurate.

I thought of my own Tea Party House “Rat”, Michael Grimm. Grimm a former FBI agent and freshman representative from New York’s newly redrawn 11th who is currently the target of a federal grand jury investigation into the fundraising for his 2010 campaign. He fits Matt’s description to a tee.

Although Grimm is not a member of the Tea Party Caucus, he has voted lock step with them. When Grimm voted for Ryan’s first budget plan which called for a fix voucher and cuts to Medicaid that that would hurt the poor and elderly, Staten Island Tea Partiers were vocally upset with him. But I can almost guarantee they will give him a second chance to screw them, and everyone else, come November.

Back to Matt’s article. With his wry wit, he goes on to describe Ryan’s goal to reduce taxes for the wealthiest by asking seniors to cut back on their health care in order to pay for those tax breaks. That takes balls.

Never mind that each time the Republicans actually come into power, federal deficit spending explodes and these whippersnappers somehow never get around to touching Social Security, Medicare or Medicaid. The key is that for the many years before that moment of truth, before these buffoons actually get a chance to put their money where their lipless little mouths are, they will stomp their feet and scream about how entitlements are bringing us to the edge of apocalypse.

The problem, of course, is that to actually make significant cuts in what is left of the “welfare state,” one has to cut Medicare and Medicaid, programs overwhelmingly patronized by white people, and particularly white seniors. So when the time comes to actually pull the trigger on the proposed reductions, the whippersnappers are quietly removed from the stage and life goes on as usual, i.e. with massive deficit spending on defense, upper-class tax cuts, bailouts, corporate subsidies, and big handouts to Pharma and the insurance industries.

This is a political game that gets played out in the media over and over again, and everyone in Washington knows how it works. Which is why it’s nauseating (but not surprising) to see so many commentators falling over themselves with praise for Ryan’s “bold” budget proposal, which is supposedly a ballsy piece of politics because it proposes backdoor cuts in Medicare and Medicaid by redounding their appropriations to the states and to block grants. Ryan is being praised for thusly taking on seniors, a traditionally untouchable political demographic .

Medicaid cuts that would deeply effect the elderly are never discussed by the media, even now with Ryan the presumptive Republican vice presidential nominee:

While the Republican vice-presidential candidate is careful to avoid touching Medicare benefits for anyone at or near retirement, his budget would impose immediate cuts to Medicaid, the health-care program for the poor that funds nursing-home care and other benefits for 6 million U.S. seniors. [..]

The proposed Medicaid changes are often overlooked amid the debate over Ryan’s Medicare plan, which has taken center stage in the presidential contest since the Wisconsin congressman was chosen as Mitt Romney’s running mate on Aug. 11. It’s politically important because those 65 and older are a crucial voting bloc. [..]

Health-care policy specialists say it’s politically easier to cut Medicaid because most voters don’t understand it. [..]

Many middle-income Americans who may be unfamiliar with Medicaid end up relying on the program in their old age because they exhaust their assets. Medicare doesn’t cover long-term care so they turn to Medicaid, which does. [..].

Without Medicaid, current and future Medicare recipients would be in deep financial trouble, as would nursing homes and hospitals that would be under obligation to treat them even if they lack coverage. Ryan’s budget would do this just to give the top 2% another tax cut that wouldn’t even be covered by the cuts.

In his last paragraph, Matt say this about Ryan and his budget:

The absurd thing is that Ryan’s act isn’t even politically courageous. It’s canny calculation, but courage it is not. It would be courageous if Ryan were, say, the president of the United States, and leaning on that budget with his full might. But Ryan is proposing a budget he knows would have no chance of passing in the Senate. He is simply playing out a part, a non-candidate for the presidency pushing a rhetorical flank for an out-of-power party leading into a presidential campaign year. If the budget is a hit with the public, the 2012 Republican candidate can run on it. If it isn’t, the Republican candidate can triangulate Ryan’s ass back into the obscurity from whence it came, and be done with him.

All Paul Ryan has are his “balls” because he certainly doesn’t have a heart or a conscience.

So much for obscurity. Little did Matt know.  

No Good Choices For Social Safety Nets

Since Saturday’s announcement of the right wing darling Rep. Paul Ryan (R-WI) as Gov. Mitt Romney’s choice for his Vice President, the number one concern has been Ryan’s budget that would end Medicare as we know it, end federal funding of Medicaid and privatize Social Security. Those proposals are unacceptable for the majority of voters. But voting to reelect Barack Obama won’t protect those programs either. Pres. Obama and the Democrats have agreed to cuts and changes to those programs that are equally unacceptable. Mr. Obama has even lamented that he has not been given “enough credit for their willingness to accept cuts in Medicare and Social Security.” Even more worrisome is the person whose name has been bandied about as Treasury Secretary Timothy Geithner’s replacement, none other than the co-chair of the infamous Cat Food Commission, Erskine Bowles. Ezra Klein, Beltway insider and Washington Post political analyst, is betting on Mr. Bowles appointment if Pres. Obama is reelected:

For the Obama administration, Bowles has a number of qualifications. For one thing, Republicans adore him. Ryan has called him “my favorite Democrat.” Appointing Bowles to be Treasury Secretary would ensure a smooth confirmation, and it would be interpreted as a sign of goodwill and “seriousness” both by Republicans and by the media. Coming after a bitterly partisan election and at the outset of a hugely consequential series of negotiations, that could have real appeal to the White House.

One reservation you often hear when playing the “who will be the next Treasury Secretary” guessing game is, “but they have no market experience.” For better or worse, it’s considered crucial that the Treasury Secretary understand, and be capable of working with, markets. Bowles was an investment banker before he entered politics, and he currently serves on the board of directors for both Morgan Stanley and GE. He’s also personally beloved by Wall Street, where “Simpson-Bowles” has deep and fervent supporters, including many who have no real idea what’s in it. Appointing Bowles would be a signal to them that Washington is getting serious. [..]

There are downsides to Bowles, too. He’ll want the White House to go further than they’ve been willing to go on long-term health costs. But they’re prepared to do that once taxes are on the table. He’s also quite disliked by the left, which frequently refers to the Simpson-Bowles Commission as “the Catfood Commission.” That’s a drawback, but the Obama administration has always prized holding the center over placating the left. Indeed, Obama, who ran in 2008 as a post-partisan uniter and is unexpectedly and unhappily having to run a much more traditional and partisan campaign in 2012, might see that as a benefit. If he can press the reset button after this election, he’s going to do it.

Just what this country needs, another corporatist Wall St. buddy and former bank executive heading Treasury who, as Dean Baker points out, Mr. Bowles has been working to cut Social Security for 15 years:

While Simpson has seized the spotlight, it may prove to be the case that Erskine Bowles, his co-chairman, poses the greater threat to Social Security. The reason is simple: Bowles is the living embodiment of the rewards available to politicians who would support substantial cutbacks or privatization of the program. [..]

Bowles is an unsuccessful politician, having twice lost in runs for the Senate in North Carolina.

Yet, he is very successful financially. He pockets $335,000 a year as a director of Morgan Stanley, one of the huge Wall Street banks that was rescued by taxpayer dollars in the fall of 2008. He likely pockets a similar sum from sitting as a director of GM, another company rescued by the government.

This means that Bowles pockets close to $700,000 annually (@600 monthly Social Security checks) from attending eight to twelve meetings a year. This must look like a pretty attractive deal to current members of Congress. In other words, the message Bowles is sending members of Congress is that if you betray your constituents and vote to undermine Social Security, you will be amply rewarded even if the voters give you the boot.

Bowles has also lied to about Social Security’s solvency:

What we’ve done is make Social Security solvent for the next 75 years. As you all know, Social Security runs out of money in 2037. We’re not making it up. That’s the law.

Think Progress‘s Zaid Zilani debunked that lie:

Social Security is currently projected to be fully solvent until the year 2037. After that, it is expected to be able to pay out 75 percent of benefits until 2084, which basically equals full benefits, once inflation is accounted for. There is no threat of the program running out of money any time soon – certainly not in 2037. That does not mean that there aren’t positive and progressive changes that could possibly be made to the system.

As for Medicare and Medicaid, Dayen debunks the myth about the cost effectiveness of those programs:

The New England Journal of Medicine reports that Medicare and Medicaid spending has decelerated in recent years, and not just because of the Great Recession. The public programs have seen their cost growth slow significantly compared to private health insurance. And this is expected to continue for the coming decade.

This is so important because, as Paul van de Water of the Center on Budget and Policy Priorities explains, the public debate has focused on transforming Medicare and Medicaid in the coming years, constraining cost in the very programs that are the most cost-efficient. If anything, the opposite should be true, and more and more of the system should be converted into public programs to increase the risk pool, allow for greater bargaining leverage on prices, and provide stability. [..]

The Obama campaign would have voters believe that Mitt Romney and Paul Ryan would destroy the Social Safety net but the idea of Erskine Bowles as Treasury Secretary would be just as bad for out social safety net. Mr. Bowles and his “Catfood Commission” are “grand bargains” we don’t need.

ACA: The Good, the Bad & the Truly Ugly

First, this morning House Majority Leader Eric Cantor (R-VA) made the rounds of talk shows spouting how the Affordable Health Care bill can be repealed with a simple majority in the House and Senate since the bill was passed under reconciliation. Without a filibuster proof majority in the Senate, Ryan Lizza at The New Yorker points out the obstacles for that to happen:

Many Republicans, especially in the blog and talk-radio swamps, would cry, “Use reconciliation!” Readers familiar with the congressional debates of 2009-2010 will remember that this procedure allows certain budgetary measures to pass through the Senate with a simple majority. [..]

But reconciliation wouldn’t work here-the process can only be used for policies that have budgetary effects and a C.B.O. score. Much of the A.C.A., such as the insurance exchanges and subsidies, would fall under these categories. But a lot of it, including the hated individual mandate, does not. Repealing the exchanges and subsides without repealing the mandate and the other regulations and cost controls in the law would create a health-care Frankenstein that a President Romney would be rather nuts to support.

That said, the SCOTUS ruling has some rather complex ramifications and Chief Justice Robert’s ruling was rather sly. First was there are the three bit from SCOTUSblog that Lambert Strether pointed out at Corrente:

First, here’s the reasoning:

   Essentially, a majority of the Court has accepted the Administration’s backup argument that, as Roberts put it, “the mandate can be regarded as establishing a condition — not owning health insurance — that triggers a tax — the required payment to IRS.” Actually, this was the Administration’s second backup argument: first argument was Commerce Clause, second was Necessary and Proper Clause, and third was as a tax. The third argument won.

Second, here are the implications for the role of the State as we have understood it from the New Deal onward; what Phillip Bobbitt would call a change a Constitutional Order:

   The rejection of the Commerce Clause and Nec. and Proper Clause should be understood as a major blow to Congress’s authority to pass social welfare laws.

Third, here is the new Constitutional Order:

   Using the tax code — especially in the current political environment — to promote social welfare is going to be a very chancy proposition.

Chancy or not — and it will be the precariat that suffers mischance, and not the elite, in any case — that’s what they’re going to do.

Next from Scarecrow at FDL News Desk who argues that Chief Justice Robert’s “incoherent decision” will “shackle congress” and “screw millions of uninsured:

In the process, he did violence to constitutional law and logic.  Consider, for example, Robert’s logic on the “mandate.”  In saving the “mandate,” Roberts essentially defined it as not a mandate.  You are not really required to purchase insurance, he noted; instead, you may choose not to purchase insurance and instead pay a minor tax.  As we know, taxing is just a way to collect revenues, a contribution to the common, aggregate costs of public programs.  In this case, the program is paying for many people’s health care through a system of risk/cost sharing.

But if the so-called mandate is not really a mandate but rather an option that can be avoided by paying a tax, and if a legitimate purpose of this tax, as government and amicus briefs argued, is to help cover aggregate costs across a pool of many insured and uninsured people, then what does that do to Robert’s argument about the Commerce Clause?  When arguing about the Commerce Clause, Roberts insists it’s a requirement to purchase a “product,” which forces you to take an action, and thus to engage in commerce when you would not otherwise have done that.  Regulating “inaction” is not permissible, Roberts argues.

But if, as Roberts concludes, the “mandate” is not a mandate, and the tax’s purpose is to help cover pooled costs, and not to buy a “product,” then there is no “mandate” to purchase a “product.”  So no one is forced to engage in commerce as Roberts framed it.  Indeed the “commerce” is already there in the risk sharing system across millions of people, all engaged in commerce by paying premiums into a pooled risk scheme.  Robert’s entire premise for striking down the Commerce Clause rationale is thus contradicted by his argument about how it’s permissible for Congress to enact a tax to support funding of collective health care costs.  That’s what the tax does; but it’s also what paying insurance premiums does.

Roberts’ reasoning on Medicaid is equally illogical. His premise is that Congress cannot expand an existing program administered by states that depends on shared state/federal funding by conditioning funding for the whole program on the states actually implementing the expansion.  As Brad DeLong observes, if Congress were just now creating a fully expanded Medicaid, to be implemented by states but mostly paid for by the feds, there would be no question that Congress could condition federal funding on the states actually carrying out the programs.  But if the program already exists for half the needy population, Congress cannot complete the program for the other half and use the same leverage to achieve the same degree of state cooperation.

As per the CBO, if the states actually implement the expansion and make an effort to get those eligible to sign up, 16 to 17 million more people will have health care coverage. But without that leverage to get the states to accept Medicaid expansion it leaves the poor between around 50% and 133% of the poverty line in a real no man’s land, because they would both be ineligible for Medicaid AND the coverage subsidies in the exchanges.

As for the states voluntarily opting in for the Medicaid expansion, David Dayen doesn’t think that will happen either, even though the cost for the states would only be responsible for less than 10% of the costs.

And being on the hook for even a small amount of funds isn’t going to make any of these governors happy. Heck, here’s a Democrat, former West Virginia Governor and current Senator Joe Manchin, making the argument for them:

   We should all recognize that the health care challenges that many West Virginians and Americans face are not going to go away unless Congress takes additional action to repair this bill. Now that the Court has ruled, we can move forward with fixing what is wrong with this bill and saving what is right. I have always been determined to reduce the burden on states from the Medicaid expansion, and this ruling affirms my position – and makes clear that states must have the flexibility to live within their means by determining Medicaid eligibility as each state sees fit. I have always said one size doesn’t fit all.

That’s going to be a compelling set of logic for a non-trivial number of governors. They’ll also distort how much the expansion would put their states “on the hook.” 26 states sued to eliminate the Affordable Care Act entirely, and they almost got there. Why wouldn’t they jump at the chance to eliminate the portion that creates half of the coverage benefits?

This isn’t going to be universal. New Mexico’s Republican Governor Susanna Martinez, for example, certainly sounds like she’ll take the money. But Southern states in particular, who paradoxically house the citizens most in need of the Medicaid expansion coverage, will be likely resisters at the outset. And it’s not like a lot of success in modern America comes from rallying at the grassroots level for poor and disenfranchised people.

As was noted by Ezra Klein of the Washington Post, opponents of the ACA see this as a win:

“We won,” said Georgetown law professor Randy Barnett, who was perhaps the most influential legal opponent of the Affordable Care Act. “All the arguments that the law professors said were frivolous were affirmed by a majority of the court today. A majority of the court endorsed our constitutional argument about the Commerce Clause and the Necessary and Proper Clause. Yet we end up with the opposite outcome. It’s just weird.”

Yes, it’s weird but so was the whole ACA bill from the very start.

Liberal Party (Part 3)

Establishment Dems Proving Themselves Clueless in Washington’s 1st District Race

By David Neiwert, Crooks and Liars

May 16, 2012 06:00 PM

If you want a classic example of the way Establishment Democrats are perfectly tone-deaf when it comes to the concerns of the working families they like to flatter themselves as representing, take a look at how the race in Washington’s brand-spanking-new First District is shaping up, particularly on the Democratic side.

Because instead of backing Darcy Burner, the progressive candidate with far and away the greatest name recognition and a record of working for working-class families and their interests — particularly when it comes to things like protecting Medicare and Social Security, and getting their children out of war zones — the state’s establishment Dems seem to be lining up behind Susan DelBene, a pro-business faux-progressive Dem with little popular support but very deep pockets.

Evidently, it’s all about the money. In a year when Democrats should be listening to the anger of their constituents at the failure of Washington politicians to take care of the interests of ordinary people, these dimbulbs are going back to politics as usual and backing the candidate with the deepest pockets, not the deepest support among voters.

The Democratic Gutting of the Social Safety Net

It will be a Democratic Congress and President that will destroy the social safety. Ryan Grimm at Huffington Post reports that House Minority Leader Nancy Pelosi supports the Simpson-Bowles plan:

During a recent press conference, and again during an interview with Charlie Rose, the California Congresswoman said that she would support what’s known as the Simpson-Bowles plan, a budget proposal that was created by the co-chairs of a fiscal commission set up by President Obama (dubbed the “Catfood Commission” by progressives). The plan was rejected by members of the commission, failing to win the necessary votes to move to a vote in Congress. Yet the co-chairs — former Republican Sen. Alan Simpson of Wyoming and Morgan Stanley director Erskin Bowles, a Democrat — have worked recently to revive it, and the political class speaks of it as if it passed and is an official recommendation of the commission.

At the end of March, a version of the Simpson-Bowles plan was given a vote on the House floor. It was annihilated, 382-38, with Pelosi and most Democrats voting against it.

But Pelosi, the day after the vote, said that she could still support the plan if it stuck more closely to the original version put out by Simpson and Bowles. “I felt fully ready to vote for that myself, thought it was not even a controversial thing … When we had our briefing with our caucus members, people felt pretty ready to vote for it. Until we saw it in print,” she said. “It was more a caricature of Simpson Bowles, and that’s why it didn’t pass. If it were actually Simpson-Bowles, I would have voted for it.”

Yet when the Simpson-Bowles plan had been originally unveiled, Pelosi called it “simply unacceptable.”

In early April, Pelosi was asked about her initial opposition. “My problem with it was what it did as far as Social Security is concerned. Apart from that we said, there’s a lot to work with,” she told Charlie Rose. “It was a good framework in terms of revenue and in terms of cuts, in terms of defense spending and the rest. It was very bold.”

The Simpson-Bowles plan is a mix of tax increases and spending cuts that trims four trillion dollars off the deficit in ten years. Its cuts to social spending and entitlement programs made it “simply unacceptable” to the Democrats’ liberal base almost as soon as it was announced. Pelosi’s rhetorical retreat from that hard-line position has progressives worried they’ll have nobody left to defend the social safety net, even Medicare and Social Security.

Progressives need to be really worried, as Gaius Publius at AMERICAblog tells us the “push is on” to “compromise” on Social Security:

All you need to know? Pete Peterson lives for one reason only – to kill off Social Security. Every crazed billionaire has a project. This is his. (No exaggeration; check the link. It’s an excellent William Greider piece.)

From the “Summit” invite (but click fast; pages that name these names disappear fast at the “Summit” website). The underscoring below is mine:

   

Media Advisory

   PETERSON FOUNDATION TO CONVENE 3RD ANNUAL FISCAL SUMMIT IN WASHINGTON ON MAY 15

  Participants to include President Bill Clinton, Speaker of the House John Boehner, Secretary of the Treasury Timothy Geithner, Senator Rob Portman, Congressman Paul Ryan, Congressman Chris Van Hollen, and National Commission on Fiscal Responsibility and Reform Co-Chair Alan Simpson

   NEW YORK (May 08, 2012) – Against the backdrop of the upcoming elections, and with a series of key fiscal deadlines approaching at the end of the year, the Peter G. Peterson Foundation’s 2012 Fiscal Summit: America’s Case for Action will feature the nation’s leading experts and elected officials in discussions about the fiscal, economic, and political crossroads facing the country. …

   This year’s summit will explore opportunities for compromise and establish the urgent need for action on these challenges, as well as highlight the voices of engaged citizens from across the country. The 2012 Fiscal Summit will work to generate the momentum necessary to motivate lawmakers to take action essential to preserving the American Dream.

Two videos that Gaius featured are significant because as he points out President Barack Obama is on the same page Bill Clinton, Paul Ryan and Pete Peterson.

5-25-2011 Leaked cell phone footage of Bill Clinton cozying up to Paul Ryan. The day after the stunning upset in the special congressional election in upstate New York, Rep. Paul Ryan is a man under fire.

Barack Obama’s speech on April 5, 2006 at the launch of The Brookings Institute’s Hamilton Project where Obama says that “most of us are strong free traders” and praises the goals of the Hamilton Project.

This is the “real grand bargain”

The real Grand Bargain isn’t between the Dems and Republicans. It’s between both of them and you. They’re offering to sell out your children’s Social Security, in exchange for letting you keep your own.

Send Nancy a message. Sign the petition and tell her: Draw a line in the sand on cuts to Social Security, Medicare and Medicaid benefits

How to Safe Guard Social Security: Put People to Work & Expose the Lies

In an article for FDL Action, Jon Walker sites a Gallup Poll that there are 150 million people around the world who would immigrate to the United States:

WASHINGTON, D.C. — About 13% of the world’s adults — or more than 640 million people — say they would like to leave their country permanently. Roughly 150 million of them say they would like to move to the U.S. — giving it the undisputed title as the world’s most desired destination for potential migrants since Gallup started tracking these patterns in 2007.

The relevant worth of the poll, argues Jon,

[..] because the annual Social Security Trust Fund report should be released today. As a result there will likely be much hyperventilating about how the Social Security trust fund is projected to run out of money in roughly 25 years, even though continuing payroll taxes would still be able to fund a high level of Social Security payments given current assumptions.

While the Administrators try hard to make their projections accurate, any very long term projections are inherently going to be somewhat unreliable. Trying to guess how many working Americans there will be and their average incomes in the year 2030 is basically impossible.

While current demographic trends point in one direction, it is completely possible that at some time in the next decade we could adopt policies that would increase the number of working Americans – and the collection of payroll taxes to support Social Security – well above current assumptions.

Richard (RJ) Eskow gives us the headlines that we won’t see:

“Social Security Trust Fund Even Larger Than It Was Last Year”

“Growing Wealth Inequity Will Lead to Social Security Imbalance Later This Century”

“For-Profit Healthcare Poses Threat to Medicare, Federal Deficit, and Overall Economy in Coming Decades”

“Public Consensus Grows For Taxing Wealthy to Restore Long-Term Entitlement Imbalance”

 

He chastises Stephen Ohlemacher at the Associated Press for touting the  standard doom and gloom spin on the state of Social Security and Medicare with this erroneous headline,  “Aging workforce strains Social Security, Medicare”:

Ohlemacher’s article was occasioned by the latest report from the Trustees of the fund that handles Social Security and Medicare, which will be released today. He writes that “both programs (Social Security and Medicare) are on a path to become insolvent in the coming decades, unless Congress acts, according to the trustees.”

Unfortunately the piece provides no context for the use of the term “insolvent,” which most people associate with bankruptcy or running out of funds. As Sarah Kliff explains, nobody is suggesting that either of these programs will ever run out of funds. And when programs have ongoing sources of income, the temporary absence of a surplus isn’t the same as “insolvency” as that term is commonly understood.

In fact the report will clearly state that Social Security’s Trust Fund has grown to $2.7 trillion dollars, and that Social Security will be able to pay all its benefits in full for a quarter of a century. After that, if no changes are made, it will be able to pay 75 percent of scheduled benefits without changes.

Nor is the “aging workforce” the cause for any of today’s concerns, despite the millions of dollars in advocacy money meant to make us believe that it is. We’ve known about the baby boom ever since it ended in the 1960’s, and it was fully addressed in past adjustments to the program. That’s why the program was considered perfectly solvent for the foreseeable future after the Greenspan Commission raised the retirement age and made its other adjustments in the 1980s.

Media Matters points out the how the MSM gives a hand to the “Ponzi” lie ever since Texas Gov. Rick Perry “described the program as a “Ponzi scheme”:

Social Security is not a Ponzi scheme. People who call it a Ponzi scheme are not “wrong but partially right,” they’re not “called wrong by critics” — they’re just wrong.

A Ponzi scheme is a criminal endeavor that involves opaque financial dealings that promise investment returns when none or next to none actually exist. Social Security’s finances are crystal clear, and the interest generated by its trust fund is quite real.

A Ponzi scheme eventually collapses. According to last year’s report, Social Security can continue as it is, paying full benefits for nearly 25 years, and 77 percent of promised benefits thereafter. [..]

The same false attack is likely to continue as long as newspapers insist on publishing “he said-she said” stories alongside conservative columnists intent on undermining Social Security for ideological reasons.

These false attacks are reinforced by much read and respected newspapers and on-line news sites who report comments by Social Security critics without ever challenging the reality if the accusations. Conservative hacks, like Charles Krauthammer of The Washington Post  and syndicated columnist, John Stossel, continue to repeat this lie ad nauseum without correction by the editorial boards of their newspapers. Truth and facts merely get in the way.

As both writers and Media Matters point out, the solution to preserving Social Security and Medicare as we know it, is the increase the number of people in the work force (you know, real jobs), closing the income inequality gap, and either lifting the payroll tax cap or eliminating it altogether making all income subject to the tax. You know simple real solutions, not hand wringing, misleading spin and lies.

The Continued Lies About Social Security and Medicare

Paul Krugman summed it up best:

Jared Bernstein and Dean Baker are both mad, understandably, at Robert Samuelson, who pulls out, for the 7 millionth time, the old Social Security bait and switch. Here’s how it works: to make the quite mild financial shortfall of Social Security seem apocalyptic, the writer starts out by talking about Social Security, then starts using numbers that combine SS with the health care programs – programs that are very different in conception, financing, and solutions.

And then the writer ends by demanding that we cut Social Security, as opposed to addressing health care costs. [..]

Let us reason together*: the dire fate we’re supposed to fear is that future benefits won’t be as high as scheduled; and in order to avert that fate we must, um, guarantee through immediate action that future benefits won’t be as high as scheduled. Yay! Wait, what?

Dean Baker slices and dices the factless Mr. Samuelson who apparently hates anything that helps keep people out of poverty which both Social Security and Medicare have done. Mr. Baker gives us the straight facts:

Mr. Samuelson’s first point was to tell the readers that Social Security is “welfare” and that payroll taxes are not segregated into a special fund. And as usual he is complexly wrong, from Mr. Baker:

Payroll taxes have been segregated. That is the point of the Social Security trust fund and the Social Security trustees report. These institutions would make no sense if the funds were not segregated.

Samuelson is welcome to not like the way in which the funds were segregated, in the same way that I don’t like the Yankees, but that doesn’t change the fact that the Yankees have a very good baseball team. Since its beginnings, the government has maintained a separate Social Security account. Under the law, no money can be paid out in Social Security benefits unless the Trust Fund has the money to pay for them.

Another falsehood from Mr. Samuelson that was highlighted by Mr. Baker was this gem:

In 1960, there were five workers per recipient; today, there are three, and by 2025 the ratio will approach two. Roosevelt’s fear has materialized. Paying all benefits requires higher taxes, cuts in other programs or large deficits.

But as Mr. Baker says:

On average we were much richer in the 90s than in the sixties, in spite of the fall in the ratio of workers to retirees. The same will be true in 2030, even assuming that we see the projected decline in the ratio of workers to retirees.

A small fact that Samuelson never mentions in this piece is that the Congressional Budget Office projects the program to be fully funded through 2038, with no changes whatsoever (i.e. no new taxes, contra Samuelson). If we want to make the program fully solvent for the rest of the century, a tax increase that is equal to 5 percent of projected wage growth over the next three decades should be roughly sufficient to do the trick. Are you scared yet?

Finally Mr. Samuels ends with this nonsense:

Although new recipients have paid payroll taxes higher and longer than their predecessors, their benefits still exceed taxes paid even assuming (again, fictitiously) that they had been invested. A two-earner couple with average wages retiring in 2010 would receive lifetime Social Security and Medicare benefits worth $906,000 compared with taxes of $704,000, estimate Steuerle and Rennane.

Sounds serious, but it isn’t. From Mr. Baker:

Remember we were talking about Social Security? Note that Samuelson refers to “lifetime Social Security and Medicare benefits.” It wasn’t an accident that he brought Medicare into this discussion. That is because Steuerle and Rennane’s calculations show that this average earning couple would get back less in Social Security benefits than what they paid in taxes. That would not fit well with Samuelson’s story, so he brings in Medicare (remember this is the Washington Post).

Mr. Baker points out that the reason Medicare costs are so high “is due to the fact that we pay our doctors, our drug companies, and our medical equipment suppliers way more than do people in any other country, and we have no better outcomes.”

And Jared Bernstein further debunks Mr. Samuel’s falsehoods with facts from the CBPP (pdf):

– The trustees estimate that the combined Social Security trust funds will be exhausted in 2036 -a year earlier than they forecast in last year’s report.

– After 2036, Social Security could pay three-fourths of scheduled benefits using its annual tax income [Samuelson implies all benefits expire in three years!]. Those who fear that Social Security won’t be around when today’s young workers retire misunderstand the trustees’ projections.

– The program’s shortfall is relatively modest, amounting to 0.8 percent of GDP over the next 75 years (and 1.45 percent of GDP in 2085).  A mix of tax increases and benefit modifications – carefully crafted to shield recipients of limited means and to give ample notice to all participants – could put the program on a sound footing indefinitely.

– The 75-year Social Security shortfall is only slightly larger than the cost, over that period, of extending the 2001 and 2003 tax cuts for the richest 2 percent of Americans (those with incomes above $250,000 a year).

And Mr. Baker has noted that the projected shortfall for the Medicare program “over the program’s 75-year planning horizon is less than 0.4 percent of GDP. This is less than one quarter of the cost of the wars in Iraq and Afghanistan.”

Strange country this USA that elects politicians who want to fund wars and cut taxes for the wealthy but not provide health care or the pension (Social Security) that has been fully funded by the recipients. Very strange

Governing By Crisis

While everyone has been focused on the Supreme Court hearings over the constitutionality of the individual mandate of the Patient Protection Affordable Care Act and the tragic murder of a black teenage boy in Florida by a “gun toting vigilante”, the Republican held House of Representatives has been up to its usual shenanigans threatening not only to shut down any infrastructure construction but now planning to shut down the government entirely. Even though they have vowed to defeat the current resident of the Oval Office, knowing they have a “friend”, the Republicans continue to make themselves more unpopular with the majority of their own constituents. This is what they have been up to while the traditional media focused on SCOTUS and a possible racially motivated murder:

The House voted down the proposed White House budget by a vote of 0 – 414. I suppose one could call that “bipartisan.” Nust up was the annual ritual of the Black Caucus Budget which failed but at least managed to garner 107 votes. Then they rejected the “Bowles-Simpson” Budget proposal, which really wasn’t, giving it only 38 votes.

Thus they finally came to Rep. Paul Ryan’s budget, which is a revision of his budget that was passed last year and soundly rejected by both sides of the aisle in the Senate. The current bill passed with a partisan vote of 228-191. All but 10 Republicans voted against the bill mostly because it didn’t cut enough. The bill has no chance of passing the Senate but its passage reignites the same issues of cutting taxes for the rich on the backs of those who can least afford it:

He again proposes tax cuts for the rich at the expense of seniors, the disabled, and children. He would cut taxes by roughly $3 trillion $4.6 trillion (according to a Tax Policy Center analysis just put out), with most of the tax cuts going to people earning more than $200,000. His proposed cuts to Medicare, Medicaid, and food assistance would all fall heavily on seniors, the disabled, and children. Ryan’s budget is doubly bad for children because his proposed cuts to public investments (mostly infrastructure and education) would cause children to inherit a country with crumbling roads and bridges and to enter the labor market with fewer skills.

It would also cut non-defense discretionary spending to lows not seen in the 50’s but raise the defense budget that the Pentagon says it doesn’t need:

Because it doles out trillions of dollars in tax cuts to the rich and corporations, the budget approved by House Republicans today – authored by Budget Committee Chairman Paul Ryan (R-WI) – would increase deficits and drive up the national debt. In fact, under the plan, “deficits would never drop below 4.4 percent of GDP, and would rise to more than 5 percent of GDP by 2022.”

Those increases would come despite the gigantic spending cuts that Ryan has in mind, which would eviscerate the social safety net and non-defense discretionary spending (even while the budget increases defense spending). As the Economic Policy Institute noted today, the plan Republicans adopted would drive discretionary spending down to its lowest level in more than 50 years.

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The House also refused to pass the very bipartisan Senate Transportation bill managing only to pass a stop gap 90 day bill to fund current transportation and construction projects:

Despite several efforts to advance a bipartisan Senate bill championed by (Sen. Barbara) Boxer, House leaders opted for a three-month extension while they try to break a deadlock that has stalled their own proposal to fund transportation by expanding offshore oil drilling.

The extension leaves transportation financing in an increasingly precarious position.

This won’t win them any votes in the Fall

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