Tag: Medicare

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national politics & policies too much government

NowhereCare

Elizabeth Warren, healthcare, taxes,

Even people who get their information only from major network news know that, in their mad rush to promise free health care, Democratic presidential hopefuls would raise taxes for nearly everybody including the “hard-​working middle class.”

How do they know?

Because at least one of the eager promisers won’t give a straight answer.

Her name is Senator Elizabeth Warren. 

Like Bernie Sanders (but not Amy Klobuchar and Joe Biden) she is offering “Medicare for All,” which Fox’s Tucker Carlson calls straight-​up socialism.*

George Stephanopoulos, Chris Matthews, and “other strident Democratic partisans” have been pressing her on the tax hike issue, and at the recent, fourth national primary debate, Warren continued to evade. Even Sleepy Joe knows that universal single-​payer health care spending would require more taxes than can be squeezed out of the very rich and the big corporations (which Warren, Sanders, and other Democrats incessantly push). But Warren just will not say the words: yes, your taxes will go up. She continually feints to her follow-​up argument, that since overall health care costs would [according to plan] go down, we would all come out ahead.

Tucker Carlson, citing an Urban Institute study, gives the answer the democratic socialists won’t: their promise would require spending 3.4 trillion tax dollars per year — $10 grand per person per year, including every child, retiree, and prison inmate.** Warren expects us to repress our common sense and believe that cramming all health care spending through the federal government will increase efficiency.

U.S. Department of Health and Human Services Secretary Alex Azar has the right word for Medicare for All: utopian. 

Noting that Obamacare failed to live up to its promises, Azar predicts the ultimate result, “Medicare for None.”

This is Common Sense. I’m Paul Jacob.

* And not altogether implausibly, since medicine is a fifth of the American economy and (presumably) since socialism is an economy run by government.

** Tucker’s list.

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Elizabeth Warren, healthcare, taxes,

Illustration from a photo by Gage Skidmore

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national politics & policies Popular

MediocreCare — Guaranteed!

npc, march, Health Care, Medicare,

When Senator Bernie Sanders demands that the government “guarantee health care to all people as a right, not a privilege,” does anyone think about how governments currently provide more basic services as rights? 

You have a right to life, liberty, and the pursuit of happiness in America — or so we say — but 

  1. our police aren’t legally obliged to defend us,
  2. prosecution and compensation for real crimes is iffy, 
  3. one can ruin oneself in court either as plaintiff or defense in civil cases, and
  4. the whole legal system is kludgy in the extreme. 

And this is the core function of government!

Why expect better government performance in medical care?

Bernie’s plan, which Democratic front-​runner Senator Elizabeth Warren wafflingly endorses, is “Medicare for All.” But the current Medicare-​for-​seniors doesn’t cover all of seniors’ medical bills. Seniors pay out of pocket for a portion of their medical costs, often buying “supplemental” insurance to help in the process. If they can afford it.

Medicare does not pay for all medical costs incurred at the supply end, either. The federal government operates with schedules of compensation, limiting charges and procedures in customary bureaucratic fashion. That’s why doctors and clinics increasingly refuse to take Medicare patients. This is what we want to roll out to the whole population?

“Polls show that voters are more willing to pay higher taxes in return for lower cost health care,” Jake Novak explains at CNBC. “What they won’t tolerate are reduced services, especially when it comes to health care, higher taxes or not.”

What assurance can politicians provide that mediocre-care, their latest schemes for socializing medicine, won’t amount to higher taxes for reduced services?

This is Common Sense. I’m Paul Jacob.

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npc, march, Health Care, Medicare,

Based on a photo by Molly Adams

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Accountability folly ideological culture national politics & policies responsibility

Politics as Painfully Usual

deficit, congress, budget, folly, Medicare, tax cuts, fiscal responsibility

The crazed nature of our leaders’ willingness to spend beyond revenue, and accumulate debt, is not limited to one party. Both Democrats and Republicans are responsible for their outrageously perverse fiscal policies. 

Their irresponsibility hides in plain view, and can be seen in most of the major policy discussions of our time. Take two: 

  1. the Democrats’ idea of putting every American on Medicare and 
  2. the Republicans’ current tax reduction bill.

Though the Republicans often pretend to be all about something called “fiscal conservatism,” their murky tax plan is not fiscally sound. Not yet, anyway — after all, it is “evolving.”

And I expect it to get worse, not better.

“The current plan proposes about $5.8 trillion in tax reduction offset by about $3.6 trillion in base-​broadening offsets, meaning that it would result in a $2.2 trillion deficit increase over the next decade,” Peter Suderman summarizes over at Reason.

They have a number of cuts in the works, but also plan to spend more on defense and the like. The debt would go up.

But if the Republicans are hypocritical and irresponsible, the Democrats add sheer insanity to their irresponsibility. 

“Medicare for All” is pushed by Senator Bernie Sanders, who serves Vermont, where a similar universal system was enacted, only to be repealed after it proved unaffordable even with huge tax increases. All single-​payer/​socialized medicine proposals would require whopping tax increases to work, and the increases in spending would inevitably yield greater deficits.

Besides, Medicare is heading for financial Armageddon. Adding more burdens to a system that they cannot (or simply will not) now make solvent? 

Only a politician could consider such a “solution.”

This is Common Sense. I’m Paul Jacob.

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Art by John Goodridge on Flickr

 

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meme

So Now We Know!

Bernie Sanders, Medicare, plan, healthcare, health care, socialism, big government, Common Sense, meme, illustration

Bernie’s health plan will WORK (and save money!) through (wait for it!)…

GOVERNMENT EFFICIENCY!

Click below for high resolution version of this image (great for screensaving and sharing).

Bernie Sanders, Medicare, plan, healthcare, health care, socialism, big government, Common Sense, meme, illustration

 

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ideological culture media and media people national politics & policies

Free Money

If an email popped up offering free money, what would you do?

Delete it? And wonder how it got past your spam filter?

Me, too.

Well, some Washington wags — call them re-​distribution professionals — say we’re crazy.

As are Republicans in the 19 states that have refused to expand their states’ Medicaid rolls as part of Obamacare, and in the five states — Indiana, New Hampshire, Tennessee, Utah and Virginia — still debating whether to do so.

Republicans are “rejecting what is more or less nearly free money from the federal government,” says a baffled Josh Barro of the New York Times.

Karen Finney, host of MSNBC’s Disrupt, sneers that these GOP-​led states are “leaving money on the table.”

“It’s free money!” exclaims an exasperated Joan Walsh of Salon​.com, adding that, “It’s stimulative money.”

Under Obamacare, the federal government first demanded and now urges states to expand the Medicaid rolls well beyond those at the poverty line, with our central government generously offering to pay the cost for the massive expansion fully for three years … and then 90 percent after that.

One local newspaper identified one major issue, trust: “The trademark of Obamacare is broken promises.”

Will the federal government keep paying nearly all the cost? In Virginia, before any expansion, Medicaid already accounts for nearly one out of every four dollars in state spending.

“This is another picture of how extreme this Republican Party has become,” according to Walsh, “that you had this organized backlash to taking money that once would have been a no-brainer.”

This is the new GOP extremism, refusing to be bought off?

It’s no vice.

This is Common Sense. I’m Paul Jacob.

Categories
Accountability national politics & policies too much government

A Symbolic Threat

“Medicare’s trustees estimate that the hospital insurance fund supported by the payroll tax will run out of cash by 2024,” informs a Washington Post editorial, “but this is mainly a symbolic threat: The government will draw on general revenues to keep Medicare going.”

So, what exactly does this “symbolic threat” symbolize?

It shows that Medicare — like Social Security — was set up and run in an unsustainable, even fraudulent, way. Politicians promised benefits without collecting the taxes to pay for those benefits. This left “today’s voters” getting unpaid for bennies and future voters being handed a hefty bill.

The only question is: how hefty? That depends on how quickly the imbalance gets addressed.

Already, Medicare represents 15 percent of total federal government spending, last year costing taxpayers $555 billion. Worse yet, the cost is expected to double in the next decade — in large part, because the number of seniors on the program is expected to explode, from 50 million today to 78 million by 2030.

“No structural solution is,” the editorial bemoans, “for the moment, politically possible.” Instead, the Post endorses a number of small cuts — all making seniors pay more and/​or get less — that add up to slightly over $40 billion a year. That drop in the bucket would, in a decade, account for less than 4 percent of Medicare’s projected yearly cost.

Frankly, the unavoidable first step in any honest fix of Medicare’s big, structural problems, is for those in Congress and the White House to fully admit the rotten fraud they have perpetrated against us for their personal political gain.

Acknowledging their deception would be more than symbolic.

You can’t change your ways until you first repent.

This is Common Sense. I’m Paul Jacob.