“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.