[identity profile] dwer.livejournal.com posting in [community profile] talkpolitics
In yesterday's debate, moderator Martha Raddatz said:

"Let's talk about Medicare and entitlements. Both Medicare and Social Security are going broke and taking a larger share of the budget in the process."

"Will benefits for Americans under these programs have to change for the programs to survive?"


And Paul Ryan responded with:

"Absolutely. Medicare and Social Security are going bankrupt. These are indisputable facts."


Wellllllll... not so much.

SSI is not going broke, as David Cay Johnson says:

Which federal program took in more than it spent last year, added $95 billion to its surplus and lifted 20 million Americans of all ages out of poverty ()?

Why, Social Security, of course, which ended 2011 with a $2.7 trillion surplus.

That surplus is almost twice the $1.4 trillion collected in personal and corporate income taxes last year. And it is projected to go on growing until 2021, the year the youngest Baby Boomers turn 67 and qualify for full old-age benefits.


And Medicare going bankrupt? Not so fast, says the Columbia Journalism Review:

First, CNN reported, as CJR has urged news outlets to do, that only one part of Medicare is in potential trouble—the Hospital Trust Fund, which is financed by payroll taxes. The other parts of Medicare, including Part B, which finances doctor visits, lab tests, and outpatient services, “are adequately financed for now,” Medicare trustees have said. CNN made that clear to readers.

CNN pushed further and asked a logical question that most reporters writing about Medicare have missed. When the magic date for “bankruptcy” arrives—2024 according to the Dems, or 2016 if the ACA disappears in a Romney presidency—would Medicare really disappear? Jonathan Oberlander, a health policy expert at the University of North Carolina, told CNN that repealing the health reform law “would in fact worsen Medicare’s financial condition,” but even so, he added, “Medicare is not going bankrupt. Medicare would still have most of the necessary funds to pay those expenses and other parts of the program would be unaffected. Medicare won’t go bankrupt in the literal sense in 2016 or 2024 or 2064—or ever.” The Centers for Medicare and Medicaid Services, which runs the Medicare program, said this year that even in 2024 the Medicare hospital trust fund could still pay 87 percent of its estimated expenditures, and noted that, “in practice, Congress has never allowed a Medicare trust fund to exhaust its assets.”


Now, that last quote about Congress never allowing a Medicare trust fund to exhaust its assets is interesting, and I wonder what this current, do-nothing, insist-that-the-main-focus-is-defeating-Barack Obama GOP would do if they had no choice but to raise taxes or allow a Medicare trust fund to fail.

But what's the point? Why continue to push this idea that either of these two extremely successful social policies need to be reworked and revised?

Well, it's not about effectiveness; they're both very effective. It's not about efficiencies -- they're both fairly effecient, with low levels of fraud; in fact Medicare is far more efficient than private health plans. Do we need to worry about the costs of health care, which push up Medicare costs, just like it pushes up costs of other health insurance plans? Sure. But is it a flaw in Medicare? No. Same thing with SSI.

So it must be ideology. And it's a funny thing about that ideology -- it's been allowed to take root so long and so deep that even theoretical liberal journalists believe it needs to be paid at least attention to -- which is why Raddatz said it.

(no subject)

Date: 12/10/12 21:40 (UTC)
From: [identity profile] notmrgarrison.livejournal.com
And it is projected to go on growing until 2021, the year the youngest Baby Boomers turn 67 and qualify for full old-age benefits.

(no subject)

Date: 12/10/12 21:52 (UTC)
From: [identity profile] sandwichwarrior.livejournal.com
...and that there is the catch.

It's not this month's rent that I'm worried about it's next month's.

If/When the Boomers start retiring en-mass there will be more people collecting SSI and Medicare than workers to pay into those programs. Such a situation does not bode well for the program's long term stability.

(no subject)

Date: 13/10/12 00:16 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Exactly. This is why we keep saying it's going bankrupt. That's the trend, and it's an inevitable one.

(no subject)

Date: 13/10/12 00:41 (UTC)
From: [identity profile] peristaltor.livejournal.com
Ah, but that is not "bankruptcy." It is, rather, an economy-changing situation that drastically alters the way money is spent, earned and saved.

Look at Japan. They have been in fiscal "crisis" for decades now, but:

Most informed people "know" that Japan has done badly since "its peak" around 1990. They know that the GDP has grown slowly and believe that Japanese have become worse off during these twenty years. They are right on the first score: Japan's GDP grew by a meager 14% from 1990 to 2010, measured in inflation-adjusted money. But during the same time, consumption grew by 30% because the investment rate fell to a lower level more suitable for a slowly growing economy. And since the population was more or less stable,(it grew by only 3%), consumption per person in Japan grew by a full 33% from 1990 to 2010. This is a high growth rate, and obtained because a slow-growing GDP was shared by an even slower-growing population. As a result, the average Japanese person is significantly richer today than in 1990, in spite of having lived for two decades in a stagnant economy. The current income per person is high, which in turn explains the explosion of labor cost in the Japanese economy, and below the radars of many analysts and commentators.

(Jorgen Randers, 2052: A Global Forecast for the Next Forty Years, Chelsea Green Publishing, 2012, p. 95, emphasis mine.)


As far as I can tell, the banks and investment houses are the most freaked about this shift from savings to spending because their capital will be liquidated (which is why, duh, it was saved to begin with.) Trouble is, they don't know how they'll make money in this world. So they're casting the freak-out lies in order to raid SS and MC/MA and artificially fatten their future coffers.

(no subject)

Date: 14/10/12 01:59 (UTC)
From: [identity profile] foolsguinea.livejournal.com
I hadn't heard it put this way, but what you say makes sense.

(no subject)

Date: 13/10/12 04:38 (UTC)
From: [identity profile] op-tech-glitch.livejournal.com
Got it, s'all the baby boomers' fault for schtonking in the mud at Woodstock instead of saluting the flag and trucking straight off to Vietnam.

Those dirty hippieeeeezz.
Edited Date: 13/10/12 08:44 (UTC)

(no subject)

Date: 14/10/12 04:05 (UTC)
From: [identity profile] sandwichwarrior.livejournal.com
Where the fuck did you get that from?

(no subject)

Date: 12/10/12 22:15 (UTC)
From: [identity profile] a-new-machine.livejournal.com
I'm guessing he means "savings," not surplus? In which case it's not really descriptive to say how much money they have squirreled away, but rather how much time it will take to go through it.

(no subject)

Date: 12/10/12 22:52 (UTC)
From: [identity profile] korean-guy-01.livejournal.com
Cash is not equivalent to USG IOUs. Al Gore suggesting a lockbox is the best idea his CO2 filled brain ever came up with.

(no subject)

Date: 13/10/12 02:37 (UTC)
From: [identity profile] fizzyland.livejournal.com
As always, your single-comment appearance is as short as it is bereft of intelligence.

(no subject)

Date: 13/10/12 07:36 (UTC)
From: [identity profile] ddstory.livejournal.com
There must always be a Steve-O!

(no subject)

Date: 12/10/12 23:10 (UTC)
From: [identity profile] devil-ad-vocate.livejournal.com
It's amusing to continue calling this a "debate". It was a bar fight, and Ryan got decked.

(no subject)

Date: 13/10/12 03:09 (UTC)
From: [identity profile] whoasksfinds.livejournal.com
drunk guys are annoying and belligerent. hard to see that as a win for the ticket, unless you think independents are impressed by that kind of behavior.

(no subject)

Date: 13/10/12 03:31 (UTC)
From: [identity profile] whoasksfinds.livejournal.com
after the shellacking obama took in his debate, libs are pretty desperate to convince themselves that biden didn't hurt the ticket himself. i get it.

(no subject)

Date: 13/10/12 03:41 (UTC)
From: [identity profile] whoasksfinds.livejournal.com
everyone except for cnn you mean? doesn't really matter anyways, given O's pathetic performance.

(no subject)

Date: 13/10/12 07:41 (UTC)
From: [identity profile] mahnmut.livejournal.com
Polls suck. Oversampling? Pfeh!

(no subject)

Date: 13/10/12 16:32 (UTC)
From: [identity profile] whoasksfinds.livejournal.com
actually, the fact that O got his clock cleaned doesn't suck for me.

and the fact that libs want to get pumped up about a VP debate is amusing.

(no subject)

Date: 13/10/12 21:40 (UTC)
From: [identity profile] whoasksfinds.livejournal.com
this is what im talking about. you're desperately clinging to the idea that biden crushed in his debate. i understand, its a natural instinct given the beat-down O took.

(no subject)

Date: 13/10/12 13:17 (UTC)
From: [identity profile] devil-ad-vocate.livejournal.com
Not that many people were watching; most of them were conservatives watching it on Fox, and they were 55 and older. Most of the country wasn't interested in it - and I doubt if any independents were watching.

(no subject)

Date: 13/10/12 04:29 (UTC)
From: [identity profile] fizzyland.livejournal.com
And the other guy combines the most untenable aspects of libertarian and right-wing Catholic philosophy, pick your poison I guess.

(no subject)

Date: 13/10/12 08:10 (UTC)
From: [identity profile] gunslnger.livejournal.com
I wish they espoused libertarian philosophy.

(no subject)

Date: 14/10/12 07:45 (UTC)
From: [identity profile] gunslnger.livejournal.com
No, I mean what I said.

(no subject)

Date: 15/10/12 12:41 (UTC)
From: [identity profile] mutive.livejournal.com
I do too. It would be a lot better than the weird mix the Republican party has going for it.

(no subject)

Date: 13/10/12 08:11 (UTC)
From: [identity profile] gunslnger.livejournal.com
in fact Medicare is far more efficient than private health plans.

In fact, you've already been shown that this is untrue.

(no subject)

Date: 13/10/12 16:07 (UTC)
From: [identity profile] telemann.livejournal.com
Yeah, tired arguments that everyone has seen before. But here's a refresher:


Medicare Has Controlled Costs Better Than Private Insurance
.

  • According to CMS, for common benefits, Medicare spending rose by an average of 4.3 percent each year between 1997 and 2009, while private insurance premiums grew at a rate of 6.5 percent per year (https://www.cms.gov/nationalhealthexpenddata/downloads/tables.pdf). (See Table 13)
  • According to a calculation by the National Academy for Social Insurance, if spending on Medicare rose at the same rate as private insurance premiums during that period, Medicare would have cost an additional $114 billion (or 31.7 percent).
  • The CBO explicitly stated that its data on relative cost growth should not be used to make the argument that Goodman and Saving make (http://www.cbo.gov/ftpdocs/87xx/doc8758/MainText.3.1.shtml), writing that the relatively low growth rate of all health care expenditures other than Medicare and Medicaid “should not be interpreted as meaning that Medicare or Medicaid is less able to control spending than private insurers.” Goodman and Saving mistakenly suggest that the growth rate of private insurance is the same as the growth rate of all health care expenditures other than Medicare and Medicaid; however, as CBO points out, the growth rate of all health care expenditures other than Medicare and Medicaid includes not just spending by private insurers, but also government programs and out-of-pocket costs paid by the uninsured.
  • The CBO has predicted that the rising cost of private insurance will continue to outstrip Medicare for the next 30 years (http://www.cbo.gov/ftpdocs/108xx/doc10851/01-27-Ryan-Roadmap-Letter.pdf). The private insurance equivalent of Medicare would cost almost 40 percent more in 2022 for a typical 65-year old.

Medicare Has Lower Administrative Costs Than Private Plans.
.

  • According to the Kaiser Family Foundation (http://www.kff.org/medicare/7731.cfm), administrative costs in Medicare are only about 2 percent of operating expenditures. Defenders of the insurance industry estimate administrative costs as 17 percent of revenue (http://www.cahi.org/cahi_contents/resources/pdf/CAHI_Medicare_Admin_Final_Publication.pdf).
  • Insurance industry-funded studies exclude private plans’ marketing costs and profits from their calculation of administrative costs (http://www.cahi.org/cahi_contents/resources/pdf/CAHI_Medicare_Admin_Final_Publication.pdf). Even so, Medicare’s overhead is dramatically lower.
  • Medicare administrative cost figures include the collection of Medicare taxes, fraud and abuse controls, and building costs (http://www.kff.org/medicare/7731.cfm).

(no subject)

Date: 13/10/12 21:21 (UTC)
From: [identity profile] gunslnger.livejournal.com
Yes, the reply I gave earlier showed the problems with those things.

(no subject)

Date: 13/10/12 21:23 (UTC)
From: [identity profile] telemann.livejournal.com
Yes, it's nothing new or compelling. Much like voter fraud evidence.

(no subject)

Date: 15/10/12 12:43 (UTC)
From: [identity profile] mutive.livejournal.com
Yeah, it's these kinds of studies that make me wonder why the solution to our health care problems *wasn't* to extend Medicare to everyone.

Oh, yes, I know. Because the elderly are an important voting block, but apparently the rest of the country isn't. *sigh*

(I know it's more complicated than that, but still...gah.)

(no subject)

Date: 13/10/12 16:29 (UTC)
From: [identity profile] allhatnocattle.livejournal.com
no, no we havn't been shown this.

(no subject)

Date: 13/10/12 21:20 (UTC)
From: [identity profile] gunslnger.livejournal.com
It was a reply to dwer in a previous thread, which is why I said that he had been shown this.

(no subject)

Date: 13/10/12 15:18 (UTC)
From: [identity profile] acesspadesdice.livejournal.com
All retiring baby boomers, despite their lifelong tax paying behavior, should have their property expropriated to feed gen x or gen y, or whatever a newborn is called nowdays. Their teeth should be allowed to rot out of their heads, they should have no treatment for their age related conditions, their progeny should be denied any notion of an inheritance, and the retiring boomer should be allocated a panhandle per person, and shuffle off to homeless hostels to live their golden years out.

(no subject)

Date: 13/10/12 16:45 (UTC)
From: [identity profile] devil-ad-vocate.livejournal.com
Can I just get some bootstraps and support hose? Please?

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