Tag: entitlements

Medicare Advantage: Good? Or Bad? Part Two: Medicare Advantage Costs the Taxpayer More

Posted on by Lone Candle

Medicare Advantage: Good? Or Bad? Part Two: Medicare Advantage Costs the Taxpayer More

https://www.youtube.com/watch?v=UFkm7WMxIc8

Medicare Advantage: Good? Or Bad? Part One: Introduction and Brief History

Posted on by Lone Candle

A main point to having private versions of Medicare ran by for-profit health insurance companies as an alternative option to Traditional Medicare is to save the taxpayer money by taking advantage of efficiencies gained in private competition and private flexibility while also

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To Succeed at Cutting Government, Musk and Ramaswamy Must Take on Entitlements

Posted on by Lone Candle

“First, it’s not as if there is some secret knowledge to be uncovered by the DOGE when it comes to fixing the rampant inefficiencies of the federal government. Those Medicare and Medicaid overpayments are documented annually, for example. The Government Accountability Office and various inspectors general file regular reports. The Congressional Budget Office maintains a list of things that could be cut to reduce the deficit. Various members of Congress—most prominently, Sen. Rand Paul (R–Ky.)—periodically publish lists of silly, wasteful, or dubious government spending.
What’s lacking, in short, is not ideas but the political will to act on them.

The amount of political will is going to matter, because that is very relevant to the second point: Unless Trump is willing to set aside his promise not to touch America’s entitlement programs, the DOGE will be unable to follow through on its mandate.

Again, look at those improper payments made by Medicare and Medicaid. The $101.4 billion of improper payments the two entitlements made in 2023 accounted for 40 percent of all improper payments across the entire government that year, according to the GAO. That same GAO report suggested a simple change in how Medicaid bills some of its services that, if implemented, could save $141 billion over 10 years.”

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“The same problem pops up when you start looking at other big swings that the DOGE could take. Seven of the top nine suggestions made by the Congressional Budget Office’s annual report on “options for reducing the deficit” involve changing elements of America’s three federal entitlement programs. Capping Medicaid spending, increasing premiums for Medicare Part B, or reconfiguring how Social Security benefits are paid to wealthier Americans each could save hundreds of billions of dollars over the next decade. None will be possible as long as entitlement reform is off the table.

All of this is a function of the federal government’s fiscal reality: Entitlements are the biggest and fastest-growing segment of the budget. This year, so-called “mandatory spending”—primarily Social Security, Medicare, and Medicaid, along with a few other government-funded health care programs—will cost nearly $4 trillion, while all discretionary spending will total less than $1.8 trillion.

Musk has promised $2 trillion in spending cuts, but he could propose eliminating all discretionary spending—good luck zeroing out the Pentagon—and would still fall short of that goal. It is impossible to be serious about fiscal reform while promising not to touch the entitlement programs.”

https://reason.com/2024/11/13/to-succeed-at-cutting-government-musk-and-ramaswamy-must-take-on-entitlements/

Fixing Social Security means raising taxes — and not just on the superrich

Posted on by Lone Candle

“””Trump also recently proposed cutting taxes on Social Security payments. That might sound good because people will net more money when they receive their benefits. But the reality is more complicated. The poorest households wouldn’t see any change under that plan because Social Security benefits for those making below $32,000 are already untaxed, while the richest recipients would be more likely to see a tax cut.”

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“There’s no way around it: Lawmakers have to raise taxes on many families, including those who aren’t millionaires. Right now, any income that someone makes above $168,000 is not taxed for Social Security. That means that higher earners pay a smaller share of their income toward funding Social Security than lower- and middle-income earners.”

https://www.vox.com/policy/377666/social-security-reform-solvency-trust-fund-trump-harris-plans

Mike Pence’s Sensible (and Probably Doomed) Plan To Fix the National Debt

Posted on by Lone Candle

“To get the debt under control, AAF points out that lawmakers cannot simply focus on the discretionary part of the federal budget—which accounts for less than 30 percent of all federal spending. Meanwhile, so-called “mandatory spending” accounts for more than 60 percent (the rest is interest payments on the debt).
Most of the mandatory spending category is made up of Social Security and Medicare, but several other programs also run on autopilot, including food stamps, federal worker retirement benefits, Obamacare’s health insurance subsidies, and veterans’ benefits.

“Mandatory spending is the biggest driver of the national debt because there is no restriction on the unchecked growth of these programs,” argues AAF’s debt report.

Among the proposals to bring mandatory spending under control, the group argues for means-testing future Social Security cost-of-living adjustments (COLAs) for individuals making more than $1 million annually, stopping President Joe Biden’s student loan cancellation plans, ending Obamacare’s insurance subsidies for wealthy Americans, and the formation of a congressional commission to propose spending cuts.

The group also calls for ending so-called “tax expenditures,” which are forms of spending hidden in the tax code—for example, corporate green energy subsidies delivered in the form of renewable tax credits.

The new document picks up where Pence left off in his failed Republican primary campaign last year. On the campaign trail, Pence talked up the importance of sane fiscal policy and condemned his former boss—Republican presidential nominee Donald Trump—for ignoring the threat posed by runaway borrowing and unsustainable entitlement programs.

Of course, Pence’s campaign never got off the ground in any meaningful sense. Former South Carolina Gov. Nikki Haley had a little more success, but there’s clearly not much of a constituency for serious talk about the debt.”

https://reason.com/2024/08/09/mike-pences-sensible-and-probably-doomed-plan-to-fix-the-national-debt/

Republicans Confirm Their Plan To Let Social Security Go Insolvent

Posted on by Lone Candle

“there is only a decade until Social Security hits a brick wall that will trigger automatic cuts to benefits (and even less time until parts of Medicare go over a cliff). Rather than facing that problem and proposing solutions, however, the Republican Party’s newly adopted platform embraces the plan that the old GOP criticized eight years ago: Do nothing and wait for the consequences to arrive.

In the new platform.. the Republican Party says it will “not cut one penny” from Social Security or Medicare and will also oppose efforts to raise the retirement age.”

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“Choosing to do nothing is still a choice. And we know exactly where the path that both Biden and Donald Trump have picked will end. When Social Security hits insolvency in the early 2030s, beneficiaries will see an automatic cut to their monthly checks. Right now, the trustees that run the program estimate that the cut will be 21 percent, with further cuts likely in future years if nothing changes. This is the outcome that the Republican Party’s new platform promises to deliver.
Indeed, at last month’s debate Trump and Biden both tried to blame the other for trying to change Social Security, while neither presented a workable plan to keep the program solvent or phase it out.”

https://reason.com/2024/07/09/republicans-confirm-their-plan-to-let-social-security-go-insolvent/

Numb to the Numbers

Posted on by Lone Candle

“The solution to the national debt lies in reevaluating and cutting back on unnecessary and wasteful programs, reforming entitlement programs such as Social Security and Medicare, and implementing a more efficient tax system that encourages economic growth.
But none of this can even begin to happen until politicians perceive a demand for it from the American people. Rising debt reduces investment and can slow economic growth, while increasing worries about inflation and the strength of the U.S. dollar. It reduces confidence in the social safety net and increases the risk of a fiscal crisis. Perhaps when these problems manifest, the voters will demand that politicians take the issue seriously. But by then, it may well be too late for the economic stability and growth we have taken for granted.”

https://reason.com/2024/07/01/numb-to-the-numbers/