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
“Elon Musk — who, along with Vivek Ramaswamy, has been tasked by President-Elect Trump with running a new Department of Government Efficiency — posted on his platform X that he wants to “Delete CFPB,” referring to the Consumer Financial Protection Bureau. The agency, Musk said, was part of a problem of “too many duplicative regulatory agencies” in Washington. But there are no other agencies in the federal government returning money to Americans’ bank accounts in the way the CFPB does.
Since its founding, the agency has returned more than $19 billion in cash to people who have been scammed by financial institutions, including predatory payday lenders and even some of the largest banks in the country. It has done so under Republican and Democratic presidents, including major actions against Wells Fargo and Equifax during President Trump’s first term in office, which, combined, returned $425 million to consumers. (Those actions both began under the Obama administration, but Trump’s CFPB directors oversaw the execution of those fines.)”
“Unless Congress puts the country on a different fiscal course, Walker believes there is a 70 percent chance of a serious debt crisis before the end of the decade. That crisis would have “serious adverse economic security, national security, diplomatic, and domestic tranquility consequences,” he warned, adding that the middle class would “be affected the most on a relative basis” if standards of living are suddenly hit with a debt-induced shockwave.
This week’s hearing was intended to highlight bipartisan agreement on the seriousness of the federal government’s fiscal problems, said Rep. Jodey Arrington (R–Texas), the committee’s chairman.
“We’ve got major fiscal problems and a completely unsustainable fiscal trajectory. I haven’t heard anyone, Democrat or Republican, witness or member, that [sic] doesn’t accept that fact,” he said. “We won’t know when the dominoes fall on us in a sovereign debt crisis, it’s going to be difficult to put the pieces back together and maintain our global leadership.”
Those remarks echo warnings issued in recent years by governmental entities like the GAO and the Congressional Budget Office, as well as outside groups like the Penn Wharton Budget Model. Since 2015 the gross national debt has doubled, from $18 trillion to over $36 trillion. Debt held by the public, which most economists consider the more significant measure, sits at more than $28 trillion, or 99 percent of GDP. Deficits of nearly $2 trillion are expected for the foreseeable future.”
“The official definition of “impoundment,” per the Government Accountability Office (GAO) that oversees the practice, is “any action or inaction by an officer or employee of the federal government that precludes obligation or expenditure of budget authority.” In other words: any time someone in the federal government doesn’t spend money that Congress has ordered it to spend.
This takes two forms: rescission, and deferral. In rescission, the spending is simply canceled, while in deferral it is withheld temporarily, in theory to be spent in the future. Under the Impoundment Control Act, passed in 1974, both rescissions and deferrals can be passed by Congress at any time, and they can also be requested by the president. But any presidential requests have to be approved by Congress to take effect, and that has happened quite rarely.”
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“The GAO has also recognized a practice called “programmatic delay,” which it views as not technically impoundment but which is closely related. Programmatic delays occur when the government is trying to spend money Congress has instructed it to spend, but factors outside their control preclude this. The GAO has offered as an example a program in which the government is supposed to provide a certain amount of money in loans, but where there are few applicants so the program simply cannot lend out the total amount Congress has set aside for this purpose.
Another more recent example was Biden’s executive order upon taking office instructing a pause in the construction of border walls and fences with Mexico. While Congress had appropriated money specifically for border barriers, the GAO ruled that the Biden administration was merely “programmatically delaying” the project, because the delays were chalked up to environmental reviews and other hurdles that it was legally required to clear before continuing construction.
Programmatic delay does offer the executive branch some flexibility in spending, but only a bit. Otherwise, the Impoundment Control Act is very clear: The president cannot refuse to spend money that Congress has told him to spend. The GAO is empowered to challenge the president if it sees this limitation being contradicted, as it did when Trump withheld funds from Ukraine in 2019. In that case, the funds were eventually released and the incident led to Trump’s impeachment.”
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“The power becomes truly interesting, however, if Trump insists upon cuts that Congress will not approve. One could imagine a repeat of the 2017 fight to repeal Obamacare, except, when enough Republicans defect to doom the effort in Congress, Trump and Vought opt to simply impound funds for the Medicaid expansion and Affordable Care Act premium subsidies unilaterally. This would inevitably provoke a legal challenge that could make its way to the Supreme Court.”
“the Treasury Department issued another reminder about the cost of doing nothing to change course. The national debt hit $36 trillion—less than four months after surpassing the $35 trillion mark.
Evenly divided, that means every American is now six figures in the red, thanks to the decisions made in Washington, D.C., over the past few decades. The trajectory ahead looks no better. The federal government is on pace to run multitrillion-dollar deficits for the foreseeable future—and that’s the rosy scenario, which assumes no recessions, wars, pandemics, and the like. Measured against the size of the U.S. economy, the debt is approaching the record high set in the final year of World War II. The rising debt means higher annual interest payments that will complicate the federal budget, likely require higher taxes, and make everyone poorer.”