Overall, the scientific evidence finds that Medicaid does improve health. There was a literature that found this, then the Oregon study found that it didn’t! But then with the ACA, some people were randomly sent a reminder to sign up for Medicaid, and those that got the letter, signed up more, and they had better health outcomes. The Oregon study followed people for too short of time and the sample was too small.
Japan has lots of assets like a massive sovereign wealth fund. When you subtract these assets from their debts, their debt to GDP ratio is 77%, which isn’t that high.
Japan takes money from its people in the form of taxes and then invests in assets like US treasury bonds. Because their currency depreciated over time, their debt has become worth less, while their foreign assets have become worth more.
This has benefited Japan a lot, but may backfire if the Yen goes up, foreign interest rates lower, or Japanese interest rates rise. If Japan has inflation, this could force them to raise interest rates or live with inflation.
“President Donald Trump on Wednesday said it’s “not possible” for the federal government to fund Medicare, Medicaid and child care costs, arguing that it should be up to the states to “take care” of those programs while the federal government focuses on military spending.
The president’s remarks were delivered to attendees at a private Easter luncheon at the White House”
Trump brags about deals that will save Medicare money by negotiating drug prices. He could do this due to a law signed by Biden that no Republicans supported.
“Don’t be fooled: The debt explosion is not driven by waste, fraud, or foreign aid. Nor is it the result of a lack of revenue. It’s the direct result of reckless promises to retirees, the cost of health care, and an unwillingness to pay the bills honestly. For most of American history, debt fell when wars ended and peace returned. Since 1980, we’ve managed the opposite: peace without prudence and prosperity without restraint.”
“the 2025 trustees reports for Social Security and Medicare are out. Once again, they confirm what we’ve known for decades: Both programs are barreling straight toward insolvency. The Social Security retirement trust fund and Medicare Hospital Insurance trust fund are each on pace to run dry by 2033.
When that happens, seniors will face an automatic 23 percent cut in their Social Security benefits. Medicare will reduce payments to hospitals by 11 percent. These cuts are not theoretical. They’re baked into the law. If nothing changes, they will be made.
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legislators could raise the payroll tax from 12.4 percent to 16.05 percent. That’s a 29.4 percent increase. Or they could restructure Social Security so that only people who need the money would receive payments. But because facing this problem in an honest way is politically toxic, legislators are ignoring it.
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Policymakers could gradually raise the retirement age to reflect modern, healthier, longer lives. They could cap benefits at $2,050 monthly, preserving income for the bottom 50 percent of beneficiaries while progressively reducing benefits for the top half. They could reform the tax treatment of retirement income to encourage private savings, as Canada has done with its tax-free savings accounts. Any combination of these reforms would help.
But that would require admitting that the current path is unsustainable. It would require telling voters the truth. It would require courage. So far, these admirable traits have been sorely lacking in our politicians.
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Waiting until the trust funds are empty will leave no room for gradual, targeted solutions. It will force crisis-mode slashing that will hurt the most vulnerable.”