But careful analysis of the rhetoric surrounding "health care reform" is not really necessary. Common sense tells you what history shows: Entitlement spending projections have ALWAYS been dwarfed by the enormity of future growth. Medicare hospital insurance proved nearly eight times more expensive than predicted at time of enactment; Medicare as a whole has proved over nine times more expensive. The Medicare DSH program costs 17 times more than originally touted.
Here at last we have President Obama deliver on "hope" . . . for hope is all he has. Evidence? None.
When I was a kid, such federal government fiddling with an industry smacked of socialism, and was called red. Thanks to the late Tim Russert, red now stands for conservatism and blue stands for progressivism. The color chart has changed.
But not in accounting. This year, Social Securitys accounts go red. And that doesnt mean anything different than it did 50 years ago. Red is the color of insolvency. And, yet Social Security payments will continue; the money will come from somewhere.
Congress spent the surpluses since the last Social Security fix, giving the Social Security Administration some nicely printed IOUs in the form of non-negotiable bonds. But this doesnt mean that Congress has the money to pay off the billions needed this year, much less the whole $2.5 trillion borrowed since Alan Greenspan fixed Social Security last time. (Greenspan was head of the famous study group that Ronald Reagan set up, and whose advice Congress took in the 80s.) Congress has already outspent its previous records, putting the federal government into a depressingly dangerous financial condition. Adding this Social Security debt service to the trillions already owed doesnt make things look better.
Alan Greenspan, now, says that when the level of the trust fund gets to zero, you have to cut benefits. Yeah, sure. Of course. Congress has already raised retirement ages a bit, to reflect our increased longevity. That was about time, in more ways than one. But that hasnt been enough.
My problem with Greenspans statement is not the cutting (thatll be Congresss problem — you dont get re-elected by cutting services, political wisdom has it) but that term trust fund. The so-called trust fund isnt a fund, and theres no trust. It is just simple cash-flow accounting.
Beyond that, there are just those IOUs. And theres no money there. Its $2.5 trillion on paper. Congress doesnt have it. To make good those nicely engraved bonds, Congress will have to sell of assets, raise taxes, or go into further debt . . . or engage in deliberate inflation.
Of these, only asset liquidation would not likely hurt American citizens now (taxes) or later (inflation devalues everything, and is the notorious hidden tax; debt, to be paid back in future taxes). We could start by selling off some BLM land.
Courtesy of Congress and a succession of bad presidents, we are speedily approaching the worst case scenario now. And if the incumbents in Congress wanted to see another meaning of red, they will get their chance. Expect discussions of an anger index soon, coming to a bankrupt country near you.