Growing social spending in the name of health is just one example of a much larger process affecting the whole of our societies. There's a process that we might call contagion, in which spending automatically and unavoidably breeds more spending. For example, if government provides subsidies for wheat farmers, corn farmers will organize and protest that it's unfair not to grant them subsidies. What case can be made for government's not granting subsidies to all farmers? Then there's contagion across borders. If European farmers get subsidies, American farmers are going to demand subsidies to "even the playing field." How about government bailouts? There's contagion there as well. If Congress bails out General Motors, what's the justification for not also bailing out Chrysler and JPMorgan Chase, Bank of America, Fannie Mae, AIG, Citigroup and other failed enterprises? Bailouts are contagious both in the short and the long run. Bailouts create what's known as a moral hazard, in which people have reduced incentive to mend their ways.
The bottom line is that the sole tendency of the welfare state is for it to grow and consume more and more of a nation's income. According to "Measuring the Unfunded Obligations of European Countries" (January 2009), by the Dallas-based National Center for Policy Analysis, by 2050, the average EU country will need more than 60 percent of its gross domestic product to fulfill its obligations. According to the 2008 Social Security and Medicare trustees reports, the combined unfunded liability of just these two government programs has reached $101.7 trillion in today's dollars.
It turns out that if Congress taxed away our entire $14 trillion 2011 GDP and put it in the bank, it would just barely cover Social Security and Medicare liabilities. That observation suggests that we can't tax our way out of our fiscal mess. In order to avoid permanent stagnation or total economic collapse, governments must start the process of reducing welfare spending. I wouldn't recommend cold turkey for a heroin addict, neither would I recommend cold turkey for all those people who have been addicted and made dependent upon government handouts. We must find a compassionate way to wean people off government.