Tag: "Social Security"

Elderly Entitlements are Sinking Us

The net cash cost of Medicare and Social Security – the amount by which benefit payments exceed dedicated tax collections – has nearly quadrupled since the last presidential election, rising from $108.7 billion to $402.7 billion. Since our total deficit is about three times that $402.7 billion figure, it is reasonable to say that our two largest government programs are directly responsible for about a third of government borrowing.

This gigantic shift has already happened. It is history, not projection. As recently as two presidential elections ago, the cash cost of Social Security and Medicare was practically nothing – a mere $41.1 billion.

Read entire Scott Burn’s article on government’s trust fund.

The Cost of At-Home Caregiving

The MetLife report said that for the typical woman, the lost wages due to dropping out of the labor force because of adult caregiving responsibilities averages nearly $143,000. That figure reflects the wages lost while not working — typically for about five years — as well as lower wages after returning to the workforce with rusty skills. When foregone pension and Social Security benefits are counted, the out-of-pocket losses roughly double.

Full article by Marilyn Geewax on nursing homes quality service in the NPR.

The Disability Ponzi Scheme

[D]isability insurance payments, which account for almost $1 out of every $5 spent by Social Security, are growing out of control….

The trustees reported Monday that the government made $128.9 billion in insurance payments to 10.6 million disabled workers and their family members last year, 25 percent more than it received from payroll taxes.

More on disability insurance by Eduardo Porter in the NYT.

The Coming Generational Warfare

The average monthly Social Security check is now $1,230. It is not subject to the employment tax and at age 65 you also get great health insurance for only $99.90 a month.

Workers at McDonald’s, which is hiring, earn about $8 an hour, pay the employment tax and, most often, don’t get health insurance…

We need to start worrying about whether millions of uninsured low wage workers will be capable of supporting the growing millions of well insured retirees who no longer work.

Source: Scott Burns.

Medicare Trustee: ObamaCare Will Add $340 Billion to the Deficit

The study is set to be released Tuesday by Charles Blahous, a conservative policy analyst whom Obama approved in 2010 as the GOP trustee for Medicare and Social Security. His analysis challenges the conventional wisdom that the health-care law, which calls for an expensive expansion of coverage for the uninsured beginning in 2014, will nonetheless reduce deficits by raising taxes and cutting payments to Medicare providers.

More from Lori Montgomery in The Washington Post. Democrats respond with personal attacks.

Deceased Husband’s Sperm, and Other Links

Woman conceives with the sperm of deceased husband. Now she wants his Social Security survivor benefits for the kids.

Only doctors should make a profit? Arnold S. Relman and Marcia Angell are still haranguing against capitalism in medicine.

Fat doctors see nothing wrong with fat patients.

A typical American restaurant meal is more like dinner for two.

Can humans grow new body parts – like salamanders and star fish?

Surprise: there is a black market (or is it a gray market?) for shortage drugs.

A Liberal Economist Praises the Ryan Plan

I once called an older version of Paul Ryan’s budget plan “voodoo economics.” But you have to admire him. He has just released a new plan that slashes the deficit from 8 percent of GDP to around 1 percent by the end of the decade while simultaneously keeping revenues at 18 percent of GDP over the decade, very close to their historical average…

I expected to be horrified by what I read. I am not in favor of cutting programs for the poor, especially in a plan that reduces taxes for the wealthy and leaves Social Security virtually untouched. Instead, I found myself at least intrigued with the arguments that I found in this section of the plan. They are thoughtful, well-articulated, and worthy of further debate.

One argument is that federal subsidies for safety net programs encourage states to spend more than they otherwise would. Another argument is that federal dollars come with federal prescriptions and paperwork that stifle state innovation and efficiency. A third argument is that these programs undermine efforts by civic or faith-based groups to play a stronger role. A fourth argument is that some of these subsidies (for example, Pell grants) simply bid up prices (for college tuition). A fifth argument is that we have too many overlapping and complex programs with similar purposes (job training being a great example). A sixth argument is that assistance should be made conditional on personal responsibility—for example, being engaged in work or job training if you are receiving government assistance. This model of conditional assistance was a key element in the largely successful 1996 welfare reform law and could be expanded to other programs. Finally, the plan emphasizes the importance of upward mobility—a goal which I think many can embrace.

More by Isabel Sawhill at The Health Care Blog.

How is the Kotlikoff-for-President Campaign Coming?

Scott Burns gives an update. Larry’s “purple plans” would transform the economy. Here is a summary:

Replace current federal taxes with a progressive consumption tax.

Restrict federal revenues to about 20% of GDP.

Privatize Social Security.

Voucherize health care.

Replace Dodd-Frank with 100% reserve banking.

Disability Soars

In 2010, Social Security’s disability program cost $124 billion plus another $59 billion for Medicare (after two years, disability recipients automatically qualify for Medicare). This exceeded $1,500 for every U.S. household. For the past two decades, disability spending has increased at a 5.6 percent annual rate, compared with 2.2 percent for the rest of Social Security. As a result, disability represents nearly one in five dollars of Social Security spending, up from one in 10 in 1988.

 All these facts come from a fascinating paper by economist David Autor of the Massachusetts Institute of Technology. The disability program, Autor writes, is a “central component of the U.S. social safety net” but doesn’t help “workers with less severe disabilities” to stay in the labor force (By law, recipients can’t be employed because disability is defined as the inability to work.)

Source: Robert Samuelson in The Washington Post.

Does Social Security Want More People to Be Disabled?

Some doctors have complained to the Social Security inspector general that they have been pressured to change their medical opinions to conform to targets or goals set by SSA officials, and they feared they would be fired if they resisted… The inspector general…discovered a doctor in the Alabama disability determination office who approved between 80 and 100 decisions a day. Another Alabama doctor signed off on 30 cases an hour after performing only a “cursory review of each case.” The investigation said several doctors complained of pressure from superiors to approve a higher number of applications to meet statistical goals.

Full article on the new Social Security policy.