Social Security, Medicare, Medicaid
Encore.org member David Leopard writes:
When are we going to start talking about doing something to ensure these programs continue to exist for our children and grandchildren. Congress refuses to discuss it but we all know this is going to be a much bigger crisis than we have now unless we as a nation start addressing it.





entitlement programs bankrupting the federal government
David Walker formerGAO Director has been using the bully pulpit since 2005 that I am aware of talking about the upcoming fiscal crisis. Here are some of his comments from Forbes.com in 2006.
Accountants don’t often speak in revolutionary tones, but these days David Walker, head of the U.S. Government Accountability Office sounds a lot more like Thomas Paine than your average calculator-carrying CPA.
"History has shown that when America faces difficult challenges and when it rises to the occasion, anything is possible," he said in an interview. Yet “a fiscal cancer,” he said, “is growing within us, that if we don’t treat, can have catastrophic consequences."
For more than a year that’s been Walker’s message to Americans. It is part of what he calls a Fiscal Wakeup Tour, an itinerant, bi-partisan lecture panel known as the Concord Coalition, which is traveling to college campuses in advance of the 2008 presidential elections. Accompanying Walker are economists from the left-leaning Brookings Institution and the conservative Heritage Foundation (usually Isabel Sawhill from the former and Stuart Butler from the latter). They may disagree about the potential solution, but they are in accord that a problem exists.
The crux of the campaign: to spread the word that Americans and their government are living beyond their means and that fiscal fecklessness is imperiling the country’s living standards.
Sound familiar? It should. For decades, there have been intermittent cries of a looming U.S. fiscal crisis. But over the past five years, the problem has become especially acute, Walker says, due to demographic trends, tax cuts, the new Medicare prescription drug benefit plan and the expiration of budget controls in Congress. Medicare has become especially expensive, as healthcare costs have ballooned and lifespans have lengthened, increasing payments to beneficiaries of the program. In fact over the next ten years, adjusted for inflation, the debt and unfunded liabilities of the U.S. government could rise by $2 trillion to $3 trillion a year.
This is what might happen: as the first Baby Boomers become eligible for Social Security in two years and Medicare in five years, the amount of money the government is spending will begin to dwarf its revenues. Meanwhile, the Treasury, which has been piling up debt from willing, mostly Chinese foreign lenders, finds the cash spigot turned off. The result? Interest rates at government bond auctions go through the roof, raising the cost of borrowing throughout the U.S. economy. Rising mortgage rates will crush the housing market, credit-card bills will lead consumers to declare bankruptcy and college loans will price middle-class students out of premium educations.
This Doomsday scenario is well-known to economists, but it hasn’t motivated many politicians.
"I think there’s rampant myopia and tunnel vision," Walker says. "We don’t have enough people focusing on the big picture and the long run."
So why has he taken this task upon his shoulders? For one, it’s his job. As the comptroller general of the United States. Walker has a responsibility to audit the statements of the government, just as Arthur Anderson had the responsibility to audit Enron.
"Being an accountant and having a professional responsibility as well as being a father and grandfather, I’ve seen our long-term fiscal situation deteriorate dramatically in recent years," he said.
Another reason he’s taken it upon himself to scream the fiscal equivalent of "The British are coming!" is because he can. Unlike politicians who have to focus on re-election, Walker is an official appointed by a bi-partisan group of lawmakers and serving a 15-year term. He’s able to speak his version of the truth regardless of how unpopular it is. But if lawmakers don’t act in the next five years, by the time he leaves office in 2013 the fiscal state of the union may have already crossed the danger threshold.
"Our hope is that through this and other efforts that any serious candidate will have to deal in specific terms with what they are gong to do to help restore fiscal discipline and save our future," he said.
Just how that can be done remains to be seen. But it will likely involve two highly unpopular moves: raising taxes and cutting spending. "There’s no question that we need revenues," Walker said. "The question is how best to raise those revenues."
For the time being, he’s satisfied with posing the question, rather than finding the answer. In the future though, he hopes politicians will use fiscal common sense.
SS, Medicare and Medicaid and Flim-Flam
During my recent graduate studies, I did a good deal of reseach on these topics in preparing a research paper. This was an independent study by me, and was not subject to other bias from professors. Since I am a senior, I had a vested interested in learning the truth. My conclusions were that Social Security is doing just fine, and with a few minor adjustment to retirement age, and income indexing, to revise for gains in longevity it will continue to do fine well into the future. I read a lot of research papers, including the GAO, and National Association of Actuaries, This latter group has members that are also members of social security’s researchers. Comments on their site stated that they were pressured by the Bush administration to use worst case scenarios to project the future health of social security, when in all past projections they used the "most likely scenario.
The dire descriptions of social security failings is simply politics practiced by free marketers wanting to move the money into Wall Street. If that advice were followed, can you imagine the loss it would be taking through our current financial crisis? Further, when I compared US social security benefits with other developed countries, our benefits are paultry by comparison to some of the more generous countries like France. Having a significant segment of society with generous purchasing power would stablize a consumer based economy like the US. Notice that France is not suffering the extreme financial calamity as the US that cuased the current crisis. I, and many others think their strong social safety net contributes to their more stable economy. James Galbraith is a good economist to read on this topic.
As to Meduicare and Medicaid … in brief, if you consider that all the other developed countries provide health care for all at less than half the cost of the US, something is definitly wrong with the US system. However, the problem is not Medicare nor Medicaid, it’s our profit based system of health care. If profit is removed, Medicare and Medicaid would do just fine.
So, in my opinion, the problem is the political economy of the US, and not our senior safety net. Political action will be required to fix these problems, and maybe there will be an opportunity for change given a new administration in Washington. I’m not holding my breadth, though.
Social Security
Hello John,
An interesting post. I have a great interest in
this topic and I am doing some independent research on this. Would you
be able to share your paper with me? I am trying to evaluate emperical
evidence from a variety of sources and perspectives. On the surface, it
appears to me:
We share less than we used to, requiring greater
individual resource consumption and higher expenses. This is less
efficient. For example, Grandma and Grandpa are divorced, both have
their own homes, utilities, cars, insurance cell phones, etc. Certainly
different from all in the same house, sharing a van. If Grandma and
Grandpa, kicked in ss checks and lived at home, sharing resources, it
would be different.Obviously, a solution would be to recombine, and
share. As we know, this may not always work.
Retirement homes,
active senior homes, etc, which theoretically involve greater sharing,
have not taken hold to the degree some expected. My thought is that
social segregation is not desirablefor many, and neither golf, nor
endless days of macaroni art, are sufficiently engaging to replace the
need for inter generational activity.
The path I am exploring
is a "University Lifestyle" for those 50+. Public Universities are both
a business, and a social institution. Universities have the potential
to provide places of engaging, inter generational, functional, efficent
shared resources. It is not the stated mission of a university to
create a social community on campus, but rather a consequence of making
youth functional through education. It is not the purpose of a
business, nor consumer to pay taxes, but, rather it is a consequence of
doing business or being employed.
Many will not support this
concept. Universities will say it’s not my job to make 50+ functional
in the second 1/2 of life, go find your own apartment and activities.
Auto makers will say wait a minute, we want each of you to have your
own car. Business will will want Grandpa to have his own 4 bedroom
home, with his own furniture and applicances and yard and gardener, and
water, and tv and phone and lights and heat, etc. Consumers will not
want to pay the taxes to support public universities, as another form
of social burden for the out "caste".
I can hear protesting screams various idealogies.
I
contend, that sharing is a good thing, more efficient and needed. But
if we all look through the window, rather than in the mirror, business,
government, nonprofits, education and individuals will recognise that
to remain globally competitive, it is the responsbility of all to
become more efficient, through sharing.
SS and Sharing
Hi Rob,
I certainly like your idea of a
lifelong global learning community, and would love to be part of one.I also share your observations about the absence of sharing in
today’s US society. Other authors describe our society as “YOYO’ orYou’re On Your Own. I think it is what has happened to our culture
on the way to becoming a consumer driven economy.If you considerthat100 years or so ago, we were an agrarian economy with large
families and even larger extended families among neighboring farms.Harvest time brought many families and neighbors together to harvest
crops and get the crops off to market requiring cooperative efforts.It was an era of “rugged individualism”, yet of cooperation.Aculture of consumers need not cooperate with one another to purchase products.Further, given the targeting of specific markets often
grouped by age and gender, it tends to draw attention to theuniqueness of individuals rather than things held in common. People
who identify easily with one another are more apt to share than those
that find differences because fear of the unknown is often an obstacle to social engagement.I’m sure there are a lot of
sociological studies on this topic. For my own anecdotal evidence,I
have viewed many international live concerts on Utube (it’s also
something I enjoy), and find that when comparing US audiences with
European and Middle Eastern ones there are stark differences. Most of
the European and Middle Eastern audiences are represented by a wide
range of intergenerational participants from children to grandparents
sharing a common cultural experience.While US audiences tend to
represent market segments.That is, youth turn out for contemporary
artist, boomers tend toward older rock, and some folk music.Those
older are still doing swing although that seems to be rapidly fading
as that group diminishes.While generational segregation exist for
Europeans and Middle Easterners it does not substitute one for the
other as we do in the US. I think the reasons the Europeans and the
Middle Easterners differ from US audiences is a matter of strongly
shared cultural identity, and external environmental influences.
Oops! Didn’t mean to dwell on this topic, but it is of real concern
to me. Your global learning community seems headed in the right
direction. By establishing a common culture of those with an above
average amount of intellectual curiosity it seems likely that such a
group would also support resource sharing.
On retirement homes, there has been an
ongoing effort by gerontologist to promote aging in place. That is
staying in the place you reside after retirement.This effort was/is
driven by the cost and poor care given in “nursing homes”.Some
communities have and are building co-habitation housing facilities
for shared living arrangements just like you are suggesting. Given
the loss of so many pensions, and diminished housing equity, this may
become a popular choice for many.I think sharing is also a
culturally healthy attribute, and just in time for a world with
diminishing resources as you suggest.
Public Universities are likely to
support your efforts as well. Many see the boomers as a lucrative
market, and are trying to attract them back on campus through
continuing education classes, and adult lecture series.Many also
have vacant dormitories during the summer to let out. With the ever
increasing cost of US education, traditional enrollments are
declining making boomers even more attractive. Also, while not widely
publicized, many public funded institutions in the US must meet
student demographic enrollment targets, and may provide tuition free
programs for seniors.
I think you will find a lot of support
for your path, especially among those interested in population aging
issues. And there are many organizations including educational ones.
As to protest from ideological groups, don’t waste your time on the
small stuff. There is always some group in opposition to something at
any point in time.I think you have a great idea, and should find all
the support needed.You may even find some grant money to seed your
idea. A google search can do wonders.
As to a copy of my paper, I don’t think
I am able to send an email attachment through the Encore mail client.
I will send it if I can.
Thanks for you comments
Thanks John,
If you are interested, I have set up one of those google sites on this topic here
College campuses as intergenerational communities
Hi – I am very interested in this topic. I am in the midst of creating an intergenerational center on the campus of a private university here in Honolulu. The University has future funds for a shared site – dorms for students coupled with senior housing. My charge is to look at lifelong learning opportunities, volunteer programs and study tours.
I joined a study tour in Spain last month with educators from the U.S. and Japan to observe university led programs in Barcelona, Valencia, Murcia and Granada. I was impressed with the range of efforts from training Grandparents to care for grandchildren to coupling seniors with students for off campus housing.
I am open to a discussion on possibilities. Mae