Showing posts with label Brookings Institute. Show all posts
Showing posts with label Brookings Institute. Show all posts

Wednesday, June 30, 2010

The Devastating State Of Our National Debt... And A Ray Of Opportunity

Two articles recently came to my attention that reinforced how overwhelming bad our national debt situation has become and how devastating it will be if we do not get it under control very quickly. First a Tampa Tribune article from early June, written by Gretchen Hamel, executive director of Public Notice, put forth the following data:
  • Government spending was less than 10% of the total national economy in 1940, it was 15.6% in 1950, it stayed below 20% for the past two decades but jumped to almost 25% in 2009.
  • The Congressional Budget Office estimates that it will stay above 24% of the total economy for the next ten years. This high level of government expenditures as a percentage of the total economy requires more and more taxes to be funneled to government expenses, drying up capital in the private sector which is where real jobs are created. We are starting to see the beginning of this effect since, despite high levels of stimulus spending, the joblessness rate continues to be very, very high with no relief in sight. Small businesses cannot get loans because of a number of factors, not the least of which is capital going to government.
  • Government spending per household has doubled during the past 10 years and is likely to double again in the next ten years. This will cause each American family's share of the national debt to rise from $115,000 today to $200,000 in ten years.
  • By that time our national debt will be about $20 TRILLION and will require four times the amount of debt serving tax dollars than it does today.
  • In ten years, interest payments on our debt and payments on Social Security and Medicare will consume 90% of the Federal budget's revenue. Thus, unless something else changes, all other government functions including the military, Cabinet departments, Congress, national parks, etc. will have to find a way to live on the remaining 10%. Obviously, this is not possible, meaning that either major functions are cut or taxes are raised significantly. Raising taxes reduces the freedom of every American to spend their wealth as they please and also restricts the growth of the private sector of the economy which reduces tax revenue, ... and the death spiral goes on and on.
Pretty scary stuff. But we are not done. Consider some information from an article by Veronique de Rugy in the August issue of Reason magazine:
  • In 2007, the annual national budget deficit was 1.2% of total GDP. By 2010 it had grown to 10% of GDP, roughly $1.4 TRILLION that the American political class continues to spend without tax revenue to support it.
  • A recent study by the International Monetary Fund concluded that the United States has one of the largest structural deficits in the world, almost as big as the deficit in Greece. We all got a taste of what that can become, with riots in the streets along with deaths.
  • The Obama administration has promised to freeze discretionary spending in order to save $250 billion dollars over ten years. $250 billion on a total national debt of $20 TRILLION amounts to about a 1.25% reduction in the size of the national debt, a trifling amount. Thus, the scary thing to take away is that the White House apparently does not get it, i.e. understand how dire our country's financial situation is becoming, given how anemic Obama's plan is for budget reduction.
  • Under the Republican's YouCut program, several non-essential, trivial budget cut proposals have been recommended by U.S. citizens and brought to the House of Representatives floor for consideration. All of them were voted down, mostly by Democrats. The average price tag of each proposed cut was $638 million, less than .02% of the Federal budget. Thus, the scary thing to take away is that Congress apparently also does not get it, i.e. understand how dire our country's financial situation is becoming, given how anemic their attempt was to cut out even non-essential programs.
Pretty depressing stuff. The numbers are outrageously bad but either the political will and/or political smarts of the political class is lacking. However, despite the politicians inability to deal with reality, reality does not change. As illustrated with our Snoopy and Peanuts analogy in an earlier June post, if the financial integrity of the country fails, everything else becomes meaningless. Clean air, clean water, retirement funds, freedom, everything becomes secondary once the financial backbone of the country collapses.

However, there is some hope. Ms. de Rugy reports on a new Goldman Sachs study by Ben Broadbent lays out the argument that budget cuts can be cut both economically and politically worthwhile, citing examples of significant budget reductions by foreign governments and the re-election of those politicians that enacted the budget cuts. A similar finding was arrived at in a 1998 Brookings Institute study. The Government Accountability Office found that overpayments by government agencies approaches almost $100 billion a year. Thus, tighter auditing and penalties for accounting mischief could save upwards of a TRILLION dollars by 2020. The Reason article cites a number of other countries, including Ireland, Sweden, Finland, Denmark, Belgium and Canada that made significant and necessary government budget cuts over the past few years, so it can be done. In the past few months, Lithuania cut government spending by 30% by slashing public sector wages and reducing pensions by 11%. If these other nations did it, why can't the United States is Ms. de Rugy's lament?

Let's not stop with the what of budget reduction discussed above, but move on to the how. The Cato Institute is in the midst of a huge undertaking, basically going through each Federal government Cabinet department and doing a detailed analysis of how to cut the Federal government down to size. They are done with five of the departments and are working their way through the last ten. Their findings and road maps on how to cut government down to size can be found at www.downsizing government.org. We will review some of their analyses and proposals in the coming months.

Thus, we now what has to be done , (cut down our government's size, spending, and national debt quickly and substantially), the Cato Institute and others are coming up with the how to do it, we know why we have to do (save our freedom and the democracy we should be living in), and we know the when (immediately). The only question left is the who. Current residents in the White House and Congress may not be the who. Their arrogance and stubbornness to reduce their power base and the size of government indicates that most of them sitting in Washington either 1) do not understand the magnitude of the problem, 2) do not know how to fix the problem, or 3) choose to ignore the problem for whatever reasons known only to them. Whatever the cause, it is unacceptable. Making the dumping of all incumbents in November critical to moving on to the how of the problem and getting this nation's financials in order as soon as possible. Snoopy would have it no other way.





Our new book, "Love My Country, Loathe My Government - Fifty First Steps To Restoring Our Freedom And Destroying The American Political Class" is now available at www.loathemygovernment.com. It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.

Also visit the following sites for freedom:
http://www.cato.org
/http://www.reason.com/
http://www.robertringer.com/
http://www.realpolichick.blogspot.com/
http://www.flipcongress2010.com/

Sunday, September 6, 2009

A Process To Solve The Health Care Cost Crisis

If you have followed the debate on Obama's health care reform efforts, you realize that the whole process, or lack or a process, has bogged down into partisan bickering, misinformation, exposure of politicians for what they are (i.e. not any brighter than you and me, if that) in town meetings, name calling, and a tremendous behind-the-scenes lobbying effort to make sure special interests get another advantage from the political class. There really has not been a process in place for solving this problem. As mentioned at least once in previous posts, what is the root cause(s) of escalating health care costs in this country:
  • Doctors make too much money?
  • Insurance companies make too much money?
  • Drug companies make too much money?
  • There is too much government interference in the market?
  • There is too much fraud and criminal activity in the market?
  • Other causes
Until you can answer the root cause question, you cannot solve the problem regardless of how many town meetings you have, how many Obama speeches you have, how many lobbyists get involved, and how many times Palin talks about "death panels." Love My Country, Loathe My Government" recognized this problem solving need via Step 28 on Page 107:

Step 28 - Convene an expert panel to undertake an in-depth national economic study to determine the real root causes of spiraling health costs and recommend appropriate actions to eliminate them. Voters, not Congress, will approve these recommendations."

This approach has been vindicated by two recent sources I have come across. First, in the St. Petersburg Times today, David Brooks' column, "Tinkering isn't change", pointed out two recent publications that approaches the health care cost problem like I proposed in Step 28. Mr. Brooks points to David Goldhill's essay, "How American Health Care Killed My Father" and a recent Brookings Institute report, "Bending the Curve - Effective Steps To Address Long-Term Health Care Spending Growth" as two instances where someone did a root cause analysis of the problem. In fact, according to Mr. Brooks, the Brookings Institute report was "written by a bipartisan groups of battle tested-tested experts." Sounds like Step 28, doesn't it? The other interesting word he uses is "experts", a word that I have not seen used a lot in the current mish mash of health care reform bickering.

The second source that has come to my attention is the fact that the state of Texas instituted significant medical law suit/tort reform several years ago. Most of the sources I came across on the Internet gave glowing reports of the beneficial aspects of reducing medical malpractice suits in Texas. According to the American Tort Reform Association's website, the following benefits flowed from the tort reform in Texas:

- The American Medical Association dropped Texas from its list of states in medical liability crisis (Houston Chronicle, 5/17/05).
- Malpractice claims are down and physician recruitment and retention are up, particularly in high risk specialties (Houston Chronicle, 5/17/05).
- The five largest Texas insurers cut rates, which will save doctors about $50 million, according to the AMA (Houston Chronicle, 5/17/05).
- Malpractice lawsuits in Harris County have dropped to about half of what they were in 2001 and 2002. There were 204 cases filed in 2004, compared with 441 in 2001 and 550 in 2002. There were 1,154 lawsuits filed in 2003, attributed to attorneys trying to file before the new law took effect (Houston Chronicle, 5/17/05).
- Harris County has seen a net gain of 689 physicians, an 8.4 percent increase, according to the - State Board of Medical Examiners (Houston Chronicle, 5/17/05).
- Texas Medical Liability Trust, the state's largest liability carrier, reduced its premiums by 17 percent (Houston Chronicle, 5/17/05).
- Fifteen new insurance companies have entered the Texas market (Associated Press, 2/16/05).
- Health Care Indemnity, the state's largest carrier for hospitals, cut rates by 15 percent in 2004 (Associated Press, 2/16/05).
- American Physicians Insurance Exchange and The Doctor's Company also reduced premiums (Associated Press, 2/16/05).
- The American Physicians Insurance Exchange saw a $3.5 million reduction in premiums for Texas physicians in 2005. In addition, beginning May 1, 2005, 2,2000 of the 3,500 physicians insured by the company would see an average drop of 5 percent in their premiums (The Heartland Institute, 5/1/05).

Obviously, it looks like Texas did a little problem solving and 1) realized that a root cause of their high health care costs was the need for tort reform and 2) configured their legislation to address the need for tort reform. Now, that wasn't hard, was it? Too bad this simple process is not being done in Washington.

Now, for complete disclosure, while almost all of the Internet search results supported the dramatic impacts on costs listed above, I did find one source that felt the effect of Texas tort reform was negligible. The source lays out their case in a very logical, well written form but I found it curious that all of the experts they cited were somehow related to the legal profession, either as a lawyer or a law school professor, hardly unbiased sources to talk about tort reform that reduces their profession's ability to bring frivolous malpractice suits. Given that almost all of the politicians in Washington are lawyers and the ABA is one of the strongest lobby groups anywhere, is it any surprise that the Obama reform issue does not address tort reform? It worked in Texas, there is probably a good chance that tort reform is a national root cause that so far, has not been addressed.