If You Want to Save Social Security, Medicare and Medicaid, Stop Trying to Save Social Security, Medicare, and Medicaid [Reader Post]

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The title of this post might send some conservative heads spinning, but as my faithful readers know I'm going somewhere with this. To varying degrees conservatives have tried to and continue to try to reform our entitlement programs that in their present form are simply unsustainable. Proposals for change get thrown around, but nothing truly meaningful actually happens. When our last President Bush tried to use his momentum from a hard fought re-election to reform Social Security, leftists rallied to defeat the extremist idea of letting young people choose to take responsibility for their own retirement funds. Paul Ryan recently introduced legislation to bring reforms to our entitlement systems that would put us on a road to sustainability. How did all of the leftists who call for civilized dialogue and bipartisan solutions respond? We got videos suggesting that Ryan was going to push wheelchair-bound Granny off of a cliff. Even today while leftist policy continues to send us on a downward spiral that will send us on the same course as economic basket cases like Greece, Italy, California or Detroit, the left can't give us anything but class warfare and platitudes about “fairness”. Let's be blunt – they are quite good at it. Which is why it is time to stop pretending that we are able to do anything about this problem right now. What needs to happen first is to change the conversation

For example, leftists will use their favorite mantras of raising taxes on the wealthy or raising taxes on business to solve our budget deficits. Wrong on both counts – we could punish all of the wealthiest businesses along with their executives or we could raise taxes in a manner progressive enough to destroy our wealthiest class that would excite Dennis Kucinich. Neither is enough. The leftist politician or newscaster will say something along the lines of “Shouldn't the wealthy pay their fair share?” What conservatives need to respond with is the ultimate enemy of progressive agenda – numbers and reality. Ask how much their proposed taxes would raise. They rarely have them, and when they do the numbers will never have enough to have any real impact. If they actually have numbers, they are pretty easy to counter. For example:

$1.5 Trillion – That's how much additional debt we incurred in 2011. That's also the net worth of the Forbes 400. Taking everything they own balances the budget for one year, and now we've permanently lost our wealthiest 400 taxpayers. What else do you have?

Most of the time you won't get any numbers, just the usual worries about fairness, inequity, how the country should be, how they expect the rich to behave, but never any real plan that can actually produce results outside of a think tank or policy meeting. This needs to be driven home and force leftists to debate on substance, an area they naturally avoid because it's a losing argument for them. Ask what their numbers are, how realistic they are, what the impact of their policy will be, and what are the unintended consequences. Granted, right now the best conservative solutions are the rough and flawed ones coming from Paul Ryan, but at least he's trying to start a meaningful conversation. Unfortunately the leftists ignore the reality because it does not fit in with their beliefs. How did the president respond to this plan? If you had guessed that President Obama decided to reach across the aisle, produce a plan of his own and work toward a bipartisan solution you would be wrong. Having nothing positive, constructive or realistic to add to the conversation, the president did the only thing he truly knows how to do – sow anger and divisiveness: “by gutting the very things we need to grow an economy that's built to
last — education and training; research and development;
infrastructure — it's a prescription for decline.”. If the level of dialogue regarding our budget and economy were at a serious level President Obama would have been laughed off the stage. The fact that he was not shows how serious this problem is.

Yes, that last statement was an obnoxious one, but no less obnoxious that being called an extremist for believing in living within your means. If you're getting called an extremist for these views ask your leftist if they truly believe that spending less than you make is extreme. You can cut them off at the “No, BUT – ” There are no”buts” to this. The arguments for temporary deficit spending or maintaining certain levels of debt can follow, but if your leftist counterpart can't even agree on that basic point there is no point in trying to have a discussion. You can also ask who their creditors are so you can make sure you're not investing in them, and ask who they work for so you can short sell their stock.

Let's go to the illustration about serviceable levels of debt that knocks a few zeroes off of the national debt to portray it as a single household's debt. There was a great graphic that went around which unfortunately I can't find anywhere. If anyone has it please drop the url in the comments so I can update with the image. The image sums its point up in one quick question – if you're making $23,000 per year, are spending $35,000 and have debt of $135,000, how is reducing your spending by $345 per year fiscally responsible? Individuals who do this go bankrupt, and companies that do this go out of business, so why is this enlightened genius at a federal level?

This is where you might get the Krugmanesque Keynesian arguments that there is not enough demand for goods and only government spending can get things moving again. A simple solution is to issue every American adult a credit card with a $5,000 limit on it, but every man and woman with a card is required to max it out in one month. Boom – instant stimulus! Extra money is moving in the economy, and now everything is moving again thanks to the extra business and its multiplier effect, meaning that the money you spent goes into someone else's hands, they put it in someone else's, etc. The problem is that the money has to come from somewhere. You just spent that money and in theory you are now receiving more money as we see more economic activity, but is it enough to make it worth that $5,000 bill that you get at the end of the month? Yes, this sounds absurd but that seems to be the philosophy behind leftist economic thought these days.

So now you have hopefully gotten your leftist friend to agree that at some point the government needs to stop growing faster than the economy that feeds it. At this point you'll get calls for bipartisan approaches, of combining things like “responsible spending cuts” with “modest tax increases”. Be careful, hopefully by now you have Admiral Ackbar by your side to warn you that it's a trap. Leftists like to paint themselves as the reasonable parties to make their conservative counterparts seem like extremists. Here are a few leftist phrases and what they actually mean:

“We need a bipartisan solution” means “We need to work together so I can remove anything of substance from your proposal” (OK, we do this too)

“We need dialogue” means “I am not getting what I want, so you need to shut up and listen to me until I do.”

“Now is the time for civility” means “Don't behave in the same way I would if our roles were reversed. In fact, don't behave like a leftist ever.”

You get the idea.

If you hear feel good language don't go any farther until you can get them to quantify them. How much is a “responsible” spending cut? Not a percentage, but actual dollars. When you hear about “modest” tax increases, ask how many dollars they will actually bring in/ What will the negative impacts be? How much tax avoidance will result? How much will the taxed activity decrease and how many jobs are expected to be lost? For that matter, in determining “fair” tax rates, what determines what is fairness? For that matter, what is it that makes leftists the ones who are morally and intellectually superior that they are qualified to be the arbiters of fairness? For people who hate to pass judgment on criminals, terrorists, or any kind of bad behaviors they certainly like to be the ones to judge the crime of prosperity.

Since you're never going to get serious numbers out of the leftists, you can present them with actual numbers of how dire the situation is and why theirs won't work – see my link on destroying the wealthy earlier in this post. Until leftists are enlightened/shamed/forced into acknowledging their current beliefs are fatally flawed we can't even start to work toward a solution.

Another favorite canard of the left is that the government has to lead the way in spending, or has to “prime the pump” when the economy is moving too slowly. First off, explain that the government can not create wealth – one of the posts in my Economics for Politicians series explains that – be sure to have your friend check out the Bill Whittle video that is embedded in that post. You might also have to back up a bit and explain that the government only can exist at the expense of the rest of the economy's consumption or investment. Whether we pay today in higher taxes or tomorrow in debt (to be followed with inflation or higher taxes) everything that the government spends is by definition a drain on some other part of the economy.

Converting the left will not be easy; take the Head Start program for children as an example. Even though this program has a proven track record of having its results disappear completely within two years of completion, we still continue to drop money into a failed program that has cost more than the Apollo space program. When John Stossel confronted leftist Congressman Keith Ellison with these results what answer do you think Ellison gave? The only answer that any leftists will give to any failed social policy – we need to spend more money. This is not going to be easy.

I'll leave you with one last analogy in terms of taking a “balanced” approach. Leftists truly believe that we can balance our budget with a combination of spending cuts reduced rate of government growth along with tax increases on somebody else. To illustrate why this plan will not work I compare our economy to a car that is driving at 100 MPH and sees a sign that there is a cliff a mile away. The conservative will say that we need to alter our course by at least 90 degrees or we will drive off of the cliff. The leftist at the wheel will call for a balanced approach of slowing down to 80 MPH and altering our course by 30 degrees. While your driver is patting himself on the back for the balance of his bipartisan approach, at the end of the day the economy does its best impression of Thelma and Louise.

I understand that we need to reform our entitlement programs, and it has to happen sooner than later. If you think we can even bring any serious reform to the table now look no further than how the president reacted to the Ryan plan or look at what the unions put Wisconsin through over Scott Walker's reforms. No, before this battle begins we have to stop letting the left define the ground where we fight. This has to be taken to every leftist politician, journalist, and activist out there, and they have to be dragged kicking and screaming to our battlefield. The message has to be driven home, it needs to be understood across the country before we can even think of action. Only then will the American people be ready to support the tough decisions that face us.

As Arnold Kling said (H/T Wizbang's Charlie Quidnunc): “A lot of people want you to believe that the progressive agenda is the victim of Angela Merkel and Paul Ryan. But an alternative perspective would suggest that it is the victim of arithmetic.”

Cross posted from Brother Bob's Blog

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The Greek experience should prove to be instructive:

one aspect of the Greek collapse into hell has gotten lost: the complete failure of the Greek healthcare system. As the following Reuters report shows, regardless of the outcome on Sunday, it just may be too late to preserve the future of Greek sickcare, and with that, of the entire population: “The country’s state hospitals are cutting off vital drugs, limiting non-urgent operations and rationing even basic medical materials for exhausted doctors as a combination of economic crisis and political stalemate strangle health funding.

The emergency has grown out of a tangle of unpaid bills, with pharmacists and doctors complaining of being unable to pay suppliers until competing health insurers clear a growing backlog of unfilled state payments.

Greece imports nearly all its medicines and relies heavily on patented rather than cheaper generic drugs, making it vulnerable to a funding squeeze that would grow sharply worse if it were forced out of the euro after elections on Sunday.

Long queues have been forming outside a handful of pharmacies that still provide medication on credit – the rest are demanding cash upfront until the government pays up a subsidy backlog of 762 million euros, or nearly $1 billion.

“We’re not talking about painkillers here – we’ve learned to live with physical pain – we need drugs to keep us alive,” Mitta, a petite former marathon runner and herself a cancer survivor, said in a voice shaky with emotion.

Greeks have long had to give medical staff cash “gifts” to ensure good treatment. Nevertheless the health system was considered “relatively efficient” before the crisis despite a variety of problems including a fragmented organisation and excess bureaucracy, according to a 2009 report for the Organisation for Economic Cooperation and Development.

But it has been unable to respond to the growing crisis. The European Union and International Monetary Fund, which provided a 130 billion euro lifeline to Greece in March, have demanded big cuts to the system as part of a wider package of austerity measures.

But powerful medical lobbies and unions have resisted fiercely.

Outside one of the 133 state hospitals – whose managers have sometimes been appointed as supporters of whichever political party was in power at the time – a banner put up by protesting staff reads “Hospitals Belong to the People”. Inside, its gloomy labyrinth of corridors tell a different story.

A doctor at the university hospital in the northwestern Athens suburb of Chaidari cites a lack of basic examining room supplies in her own department, such as cotton wool, catheters, gloves and paper used to cover the examining table.

The shortage of paper, which is thrown out after each patient has used it, means corners have to be cut on hygiene.

“Sometimes we take a bed sheet instead and use it for several patients,” said Kiki Kiale, a radiologist specialising in cancer screening. “It’s tragic but there’s no other solution.”

Kiale, 52, said staff cutbacks and a lack of crucial equipment – including a digital mammography machine – meant some doctors were seeing 40 patients during a shift but many patients were still unable to get treatment.

In the chaos, patients can slip through the cracks or turn up for treatment again only when their illness has progressed too far for them to be saved.

Behold your fate America under the unholy trinity of Medicare, Medicaid and Obamacare!

No Black Swan is this!

And it is frightening to say, in some quarters this is no “bug” either, but a leveling feature of Progressive New Party politics [think Bill Ayers].

“A Matter Of Life And Death”: The Collapsing Greek Health-Care System Is In Critical Condition

One need not Galadriel’s Mirror, but a news from Britain:

Under Obamacare’s dark mandate this will be no Black Swan either:

Top doctor’s chilling claim: The NHS kills off 130,000 elderly patients every year

NHS doctors are prematurely ending the lives of thousands of elderly hospital patients because they are difficult to manage or to free up beds, a senior consultant claimed yesterday.

Professor Patrick Pullicino said doctors had turned the use of a controversial ‘death pathway’ into the equivalent of euthanasia of the elderly.

He claimed there was often a lack of clear evidence for initiating the Liverpool Care Pathway, a method of looking after terminally ill patients that is used in hospitals across the country.

It is designed to come into force when doctors believe it is impossible for a patient to recover and death is imminent.

[The British Death Pathway] can include withdrawal of treatment – including the provision of water and nourishment by tube – and on average brings a patient to death in 33 hours.

There are around 450,000 deaths in Britain each year of people who are in hospital or under NHS care. Around 29 per cent – 130,000 – are of patients who were on the LCP.

Professor Pullicino claimed that far too often elderly patients who could live longer are placed on the LCP and it had now become an ‘assisted death pathway rather than a care pathway’.

He cited ‘pressure on beds and difficulty with nursing confused or difficult-to-manage elderly patients’ as factors.

Professor Pullicino revealed he had personally intervened to take a patient off the LCP who went on to be successfully treated. He said this showed that claims they had hours or days left are ‘palpably false’.

In the example he revealed a 71-year-old who was admitted to hospital suffering from pneumonia and epilepsy was put on the LCP by a covering doctor on a weekend shift. Professor Pullicino said he had returned to work after a weekend to find the patient unresponsive and his family upset because they had not agreed to place him on the LCP. ‘I removed the patient from the LCP despite significant resistance,’ he said. ‘His seizures came under control and four weeks later he was discharged home to his family,’ he said

I’ve come to the conclusion that as far as retirement funds are concerned, there is no such thing as safety. Many in the private sector with old-style pensions have seen them looted. Many with public sector pensions know they are underfunded and can be “renegotiated” downward. Those with IRAs have seen their value greatly diminished, and matching employer contributions are going extinct.

Don’t have any solutions. Just save up as much money as you can.

None, not a single, solitary one of these programs should be saved. Each and every time the government has gotten involved, in ANYTHING the costs have skyrocketed along with the corruption.

If you want affordable healthcare, get the government out of it after the government outlaws insurance.

http://goldwaterinstitute.org/blog/more-evidence-health-insurance-drives-cost-care

+1……………Would be nice if I were able to keep and invest my money for my future and retirement….You would be well pressed to find anything government got involved in to “make things better” that hasn’t made things absolutely worse…

@gracie:

Many in the private sector with old-style pensions have seen them looted

Private sector pension funds are highly regulated. Ordinarily if one loots a private pension fund one is headed for a prison term. Can you provide examples to illustrate what you mean?

Generally it is public sector and union defined benefit pension funds in the US that are the most seriously underfunded.

Don’t have any solutions. Just save up as much money as you can.

Yep, save on a systematic basis paycheck by paycheck and from the start of your working life. Learn the fundamentals of investing, economics and money and banking in high school if at all possible. If not, take and pass those classes in college. And by all means: DIVERSIFY your investments.

@Mike O’Malley:
Speaking as a well-diversified long-term investor, I can tell you Obama’s policies have played devilry with our savings.
Even with over 30% in gold/cash, we have lost ON AVERAGE $7,000 a day for every day Obama has been in office!
This comes to over 3/4ers of a million dollars.
Most of it on a few really bad days, to be sure.
But no matter what we have done the bleeding to one extent or another continues.
Thank goodness that we keep making adjustments in our investment portfolio.
If we had kept on a steady track from Obama’s inauguration we would have lost three times as much!
There was a time when I would have turned down my Social Security and hubby, too.
But now, it appears that the extra $4,000 or so a month will actually make a difference instead of being irrelevant!
And they played just one too many of those Food Stamp commercials!
I called and they’ll get back to me.
They think I qualify!
Still won’t make me support Obama.

@Mike O’Malley, #2:

One moment people on the right are decrying every taxpayer dollar spent on “socialist” health care and retirement security systems that provide aid and comfort to the elderly; the next, they’re angry that every possible medical measure isn’t being taken to add hours to the lives of people who have nearly reached Death’s door.

In modern industrial nations, people very commonly come to the end of their natural lives in hospitals or nursing facilities. Do we want compassionate, palliative care in such cases, or do we want heroic measures to prolong life to be mandatory in each and every case?

One thing I will tell you with absolute certainty: Without Social Security and Medicare, the majority of elderly people–and we’ll all become so, if we don’t die early–would live out far fewer years in much less comfort.

If we want a compassionate society, we all have to pay for it. Nothing is free. If we want modern highways and bridges, a well-educated population, a strong military force, cutting-edge research facilities, a clean environment, etc, we have to pay for all of it. If those who receive the most financial benefit from their participation in the American system would rather take care of themselves and not contribute proportionately more to that very system, then they’re welcome to go somewhere else and join someone else’s private club. Try Mexico, or maybe Saudi Arabia.

Mike O’Malley: Read “Retirement Heist,” which chronicles dozens and dozens of cases of pension fund pillaging — all legal too.

Mike, Link for Retirement Heist book below.

Retirement Heist</

@gracie:

It looks interesting.

The Federal long-term projected deficit was estimated to be around $211 trillion as of 9/30/10 I think. How much did these worth gentlemen short their pension plans?

@Brother Bob:

Exactly. Bipartisanship my ass. It’s like if the wifey wants a vacation and we can’t afford it, how do you meet halfway? How do you meet halfway when the whole premise is underlied by the fact it is unaffordable? A few thousand in credit card debt and you want globe trot, no! To compromise is to suspend reality. In America’s case, we borrow from China forty cents on the dollar for every dollar we spend.

Dems vs Repubs: Intentions vs reality.

platitudes about “fairness”

It’s almost cliche but you can trip up any minimum wage advocate by asking them if they believe it should be $100 an hour or a flat out $50K a year.

It’s comical if the Progressives try to rationalize an economic explanation to any of their answers. And if you parse their answers, it always depends on emotion and an arbiter of fairness be it law, reg, czar, secretary, or edict.

Converting the left will not be easy

You know it’s their religion. Conversions happen but not often. That’s a whole crazy tangent. I often cite my asking my lib friends that if a tax on soda and cigs are a deterrents to sugary drinks and smoking and they answer yes. Next I ask them if taxing the man who provides them a job is a deterrent to providing jobs. This perplexes them. I’ll conclude that logic won’t do.

@Mike O’Malley: My biggest issue are those that actually believe the government will be their fallback once they retire, or that somehow a measly $800 a month will be their saviour…I don’t doubt that this does help some, but you know what would help even more?….Let me keep my damn money and invest/save the way I desire…Guess what, based on the governments record I’m fairly certain I can invest/save more wisely than the government…..I don’t believe I’m “owed” anything, other than the right to use my money where I best see fit…If it doesn’t pan out, that’s just the way it works and I won’t go crawling to mother government….If you’re relying on the government for some fail-safe, you’re betting on the wrong horse…..Just sayin’.