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Showing posts with label Spending. Show all posts
Showing posts with label Spending. Show all posts

Oct 14, 2009

Blunting the Costs of Healthcare Reform

States of Personal Privilege
10/09/09 - WSJ Opinion by by Kimberley A. Strassel

Quip: This bill is vital to our country and will save a lot of money. We just don't want to depend on it.

[edited]

Powerful senators have avoided the most costly provisions of healthcare reform for their own states. They want "reform" for the nation, so long as it doesn't disadvantage the people who support or vote for them.

  • The Baucus bill vastly expands state Medicaid programs, requiring the states to pay an additional $37 billion.

    Senate Majority Leader Harry Reid of Nevada is worried about losing his seat next year. He has arranged for the federal government to pay Nevada's increased Medicaid expenses for the next five years. This applies to only three other states: Oregon, Rhode Island, and Michigan, because they "are suffering more than most."

  • The Baucus bill would tax expensive insurance plans at 40%, so that those with "luxury" health insurance help to pay for the poor. But states like New York and Massachusetts have a lot of those plans, having a lot of union members with great benefits, and high-cost insurance mandated by state regulations.

    New York Sen. Chuck Schumer didn't want angry, overtaxed voters, so he and other similarly situated Democrats carved out a deal to reduce the tax on 17 states, mostly with Democratic politics.

  • The Baucus bill taxes pharmaceutical companies, on the principle that they are filthy rich and involved in health care.

    But, New Jersey boasts it is the "global epicenter" of the drug industry, where "15 of the world's 20 largest pharmaceutical companies have major facilities." Its Sen. Menendez has a deal for a $1 billion tax credit for companies investing in drug R&D.

  • Many Dems assure us that the Baucus bill will "bend down" the health-care cost curve. Michigan Sen. Debbie Stabenow and Massachusetts Sen. John Kerry aren't counting on it. They included $5 billion in the bill to reduce costs for union members.

So, health-care "reform" is good, smart, and necessary, so long as it isn't fully applied to the states of the senators who are pushing it.

Most senators are saving up their special demands for the Senate floor. Then, we'll know how much change Democrats truly believe in.

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Baucus Bill Bull: The Hypocrites In DC Are Trying To Pass a Doozy
10/14/09 - PJTV: Medically Incorrect (video 3 minutes)

A video opinion of the Baucus bill by Dr. Peter Weiss.

Dr. Weiss is an OB/GYN at Cedars Sinai Medical Center in Los Angeles, the Medical Director of Rodeo Drive Women's Health Center and Rodeo Drive Dermatology and Aesthetics, and an Assistant Clinical Professor at the UCLA School of Medicine.

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Obamacare Bails Out Medicare
09/12/09 - Easy Opinions by Andrew Garland
"Healthcare Reform" is a huge tax hike plus rationed medical services.

Oct 10, 2009

More Healthcare Spending - More Taxes

CBO report: New taxes will pay for Senate health care bill
10/08/09 - OpenMarket by Fran Smith

[edited] The Congressional Budget Office reports that the Baucus healthcare bill in the Senate would reduce federal budget deficits by $81 billion during 2010-2019. Supporters were ecstatic.

The government and most news reports emphasize deficits. But, it is the SPENDING that matters. This healthcare bill gigantically increases spending. It reduces the deficit by increasing taxes and fees by more than the increased spending. Further, past healthcare programs have been 5 to 10 times more expensive than estimated at the time they were enacted.

A clearer statement would be:
"Healthcare legislation will raise government spending by at least $829 billion. But don't worry, it will raise taxes and fees by $910 billion, providing an extra $81 billion to the Treasury."

The major problem for the Baucus healthcare bill has been to hide the massive tax increases on people. It pretends these taxes are on businesses and insurers. But, all of these "business taxes" will be passed on to the people, at all levels of income.

The savings included in the bill are unrealistic. They are there only to get a good score from the Congressional Budget Office. The CBO must assume that those savings will be there, because the bill says they will be there.

Businesses organize work. They aren't a magic piggy bank. Taxes on private health insurance companies must be paid by charging more for insurance. So, the company writes the check, but the customers pay those taxes.

Taxes on employement must be paid out of the total productivity of the employees. Employee salaries are what is left over. The government wants to charge companies 8% of salaries to support government health insurance. That 8% actually would be paid by employees as a reduction in salaries.

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The truth about the Baucus bill - Part Two
10/12/09 - Washington Examiner Editorial

[edited excerpts] The Baucus bill generates revenue or shifts costs in many ways:
  • Cuts to Medicare and Medicare Advantage - $426 billion
  • Fines imposed on those who do not purchase insurance - $4 billion
  • Levies on health insurance companies providing high-end health insurance plans - $201 billion
  • New taxes on medical devices and drugs - $180 billion
  • New income taxes on individuals - $83 billion
  • New taxes on employers - $25 billion
  • Reductions in Medicare reimbursements to hospitals, which will require more cost shifting from such facilities to their patients

Price Waterhouse Coopers has released a study done for the health insurance industry.

  • Average family health insurance is now $12,300.
    This will be $18,400 by 2016 doing nothing.
    Baucus will make it $21,300.
  • Individuals average $4,600.
    This will be $6,900 by 2016 doing nothing.
    Baucus will make it $7,900.
  • Obamacare advocates say that higher costs will be largely offset by tax credits for lower-income families. But, tax credits only shift the burden of payment from Peter to Paul [from the middle class to the poor].

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Memo - Health Plan Deficit Reduction
09/2008 - EasyOpinions Outlink

A (fictional) memo has surfaced revealing the thought guiding healthcare policy.

Excerpt: "The estimated deficit for our health reorganization plan is causing us trouble in the press. President Obama has promised not to raise taxes on the middle class, and not to increase the deficit. Unfortunately, we have to live with this until the plan passes Congress."

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The Real Tax Burden
01/2009 - EasyOpinions

The real tax burden is current government spending. Government borrowing and delayed taxes are merely finance. It won't be just "the other guy" who will pay. The middle class and rich will pay in dollars. Poorer citizens will lose employment.

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Company Paid Health Insurance is Part of Your Salary
12/2008 - EasyOpinions

You generate all of the wealth that pays your salary and the taxes associated with your employment. The employer writes the check, but you earned that money, and it would be part of your take-home pay if the burden did not exist on the employer. Competition for skills would arrange that outcome.

In the same way, when a company pays for your health insurance, it is merely writing the check with part of your earnings, earnings that you never see, but could control yourself.

Feb 7, 2009

Obama's Feet of Clay

The Fierce Urgency of Pork
02/06/09 - WashingtonPost by Charles Krauthammer (via JustOneMinute)
An excerpt, not a summary.
[edited] Yet more damaging to Obama's image than all the hypocrisies in the appointment process is his signature bill: the stimulus package. He inexplicably delegated the writing to Nancy Pelosi and the barons of the House. The product, which inevitably carries Obama's name, was not just bad, not just flawed, but a legislative abomination.

The Age of Obama began with perhaps the greatest frenzy of old-politics influence peddling ever seen in Washington. By the time the stimulus bill reached the Senate, pharmaceutical and high-tech companies were lobbying furiously for a new plan to repatriate overseas profits for tax savings. California wine growers and Florida citrus producers were fighting to change "planted" to "ready to market" for a new "bonus depreciation" incentive.

After Obama's miraculous 2008 presidential campaign, it was clear that at some point the magical mystery tour would have to end. The hallucinatory Obama would give way to the mere mortal. The promised great ethical transformations would be seen as the usual fairy tale that this president told better than anyone.

I thought the awakening would take six months. It took two and a half weeks.

Jan 13, 2009

The Real Tax Burden

Watching government at work is like watching four magicians on stage. Now you see it, now you don't, and there is too much to watch. There are plans for higher taxes, surcharges, lower taxes, tax rebates, guarantees, bailouts, "investments", subsidies, fees, loans, borrowings, and just printing more money. Mind boggling.

So, what is the government taking from the society, from the people who work to generate wealth or invest to create jobs? I quote the observations of economists Milton Friedman, and of Russell Roberts at CafeHayek "When a tax cut isn't a tax cut".

The amount of tax that a government imposes is the amount it spends. The timing and amount of tax collections is merely finance.

[edited] If the government cuts rates or gives rebates, but also increases the size of government, then real taxes are higher. Government is taking a bigger share of the economic pie leaving less for private use or investment.

Milton Friedman pointed out that the burden on the private sector is bigger when the government grows as a percentage of the economy. Focus on government spending, not on how government is financed, whether it's out of current taxes or future taxes.


Deficit Spending

A "deficit" is the amount of planned or promised spending that has no source of current funding. It is the amount that must be borrowed to pay for the project. A deficit is a red flag because the government is going to borrow the money, but has no plan for paying it back, other than raising taxes in the future.

For example, say Fred has saved $20,000. One day, he decides to buy a $30,000 boat by borrowing $10,000. That $10,000 is his deficit spending. He better have a plan for paying off that loan, or he is going to lose the boat, usually at a great loss.

That $10,000 is a red flag that Fred may be spending into disaster. But, would everything be OK if Fred buys just a $20,000 boat? Now there is no deficit, and he is not under pressure to find more income. With or without a deficit, buying the boat is a disaster if Fred needs the money for his kids or to repair the roof on his house.

The big question: Is it wise to spend that money, deficit or not? News stories concentrate on government deficits, which are only the underfunding of its projects. Those projects use the resources of citizens, deficit or not. It is no consolation that a wasteful project is fully funded by taking money from the people.

Worse, the government will claim unrealistic future savings or tax collections. It is like Fred claiming that he will save $10,000 on groceries to pay for the $30,000 boat. It makes the estimated deficit disappear, but it doesn't change the amount that Fred is spending. It is no consolation for the government to say: There is no deficit on this project, because we are going to take more money from you in the future to pay for it.


Spending Costs Resources Now

Government spending directs real effort and resources, right now. Most resources disappear in mountains of paperwork and rules. Some resources build useful things, like roads and buildings, but at high cost, and not usually the most useful things. A small fraction goes to absolutely necessary activities such as courts, police, fire, and national defense.

The taxes that support this spending are collected noisily as more taxes, or quietly as inflation. Tax collections are merely a "fairer" way to impose the tax burden than allowing inflation. Inflation is also disruptive, destroying production beyond the amount of government deficit spending.


Obama's Plans

Obama's spending plans are a massive tax increase. The government will have to collect taxes to fund this spending, either now or in the future. If it borrows the money, the taxes will include increased interest payments on that debt. If it merely prints the money, there will be inflation along with devaluation of the dollar.

Obama can try to make the top 5% of taxpayers finance spending increases. It is a brilliant redistribution plan that uses the current progressive tax system, plus "a bit more", to soak the rich in a way not seen since 1960. At that time, tax rates were 91%, and politics was about creating tax loopholes to keep the economy going. There is no doubt; the tax loopholes will be created again.

Obama will avoid saying that he is taxing the lower 95% or 70%. Instead, he will freely implement taxes on business and employment. These taxes must be silently passed along to people in the form of reduced wages and reduced employment.

I think we are going to see:

  • Misdirected public spending and "investment".
  • Reduced private investment and production.
  • Much higher marginal tax rates on "the rich", the people who organize and create jobs and production.
  • Higher unemployment.
  • Inflation and stagflation

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The Problem Is Spending, not Deficits
12/15/09 - Cato at Liberty by Daniel J. Mitchell (video 6 min)

Politicians fixate on the deficit to pull a bait and switch. They claim that they can raise taxes to solve the problem. That only replaces debt-financed spending with tax-financed spending. That takes a different route to the wrong destination. The likely result is that the required tax increases will weaken the economy and make us all poorer.

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Tax Relief, Obama Style
04/16/10 - TheBigQuestions by Steve Landesburg
Via Cafe Hayek

[edited] Obama figures that your tax burden is what you are paying right this moment as opposed to what you are obligated to pay in the future.

The reality is that President Obama, like President Bush before him, has dramatically raised government spending, and therefore has raised your taxes. To say otherwise is like saying you got your new swimming pool for free because you put it on your credit card.

When the money is spent, the bill must eventually come due, and the taxpayers must pay it. We are locked into higher current spending and therefore locked into higher future taxes.

The president has not lowered taxes; he has raised and then deferred them. To say otherwise is a flat-out lie, to be blunt.

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See also: Other posts about taxes