Re: The 2nd Term - Round 1 - Diving for Dollars
Regarding Social Security, the solution is simple and painless. Forget about the whiny Baby Boomers. After doing stuff like chained CPI adjustments, simply go to people like myself, who have a good 30+ years of working left in them, and only give us what the system can pay out. So, whether its 85% or 75% or whatever, that's the new "promise". If for some reasons the #'s change over time (more people hit the middle class hence more payroll taxes, more young people than expected, etc) then by all means up the promise. However, as govt programs go, Social Security is one of the least worries to have.
My problem with Medicare is I don't think a ton of thought has been given to operating it much more efficiently. The idea that a simple block grant will do the trick something only a blockhead would advocate. It ain't that easy. So, I would take the GOP up on its tort reform offer. Lets see what it saves. I want a massive fraud crackdown, and would invite the private sector to look at the books (you could hire auditors, McKinsey, etc) and receive a % of the fraud savings they detect. If Medicare is operating cheaper on a per person basis than Medicaid, figure out why and make the change. Until Obamacare came along, I'm not sure how much this was even in the public discussion (efficiency that is) as a policy matter.
Regarding Social Security, the solution is simple and painless. Forget about the whiny Baby Boomers. After doing stuff like chained CPI adjustments, simply go to people like myself, who have a good 30+ years of working left in them, and only give us what the system can pay out. So, whether its 85% or 75% or whatever, that's the new "promise". If for some reasons the #'s change over time (more people hit the middle class hence more payroll taxes, more young people than expected, etc) then by all means up the promise. However, as govt programs go, Social Security is one of the least worries to have.
My problem with Medicare is I don't think a ton of thought has been given to operating it much more efficiently. The idea that a simple block grant will do the trick something only a blockhead would advocate. It ain't that easy. So, I would take the GOP up on its tort reform offer. Lets see what it saves. I want a massive fraud crackdown, and would invite the private sector to look at the books (you could hire auditors, McKinsey, etc) and receive a % of the fraud savings they detect. If Medicare is operating cheaper on a per person basis than Medicaid, figure out why and make the change. Until Obamacare came along, I'm not sure how much this was even in the public discussion (efficiency that is) as a policy matter.