So now comes the new report that Medicare will go broke in 2018,
two years earlier than projected just last year and 12 years
earlier than had been projected in 2001. Social Security’s day of
reckoning, meanwhile, has been moved up from 2041 to 2040. All of
this was announced yesterday by the trustees of the entitlement
systems, who are required to issue annual reports on the programs’
fiscal health.
Well, as Gomer Pyle used to say, “Surprise, Surprise,
SURPRISE!!!” — except that this bad news
should come as no surprise to anyone. This twin looming disaster
has been in the workds for years, and Congress keeps punting on the
issues. To President Bush’ credit, he had the guts to try to
address the Social Security problem, but a combination of sheer
gutlessness by his Republican (supposed) allies in Congress and of
his administration’s own hamhanded legislative tactics, policy
choices, and communications, all combined to destroy the initiative
that the president so bravely proposed.
Meanwhile, the Bush/Kennedy prescription drug plan, which is the
single worst piece of federal legislation actually signed into law
in my adult lifetime, makes matters worse, if only indirectly. It
is true that the huge costs of that program are borne by the
government’s general fund, not by the (paper) trust fund of
Medicare. But by adding so substantially to the government’s
general debt, the prescription drug idiocy makes the fiscal choices
that much harder by providing even less leeway in the future for
creative bail-outs/reforms of the trust fund by the general fund.
The truth is that, in the end, all the money to pay for all these
programs comes from the same source, the US taxpayer, and no matter
how cleverly the gov’t tries to disguise things by use of paper
trust funds, the end result of it all is the same: One way or
another, the more debt created by all government programs combined,
the more debt is borned by taxpayers…which means, in the long
run, higher taxes or higher interest rates or both.
Even worse, by removing the “carrot” of prescription drugs from
the legislative arena, Bush/Kennedy makes it that much harder to
reform the overall Medicare program — because there no longer is
the “goodie” of a new drug offering to make other reforms more
politically palatable.
Back in 1995, when the GOP Congress first began talking
seriously about addressing Medicare, the looming bankruptcy was
still a quarter-century away. Now it is just 12 years away. Chalk
up another failure of nerve, will, and seriousness to the ignoble,
pathetic, embarrassing record of Congress since 1998.