Quote from Hello:
If the government was able to excercise any kind of restraint at all you might be able to work the numbers at 3 to 1. For example had the government been investing the money they took in from medicare 114,000 would have been worth 355,000 with compounding rates by the time the people retired.
But that is precisely the problem, and the reason why social security is fucked too, cause the government is incapable of saving any of this money. The second it comes in the door they figure out some way to blow it on something new, and they rely on current tax payers to subsidise peopls benefits, then when the population starts to age like it is now we end up screwed.
It will never cease to amaze me that people can look at what a complete train wreck every single government program is, and still want to give them our money in order to handle problems. I mean how can you look around at everysingle government program in the United States going bankrupt and want more of that. It defies logic. It would be like going out and taking out a an interest only mortgage, after you just went bankrupt because you couldnt afford mortgage payments.
Edit: didnt realise someone else in the thread already showed an example of this.
Indeed, the problem is that the government has apparently been using both S.S. and medicare revenue as a piggy bank that can be dipped into whenever needed. However ther seems to be a major difference in the way S.S. funds and Medicare funds are handled. S.S. goes into a Trust fund that by law can't be dipped into directly but must be borrowed at interest. This has left the S.S. fund in relatively good shape, and only, at this point, very minor adjustments in the contribution rates (about 1.5 cents per dollar per employer and 1.5 cents per employee) are needed to make S.S. sound into the foreseeable future, and to take into account changing demographics. It seems Medicare is just treated as revenue. however, and is dipped into directly. I don't know if this is correct, but if it is, then why not treat Medicare just as S.S. is? That would go a long way toward correcting the situation, wouldn't it?
Both S.S. and Medicare should also be moved off budget, and not shown as general revenue. I believe that is the way S.S. was in fact treated prior to the Nixon administration. (Someone please correct if this is not true, thanks.)
Another difficult problem is that medical costs are rising much faster than the inflation rate. My suggestion for that problem would be to deregulate medicine and bring in competition, and by that means break the back of the medical cartel. That's radical, but I believe it is doable, and necessary. The "public option" would have been a small step in this direction, but was killed via pressure brought by the for profit insurance industry.
This still leaves the problem of where does the money come from for medical care of the indigent. I would suggest we leave that as it is now, with those who can pay, either via private insurance or medicare, paying collectively, and indirectly for the indigent, either through government subsidy, or as it is mostly now, via higher fees. The alternative is to just deny access to medical treatment for the indigent, as in third world countries. Not many of us would want that.
I have to disagree with one of your statements. It seems not every government program is a train wreck, not yet anyway. S.S. stands as one shining example of a good government program that has worked beautifully and just as envisioned. There is a plethora of misinformation floating around about social security, and Wall Street would seem to be the ultimate source of much of it.