Posted on 09/04/2024 6:37:28 AM PDT by daniel1212
In 2023, major entitlement programs—Social Security, Medicare, Medicaid, Obamacare, and other health care programs—consumed 50 percent of all federal spending.Soon, this spending will be larger
And for irreligious fiscal conservatives (such as who attack Christians for making abortion and LGBTQ a political issue), then there are the
Medicare Part B
$100 doctor bill
$20 patient co-pay
$20 covered by Part B premiums
$60 paid via taxation
doctor pays ~40% marginal 1040 rate
staffers pay ~27% marginal rate
~$33 paid via doctor office earned income taxation
~$27 paid by outside party taxation, including that of corporations
I believe that interest on the debt now consumes 76% of federal revenue. And the rest they mostly waste.
For Medicare Part A, the hospital part, from my profile page:
ENHANCED HOSPITAL SERVICE COMPETITION
To reduce hospital costs, state law would be changed to allow:
1. large hospital complexes and systems to be split up
2. competitive hospitals to be built adjacent to existent hospitals
(if a building purchase request is refused)
3. independent surgical, imaging, lab and nursing care facilities to coordinate
to state law requirements to effectively function as hospitals
What the heck is income security?
EC
Entitlement spending is a form of heroin.
From my profile page [true negotiated drug coverage]:
NEW DRUG PLANS
Federal PPACA exchanges would offer Interstate Class Drug Plans,
exempt from state control, that to be fully federally subsidy eligible must cover at least:
1. 80% of all recombinant drugs by key active entity
(or 100% less the percentages held by the top three domestic rights holders by percentage),
2. 80% of all FDA breakthrough drugs by key active entity
(or 100% less the percentages held by the top three domestic rights holders by percentage),
3. 80% of all drugs covered by a key active entity patent
(or 100% less the percentages held by the top three domestic rights holders by percentage),
4. 90% of all WHO “essential” drugs
Any percentage shortfalls would result in twice the percentage reduction in the federal subsidy amount and must have the word ‘Deficient’ in the drug plan name to at be all federally subsidy eligible.
This system would allow for genuine negotiation between drug plans and drug companies. Drug plans would have an incentive to try to buy drugs from drug companies and drug companies would have an incentive to make deals to make sales.
All drugs would be supplied at on an all-the doctors prescribe basis. The co-pays would be roughly equal to mere manufacturing cost.
The baseline federal drug subsidy would be the average policy holder age (as of the beginning of the policy period) divided by 3 taken as a percent of PPACA baseline subsidy amount for the PPACA household.
EXAMPLE A: For a PPACA household with a 34-year-old, a 36-year-old, and a two-year-old, the baseline federal drug subsidy would be 8% ((34+36+2)/(3*3))% of the PPACA household’s baseline subsidy amount.
EXAMPLE B: For a single PPACA policy of age 60, the baseline federal drug subsidy would be 20% (60/3)% of the PPACA household’s baseline subsidy amount.
Giving money and power to government is like giving whiskey and car keys to teenage boys. - PJ O’Rourke
8% all other. Roads, bridges, what not. For all that is spent it is a drop in the bucket compared to everything else and we see the result.
I'd like to see these figures combined for local, state and federal. We should be mortified.
And in this analogy, most of the junkies are Boomers.
A euphemism for WELFARE.
How is social security and Medicare an “entitlement program?” I’ve been paying for that shit for 50 years. I’m OWED that money mfers!!
Entitlement my ass.
Screw you and all the boomer bashers...
I kind of feel dirty after visiting that site.
“I’ve been paying for that shit for 50 years.”
Many of those years you have been paying for your parents’ SS and Medicare.
What governments basically do is to shift money on an intergenerational as needed basis.
If SS was eliminated, workers would be paying school tuition instead of FICA/SE tax as the old folks couldn’t pay property tax.
This is nothing more complicated than politicians buying the votes of the idiots with the idiots’ own money, and ours, too.
It will never be stopped.....unless the money flow dries up.
Art 1 sec 8 has 17 Federal job duties they are allowed to do... Everything else is prohibited.
Paying for your medical bills and providing income “security” are NOT on that list. Fully some 70% of what the FedGov does is not on that list. Only through extreme abuse of the Commerce Clause do they even attempt legitimacy however wrong they are.
We could run the whole government on less than $500B if they stuck to just what they are contractually obligated to do.
I would say to end baseline budgeting but it is probably too late for that. If one of us owed 8 or more times our income and growing we would probably call it bankruptcy.
Gov. spending since 2020: I’ve got your hockey stick right here (or maybe it’s a scythe).
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