“If our goal is to be shielded from any cost of healthcare, we will ultimately be exposed to all costs of healthcare.”
Nothing typifies the inane cycle of government dependency and poverty more than the issue of healthcare. Given that healthcare constitutes 18% of our economy and that millions of Americans are languishing under its crushing costs, it is important that we articulate healthcare reform from a position of strength. We must demonstrate how it is socialist interventions in the marketplace that are responsible for high costs. We must demonstrate how our policies will bring costs under control.
When discussing entitlements, conservatives must remember that the goal of healthcare reform is not to merely cut its costs to the federal budget; it is to alleviate the burden of government-run healthcare on the entire healthcare sector. Any proposal to tweak the outlays for programs such as Medicare, without fundamentally reforming their anti-free-market structure, will only achieve minor savings, cause pain for those suffering from healthcare inflation, and incur the wrath of the largest voting bloc.
Medicare is socialized medicine for those over 65 in all but name only. Its very presence in the market as the 800-pound gorilla has a counterintuitive effect of driving up the cost of healthcare, thereby forcing people to remain dependent on its broad shoulders. Unless Medicare (along with Medicaid) is reformed as a defined contribution voucher system, instead of an open-ended market distorting behemoth, any attempt to raise the eligibility age or cut benefits would severely squeeze older healthcare consumers.
Now we learn that such a proposal would fail to stem the unsustainable trajectory of Medicare costs.
Last week, CBO published a report which suggests that a plan to gradually raise the retirement age from 65 to 67 would save $148 billion over 10 years. That may sound like a large sum, but when compared to projected outlays, it is infinitesimal. According to the most recent CBO budget outlook, Medicare outlays will top $7.4 trillion over the next 10 years, with a 75-year unfunded obligation of $35 trillion. And that is probably a conservative estimate. Thus, pulling the trigger on raising the retirement age and incurring the wrath of seniors will only reduce outlays from $7.4 trillion to $7.25 trillion. We’ll be broke before we reach that point anyway.
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