Well, it looks like there's some interest in suggestions for how to achieve some of Trump's stated goals, but do it in a sane and effective manner.
I'll start with reining in federal spending and the national debt. The problem is that, even if DOGE had been handled properly (and it wasn't), it was aimed at the wrong issue anyway. The real money isn't in government salaries and bureaucracy. It's four things:
- Social Security
- Medicare
- Medicaid
- Defense
I view national defense as the federal government's main job -- keeping the citizens safe in their person. In addition to peace of mind, it's an economic issue. As in, if you're worried about a foreign military taking over the country, you're not likely to be terribly productive.
So I'm going to set aside cuts in Defense for the moment.
Among the other three things, Social Security and Medicare would be the easiest to fix. Keep in mind that there are no perfect solutions. Anything that fixes the problem of too little revenue and too much outflow will inherently involve raising taxes and/or limiting outflow.
Social Security
Here's a post I wrote in March of 2020. My thinking hasn't changed since then:
https://www.latimes.com/business/story/2022-10-19/column-gop-promises-to-gut-your-social-security-medicare-if-they-take-power So somebody explain to me: where does “government “ spending come into play with SS? Is it simply the administration? I mean I know there’s a fund for SS which working...
www.tidefans.com
The original post contains details. But the Cliffs Notes version is that it recommends three things:
1. Remove the cap on SSI withholding, but cap the amount of the monthly check at $5K, no matter how much you paid in.
2. Phase in a full retirement age of 70. Might need to be 72.
3. Look at the numbers and see if #1 and #2 fix the problem. If not, look at the amounts paid to children (i.e., under 22) of people who contributed to SS, but didn't live long enough to collect.
Politically, #1 is easiest. #2 is achievable. #3 is hardest. It's a shame that longer life means some financial sacrifices to fund it, but the most dispassionate concept in the universe -- numbers -- dictates that it does.
What? You'd prefer to forgo the financial impact and die earlier? I think you’ll be in the minority on that one.
As I said in 2020, I get that there will be pain. I'd love to see another suggestion that solves the problem and is politically realistic but causes less pain.
Medicare
Has to be an increase in the age of eligibility, phased in over time from the date of implementation of the new eligibility requirements.
Say the law goes into effect today, and raises the age of eligibility to 70, phased in over 10 years. If you turn 55 today, you're eligible for Medicare at 65. But if you turn 55 next month, you're eligible at 65 and two weeks. If you turn 55 in August of 2025, you're eligible for Medicare at 65 and one month. And so forth until you get to Medicare eligibility at 70 years old.
A suggestion regarding Obamacare below will also help.
Medicaid
This one's a tough nut. We can reduce it, but the nature of the beast is that there is little to no opportunity for increased revenue. By definition the recipients have little to no income or financial assets. You can’t get blood from a turnip.
See the suggestion on the Affordable Care Act below.
Affordable Care Act (a/k/a "Obamacare")
As I stated in a post several years ago, I came around on Obamacare. Initially, I didn't like the federal government being in the healthcare insurance business.
But as the Affordable Care Act (Obamacare) was initially conceived,
everybody had to be covered by an approved employer-sponsored plan, a privately purchased plan, or the ACA. Low-income people got help with the purchase of an ACA plan.
Then the first Trump administration destroyed the underpinnings of any insurance plan by allowing it to be optional. Surprise, surprise, surprise -- healthy young people opted out in droves.
Now you've made the pool of ACA policyholders inherently riskier because you've removed the low-risk generally healthy young cohort. You've also increased the Medicaid rolls because the young people who do get sick, but have opted out of the ACA, aren’t generally saving for medical expenses.
So bring back Obamacare as it was originally conceived -- everybody must have a health insurance plan. It might be from your employer. You might go out and buy one yourself. You might buy an ACA plan. But you will have one. If you don't do it voluntarily, we'll confiscate your tax refund and garnish wages to pay for it.
OK, that's enough for now. Immigration addressed later.