Medicare Blog

why is congress unwilling to challenge the high cost of social security, medicare, and medicaid?

by Prof. Waino Smith Published 2 years ago Updated 1 year ago

Are cuts to Medicaid and Medicare the GOP’s goal?

 · One of the more common theories as to why Social Security is facing a huge long-term cash shortfall is that lawmakers in Congress have pilfered cash from the program and never returned it. This...

Is Congress plotting to take away Medicare and Medicaid?

 · Means-testing benefits also will increase Social Security’s administrative costs. Social Security is now the most efficient insurance around, with administrative costs of less than one percent. More than .99 cents of every Social Security dollar is paid in benefits. Means-testing benefits makes no sense.

Is Medicare a problem for Social Security recipients?

 · Wyden said, "Republicans in Congress are plotting to take away Medicare, Medicaid and Social Security." Some key Republicans, including Ryan, have long argued in favor of overhauling entitlement...

Why was Social Security removed from the federal budgeting process?

 · Medicare recipients (and others) are advised to follow up on all medical appointments, including physicals, to make sure that they continue to manage their health during the ongoing pandemic. One ...

Why did AMA oppose Medicare?

Back in the 1930s, the AMA opposed all health insurance on the grounds that “no third party must be permitted to come between the patient and his physician in any medical relation.” That set a pattern that implicitly intertwined the financial and clinical, whether in opposition to Medicare in the mid-1960s or in the ...

Why Medicare should not be expanded?

Private payers pay substantially higher rates to hospitals and physicians, in some cases as much as doubling Medicare's hospital rates. Expanding government coverage at the expense of private coverage will make it harder for providers to continue shifting costs to higher-paying private patients.

How did Congress vote on Social Security?

The bill was reported out by the Senate Finance Committee on May 13, 1935 and introduced in the Senate on June 12th. The debate lasted until June 19th, when the Social Security Act was passed by a vote of 77 yeas, 6 nays, and 12 not voting.

Is Congress considering lowering Medicare age?

More than 125 House lawmakers introduced legislation Friday that lowers the Medicare eligibility age to 60 from 65. The Improving Medicare Coverage Act — led by Reps.

What are the pros and cons of Medicaid expansion?

List of Medicaid Expansion ProsNot every low-income individual actually qualifies for Medicaid. ... Expansion would support local economies. ... It offers people a level of financial protection. ... Medicaid expansion drops the uninsured rate. ... The cost of expansion is minimal for the states.More items...•

Which is a reason some states have not expanded Medicaid to cover more of their needy residents following passage of the ACA?

(The cap on Medicaid eligibility under the ACA is 138 percent of the poverty level, which is currently less than $28,000/year for a family of three.) The lack of a work requirement is purportedly one of the reasons some states still haven't expanded Medicaid coverage.

When did Congress take from Social Security?

The taxation of Social Security began in 1984 following passage of a set of Amendments in 1983, which were signed into law by President Reagan in April 1983. These amendments passed the Congress in 1983 on an overwhelmingly bi-partisan vote.

What president took money from the Social Security fund?

President Lyndon B. Johnson1.STATEMENT BY THE PRESIDENT UPON MAKING PUBLIC THE REPORT OF THE PRESIDENT'S COUNCIL ON AGING--FEBRUARY 9, 19647.STATEMENT BY THE PRESIDENT COMMENORATING THE 30TH ANNIVERSARY OF THE SIGNING OF THE SOCIAL SECURITY ACT -- AUGUST 15, 196515 more rows

Has the federal government borrowed from Social Security?

Myth #5: The government raids Social Security to pay for other programs. The facts: The two trust funds that pay out Social Security benefits — one for retirees and their survivors, the other for people with disabilities — have never been part of the federal government's general fund.

Will the Medicare age be raised to 67?

3 The retirement age will remain 66 until 2017, when it will increase in 2-month increments to 67 in 2022. Several proposals have suggested raising both the normal retirement age and the Medicare eligibility age.

Can I get Medicare at 55?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

What is the earliest age you can get Medicare?

age 65Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application. However, because you must pay a premium for Part B coverage, you have the option of turning it down.

Is Congress trying to get rid of Medicare Advantage plans?

Most of Congress warns CMS against any Medicare Advantage cuts, calls for benefit flexibility. A large swath of House and Senate lawmakers is pushing the Biden administration not to install any cuts to Medicare Advantage (MA) plans in the coming 2023 rates.

What does expanded Medicare mean?

Medicare expansion refers to broadening the benefits of the program, as the parts in which beneficiaries enroll through the government provide limited coverage. Throughout the years, extensions of the program have been uncommon, with one of the most notable instances being coverage of disabled individuals under 65.

What are the pros of Medicare for All?

Pros and Cons of Medicare for AllUniversal healthcare lowers healthcare costs for the economy overall, since the government controls the price of medication and medical services through regulation and negotiation.It would also eliminate the administrative cost of working with multiple private health insurers.More items...•

Does Biden lower Medicare to 60?

President Biden's FY 2022 budget proposes lowering the Medicare enrollment age from 65 to 60, and a group of over 150 House Democrats recently called for a provision lowering the Medicare age to 60 or 55 to be included in the President's American Families Plan.

What is the wonky term for federal programs that automatically allocate benefits to qualified recipients?

The release goes on to cite specific comments by Republican leaders. These comments focus on changes to "entitlements, " the wonky term for federal programs that automatically allocate benefits to qualified recipients, rather than being dependent on Congress appropriating enough money every year. Entitlement programs such as Social Security, Medicare and Medicaid account for the largest share of the federal budget.

Why didn't McConnell say entitlement reforms?

22, 2017, that he does not plan to bring up entitlement reforms in the current environment due to a lack of bipartisan agreement on the sensitive issue.

When did Paul Ryan talk about entitlement reform?

The Senate Democratic release includes two separate comments from House Speaker Paul Ryan, R-Wis., in December 2017 talking about returning to entitlement reform in 2018.

Did the Senate pass a bill that would have curbed Medicaid?

The House already passed a bill that would have curbed Medicaid, but it died in the Senate. And the Senate -- where Republicans have just a 51-49 edge in a chamber that requires 60 votes for most legislative business -- is expected to be a graveyard for legislation to rein in Medicare and Social Security.

Did Wyden say Republicans are taking away Medicare?

Wyden said, "Republicans in Congress are plotting to take away Medicare, Medicaid and Social Security.". Some key Republicans, including Ryan, have long argued in favor of overhauling entitlement programs such as these by reducing the amount of money spent on them. However, no Republican proposal has been made to "take away" any ...

What is Social Security and Medicare?

Social Security and Medicare are federal programs that provide income and health insurance to qualifying populations, mostly older Americans and the disabled. Beneficiaries of both programs have been severely impacted by the COVID-19 pandemic.

How many changes did Medicare make in 2020?

Consider that between January 1 and July 24, 2020, more than 200 Medicare-related regulatory changes were made.

How is Medicare paid?

Medicare is paid for through two trust funds: the Hospital Insurance (HI) Trust Fund and the Supplemental Medical Insurance (SMI) Trust Fund. HI pays for Medicare Part A (hospitalization), and SMI pays for Part B (medical) and Part D (prescription drugs). 16

How much is Medicare Part B?

However, the standard premium for Medicare Part B is $148.50 per month ( for 2021), except for those with higher incomes who may be charged a higher monthly premium. 28

What is Medicare for older people?

Medicare is a federal health insurance program for people age 65 or older, as well as younger people who are disabled or have end-stage renal disease. Medicare is financed through a combination of payroll taxes, government funding, and premiums paid by participants. It is run by a branch of the U.S. Department of Health and Human Services (HHS) known as the Centers for Medicare and Medicaid Services (CMS). 16 17

What age does Medicare cover?

The Medicare system provides healthcare coverage to people ages 65 and older and those under age 65 with disabilities. These populations are the most vulnerable when it comes to COVID-19. In addition to health concerns, these same populations will be financially vulnerable in the future. 27

What is the Medicare system?

The Medicare system provides healthcare coverage to people 65 and older, as well as those under 65 with disabilities. These populations are the most vulnerable when it comes to COVID-19. In addition to health concerns, these same populations will be financially vulnerable going forward.

How much money does the government owe to the Social Security Fund?

Technically the government owes the Social Security fund an estimated $2.9 trillion, money that has been used and not repaid to the fund. The money is legally held in a special type of bond that by law cannot be used for any other purpose other than to put the money back into the fund.

When will Social Security outflow exceed inflow?

There is an ongoing debate about whether the Federal government and its spending policies are responsible for the current projections that by the year 2034 the outflow of payments will exceed the inflow of tax revenues to fund the social security program.

Why is Social Security like a lottery?

Actually, the Social Security program has become much like a state lottery or casino because it depends on people playing, not to fund the intended program (education, assistance for the elderly) but to fill holes in the larger budget where overspending has occurred.

What would happen if the lottery inflow was reduced?

If the lottery inflow was reduced because of lower sales, then the general education allotment would suffer because there is no alternative source of funding. The Social Security program suffers from the same problem except on a much larger scale.

Do millennials pay taxes?

Millennials and younger generations complain they are paying their taxes in just to finance the 63 million retirees, about half who depend on their Social Security check to pay part or all of their monthly bills. But when looking at that $2.9 trillion owed to the fund, and the fact that the fund actually has more money going in than coming out, the problem clearly lies with the government’s addiction to spending. Money is the drug of choice in Washington D.C., and whoever gets elected will get their fix sooner or later.

Is there cash in the bank for Social Security?

There is no cash in the bank to pay out monthly benefit checks. The Congress, those keepers of the financial retirement flame, have been using Social Security taxes to fund other parts of the government because, well the money is there. Technically the government owes the Social Security fund an estimated $2.9 trillion, ...

Is the $2.9 trillion problem the government's fault?

An odd thing is taking place in some financial and economic circles, where people are arguing that the problem of the $2.9 trillion is somehow not the government’s fault and is really not that big of a deal. The clock is running and no one seems to have a solution, yet all admit the government does owe the Social Security fund the money and that the government continues to borrow from the fund every year. Maybe many of these so-called experts won’t be around in 2034 and can act as if the problem is not really a problem. The real problem is that neither the average person or the accountants and financial planners in the government actually understand what $1 trillion is in real money. Maybe someone could make $1 trillion in dollar bill sized pieces of paper and have them delivered to the Congress. But that would cost too much.

Why does Social Security pay so much?

In addition to expanding benefit periods, Social Security pays significantly higher benefit levels largely because it credits workers with higher incomes than they actually received throughout their working careers. In 1960, the average Social Security check for retired workers equaled $691 per month (in 2018 dollars). Today, the average retired worker receives more than twice as much—$1,420 per month—and retirees with the highest incomes receive $3,147 per month.

Why do Social Security and Medicare have zero percent returns?

Both Social Security and Medicare provide zero percent returns because the payroll taxes taken out of workers’ earnings are not saved (as many people believe they are), but rather are transferred immediately to current retirees.

How much is Medicare and Social Security worth?

Medicare and Social Security carry $70 trillion worth of unfunded obligations over the next 75 years—the equivalent of a $445,000 credit card bill placed on every U.S. worker. 1. undefined undefined.

How does Heritage reform benefit seniors?

The Heritage reforms would not only ease the burden on current and future taxpayers, but also benefit seniors by securing their existing Medicare coverage, guaranteeing them solid catastrophic protection, and providing them with substantial benefits and savings from competition among health plans and providers. The effect would be to expand health plan choices and new care delivery options and thus intensify health plan and provider competition beyond what exists today in the Medicare Advantage and Medicare Part D programs. These reforms, along with their associated estimated savings, include the following:

What percentage of older Americans rely on Social Security?

and today, 42 percent of older Americans rely on Social Security for at least half of their income. 4. undefined undefined. Social Security’s costs and dominance of retirement income leave workers with less control and lower incomes than they otherwise would have.

What percentage of GDP is Social Security?

Yet the program’s costs have expanded from 0.35 percent of GDP in 1950 to 4.3 percent of GDP in 2018, 3. undefined undefined.

What would happen if workers had to pay for Social Security?

Thus, if workers actually had to pay for the full cost of their Social Security and Medicare benefits, their payroll taxes would be substantially higher. Instead, the actual costs are passed down to younger and future generations in the form of higher national debt and reduced opportunities.

Who voted against Medicare?

When Medicare was first being considered Senate Republican Robert Dole (then in the House) voted against it. Also in opposition to Medicare, in a famous 1964 speech, Ronald Reagan explained that his opposition to Social Security and Medicare is why he switched from the Democratic Party to the Republican Party.

Who said Social Security is designed to prevent business recovery, to enslave workers, and to prevent any possibility of

In 1935, Republican congressman John Taber said Social Security “is designed to prevent business recovery, to enslave workers, and to prevent any possibility of the employers providing work for the people.”.

Why did McConnell say the Republicans would defend the tax cuts?

This poll was taken a week after Senator McConnell said the Republicans would defend the tax cuts and cut Social Security, Medicare and Medicaid in order to curb the growing deficit, caused in significant part by those very tax cuts. The Republican Party has always been associated with opposition to Social Security.

What was the goal of the Cato Institute in the 1970s?

In the 1970s the conservative Cato Institute made shrinking Social Security through privatization its primary objective and in 2005 George W. Bush tried to replace Social Security with private investment accounts. The Bush privatization plan failed. Though Republicans supported it, no Democrat in Congress would agree and the balance was such the Republicans had to convince at least one Senator to switch sides.

What percentage of Americans would prefer to reverse the Republican tax cuts?

A poll one week before the election about Republican social and economic policy is a red flag for Republicans. 60% of Americans would prefer to reverse the Republican 2017 tax cuts than cut spending on Social Security, Medicare and Medicaid.

What is the most popular program in America?

Social Security is the most popular program in America, especially among the voters who are growing the fastest. Social Security is the most popular program in America, especially among the voters who are growing the fastest. Share to Facebook. Share to Twitter. Share to Linkedin.

Which party is opposed to Social Security?

The Republican Party has always been associated with opposition to Social Security. Economic historian Max Skidmore shows that the final vote for Social Security was lopsided--only 2% of Democrats voted against it (because it wasn't generous enough) while 33% of Republicans voted against Social Security.

When will Social Security be depleted?

The 2020 Social Security Trustees Report states, “ the last nine Trustees Reports have indicated that reserves would become depleted between 2033 and 2035 and if no legislative action is taken, incoming revenues will be sufficient to pay only about three-fourths of the scheduled benefits after trust fund depletion .”.

When did Reagan sign the Social Security Amendments Act?

An exception occurred in 1983 , when President Reagan signed the Social Security Amendments Act, a bipartisan law designed to save Social Security by gradually increasing the retirement age to 67 and increasing payroll taxes to build up a real trust fund.

What is the maximum amount of Social Security benefits that are subject to federal income tax?

Currently, the maximum amount of these retirement benefits that are subject to federal income taxation is, using a rather arcane formula, 85% . By fully taxing Social Security benefits at some higher income levels, additional revenue beyond payroll taxes would be generated.

What does it mean to test benefits for the affluent?

Means testing benefits for the affluent is easier to sell to the masses than an across-the-board benefit reduction. At the planning level, this suggests that if you expect to be financially prosperous, you might assume a reduction in net government retirement benefits or an increase in net taxes on those benefits.

When do you get Social Security benefits if you were born in 1960?

By contrast, those born 1960 or after are not entitled to their full benefits until they reach age 67. As life expectancies continue to rise, there has been a call to modernize and securitize the Social Security system by further raising the FRA – some say to age 70.

Is the SSA controlled by the President?

Since 1994, the SSA has been an independent federal agency that is not directly controlled by the President. This separation offers the SSA the advantage of not having to be subordinate to the budgets and politics of a larger Executive Branch agency, such as its former overseer, the Department of Health and Human Services (HHS).

Is Social Security a safer system?

But, realistically, it may also lower your after-tax, inflation-adjusted benefit. The system does become safer, but at your expense.

Who is the National Committee to Preserve Social Security and Medicare?

To get a big picture of how Social Security and Medicare bills are received in Congress, the National Committee to Preserve Social Security and Medicare, a group that lobbies to protect financial and health benefits of older Americans, designed a report card for each state’s U.S. congressional members.

What was the $2,000 cap for Medicare?

The bill created a $2,000 Medicare beneficiary annual out-of-pocket cap for spending on prescription drugs, and provided partial coverage for Medicare hearing, dental and vision services . The NCPSSM supported passage.

What is the scorecard for Medicare?

The scorecard reports how each representative and senator in the U.S. Congress voted on bills that affect Social Security, Medicare and other retiree-focused legislation.

When was the rollcall bill passed?

Rollcall was May 16, 2019. This bill reduced the cost of prescription drugs by increasing availability of generic drugs, as well as strengthened the ACA for those with pre-existing conditions. The NCPSSM supported passage. Status: Received in the Senate on May 20, 2019, and referred to Health, Education, Labor and Pensions.

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