Don't Let the Government-Shutdown Charade Distract You From the Debt Crisis
America’s biggest fiscal challenge lies in the unchecked growth of federal health care and old-age entitlement programs.

With the Senate and now the House reopening for business, Congress is resuming its negotiations over annual spending on so-called discretionary programs. As Washington tinkers around the edges of the behemoth federal budget, members are steering clear of the biggest budget items—the ones sending U.S. debt to unprecedented heights.
Discretionary means that Congress hasn't put these programs on autopilot, unlike so-called mandatory programs. Instead, Congress must vote each year (and sometimes more often) to either continue, or alter the spending. Otherwise, discretionary program funding expires on September 30, or whichever date Congress picks as the end date for a continuing resolution (a bill to continue spending at current levels).
While controlling discretionary spending is important for fiscal responsibility, for reducing government waste, and for negotiating the proper size and scope of federal activities, the current shutdown debate is largely symbolic. America's biggest fiscal challenge lies in the unchecked growth of federal health care and old-age entitlement programs. Repeated shutdown fights and a slew of temporary continuing resolutions have gotten us no closer to reforming Social Security and Medicare.
Those paying attention to the debt limit debate that ended in early June may be wondering what all the shutdown fuss is about, given that Congress and the White House agreed to new spending limits just a few months ago. Those limits, specified in the Fiscal Responsibility Act, were a sham from the beginning. Secretive side deals undermined the stated goals of the bipartisan agreement before the ink was dry. Now President Joe Biden has requested $40 billion in additional emergency supplemental spending, with the Senate adding several more billion to its appropriations bills, a glaring attempt to evade even modest fiscal restraints.
The debt limit deal did succeed in allowing both Democrats and Republicans to claim political victory while suspending the debt limit for more than 18 months. The losers are the American people, as excessive federal spending and unchecked entitlement growth drive up inflation and interest rates and undermine stronger economic growth. A more responsible way to raise the U.S. debt limit would have paired such an increase with a credible fiscal plan to stabilize the growth in the debt. Alas: With federal elections looming next year and the White House dug in against entitlement reform, Congress chose to punt instead.
The longer Washington waits to fix autopilot spending, the more damage they'll do. The Congressional Budget Office's latest long-term budget outlook projects that U.S government spending will consume nearly 30 percent of the economy by 2053—almost 40 percent higher than the historical average. Congress is expected to rack up more than $100 trillion in additional deficits over those 30 years—more than four times what the U.S. government has borrowed over its entire history. Who will lend the U.S. government such vast sums?
The main drivers of this increase are heightened interest costs and the growth in health care and Social Security spending. With Medicare and Social Security responsible for 95 percent of long-term unfunded obligations, according to the Treasury Financial Report, there's simply no way any serious fiscal reform effort can leave these programs untouched. Every other part of the budget will either stay steady or decline slightly. Other so-called mandatory programs, including various welfare programs, retirement benefits for federal employees, and some veterans' benefits, are projected to decline as a share of the economy. Discretionary spending depends on what Congress decides to spend each year; if historical trends hold, this part of the budget will decline by one-sixth. And yet this is the part of the budget that all this shutdown fuss is about.
The most likely outcome from the current standoff is a continuing resolution into December, followed by a spending-laden Christmas tree bill before year's end. This shutdown debate matters only so much, considering the huge fiscal challenge confronting the United States.
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Harmful words and disinformation appeared in the comments.
Words and ideas are dangerous
Ideas are definitely dangerous to tyrants.
Fist is holding them all hostage this morning.
From a morning links email I received this morning:
Reason Roundup is taking the day off tomorrow, but we’ll be back on Monday, September 18, with a new writer—that’s me, Liz Wolfe—and a brand new format. It’ll be a little speedier, a little chattier, and cover all the news you need to know each morning.
What no more hookers and abortions?
What will yegalsis do without enbs million references?
He'll be demonitised for sure.
Somehow, I never saw a link in Reason like the old days when a Drudge link would crash your blog, or you'd make the front page and suffer the Reddit hug of death.
I like to think ENB had that power, though. Like half his ad revenue was clicks from Reason commenters wondering what the fuck that chick was on about this time.
Without the morning links, I wandered over to the open thread on the Volohk section. Man, what a shit hole. Not a humorous person in the bunch.
super scary.
American life expectancy is already in decline due to shitty living environments, shitty health care and shitty social safety nets.
How much more Reduction in American Life Expectancy do the Libertarians plan on creating?
Remember Obamacare's "death panels" and competition building co-ops?
Does Obamacare Explain Medicare’s Spending Slowdown?
.
Medicare may just be the budget buster that wasn’t. Somehow, after decades of nonstop growth, its spending per person has flattened over the past dozen years, saving taxpayers roughly $3.9 trillion since 2011, according to an Upshot analysis.
.
But the reasons for the slowdown — and its duration — are not well understood. Our article on this mystery outlined a few leading theories. It also provoked more than 2,000 reader comments, many raising interesting questions and ideas of their own.
.
Obamacare
“Funny how the massive savings coincidentally coincide with implementation of Obamacare with cost-cutting measures and large portions of the population finally accessing health care prior to enrollment in Medicare. Such a head scratcher.” — Stephen, Columbus, Ohio
.
The Affordable Care Act, which passed in 2010, should get credit for a significant share of Medicare’s savings during this period — and it may be responsible for a larger share than can be easily measured.
Let’s start with the easy part. The A.C.A. reduced the payments Medicare made to hospitals and to the insurance companies that administer private Medicare Advantage plans. Those changes alone are responsible for more than a trillion dollars in spending reductions, according to estimates from the Congressional Budget Office, or about a quarter of the savings attributable to the recent flat spending trend.
https://www.nytimes.com/2023/09/09/upshot/obamacare-medicare-spending-slowdown.html
I recall this forum back then:
Peanuts - DEATH SPIRAL! ARGLE BARGLE! DERP! ARGGHH!!!
Buttplug - No death spiral. It's market based. It will sort itself out.
Peanuts - DEATH SPIRAL! ARGLE BARGLE! DERP! ARGGHH!!!
Buttplug - nah Obamacare is market based with a shitty federal portal. It will sort itself out.
Peanuts - DEATH SPIRAL! ARGLE BARGLE! DERP! ARGGHH!!!
LMAO.... Right.... Obamacare made healthcare more affordable that's why USA healthcare is so fully accessible to even the minimum wage worker. Why his TV costs more than healthcare...
It's amazing/impressive the fully contradiction to reality you leftards entertain.
American life expectancy is already in decline due to shitty living environments, shitty health care and shitty social safety nets.
How much more Reduction in American Life Expectancy do the Libertarians plan on creating?
Covid killed all the sick people, so less spending needed.
That possibility is listed in the article. But costs were falling before 2020.
Are you seriously shilling Obamacare now?
Heritage Foundation shilled for it. I considered it the least bad of all the options. Eventually Medicare will become part of Obamacare because of the cost restraints.
Single-payer like you Canucks love will not work in the USA.
Heritage did not shill for it. That dem talking point was debunked early and often. ACA actually outlawed the catastrophic coverage Heritage was endorsing. And forced consumers into high cost cover everything plans.
Wrong, young fool.
https://www.heritage.org/social-security/report/assuring-affordable-health-care-all-americans
turd, the ass-clown of the commentariat, lies; it’s all he ever does. turd is a kiddie diddler, and a pathological liar, entirely too stupid to remember which lies he posted even minutes ago, and also too stupid to understand we all know he’s a liar.
If anything he posts isn’t a lie, it’s totally accidental.
turd lies; it’s what he does. turd is a lying pile of lefty shit.
That proposition from 1989 looks nothing like Obamacare. You didn't read your own link again.
Bullshit.
Anyone can read your link, who do you think you're tricking?
Tell you what, show us how that 35 year old proposal matches Obamacare.
FROM YOUR LINK.
1) Change the tax treatment of health care. The plan would treat all health care benefits provided by employers as taxable income to the employee.
Not done under ACA.
Specifically, a 20 percent credit would be provided for all insurance purchases that met basic requirements (such as covering catastrophic health costs).
Not done under ACA.
This credit is related to health care costs as a percentage of family income. Ile higher expenditures were as a percentage of family income, the higher the percentage credit.
Not done by ACA.
By shifting the tax benefits away from employer-provided services and to the individual, the plan would give the same tax incentives for all health care coverage regardless of the type of employment of the family earners.
ACA literally mandates employer coverages.
By obtaining a larger credit for out-of-pocket expenses than for insurance premiums, Americans would have more incentive to pay directly for routine, modest health expenditures and to rese r ve insurance protection for potentially heavy costs. As consumers thus became more sensitive to these incentives, they would spur far stronger competition within the health care industry, helping to keep costs under control.
Routine care is rolled into ACA, not out of pocket.
READ YOUR LINKS.
Hahahahahahaha
God damn I love when he gets owned so hard by direct quotes from his links.
That link shows exactly what I said. The plans outlined in that statement are actually not allowed under ACA.
Read your links.
Dems took one line from that to build a narrative and as usual you stupidly fell for it. The plans described are again, not allowed under ACA rules.
Bullshit.
Willard (Mitt) Romney used it for Romneycare.
Squealing "bullshit" isn't actually a rebuttal, Shrike.
Romneycare was also not the plans outlined in your link.
Have you tried reading it?
I was forced into Obamacare for years. I felt angry. Now I'm on Medicare. I feel guilty. Nah.
Remember...NOT a progressive.
https://www.heritage.org/social-security/report/assuring-affordable-health-care-all-americans
Progressive policy linked.
Which you didn't read as usual.
He's always pimped Obamacare. Because he's a democrat shill and to try and assuage his massive amounts of racism.
You mean the hospital cost shift from Medicare to private insurance that increased costs for everyone else? Last stat i read said Medicare payments were about 96% of cost.
turd lies. turd lies when he knows he’s lying. turd lies when we know he’s lying. turd lies when he knows that we know he’s lying.
turd lies. turd is a lying pile of lefty shit and a pederast besides.
The way I look at it, Obamacare was a coup by the existing health insurance companies where they made a deal to accept possibly smaller, but more steady, profits in exchange for being enconsced permanently as too-big-to-fail with up-and-coming competitors shut out of the game.
The insurers naturally fear Single-Payer. After the economy crashed under the Bushpigs a populist revolt was in order.
Who would have figured that the right glommed onto the revolt?
Because, you know, Donnie cut corporate taxes and outlawed abortion. That will teach the riff-raff a lesson.
Bush is a dummy he had help w/the crashing.
You mean when Covid hit and people didn't go to the doctors office spending slowed. No things that were deferred are happening. Your nonsense blows up once this years spending will be included.
People curtailed a lot of activities when COVID hit, but not going to the doctor? Are you sure about that?
Seriously?
God damn mike, this was well known during covid and led increases into preventative care being missed for heart disease, cancer, etc.
https://www.ama-assn.org/delivering-care/public-health/why-41-patients-have-skipped-care-during-covid-19-pandemic
How are you so ignorant on every topic?
He could be stupid, lying, or both.
Sorry to burst your bubble, but what caused the slowdown was the fifty thousand doctor (and growing) shortage and increasing wait times to see specialists and get expensive treatments. The eroding quality of healthcare also contributed to the cost "savings." If you like your doctor you can keep her - at least until she retires or gets fed up with the healthcare system. Then good luck finding a new provider!
Obama sucks cocks in hell everyday but only in his imagination.
American life expectancy is already in decline due to shitty living environments, shitty health care and shitty social safety nets.
How much more Reduction in American Life Expectancy do the Libertarians plan on creating?
I'll have to agree, maybe you're on to something.
If we can cut $1T in spending and somehow supposedly magically improve healthcare, let's cut Medicare spending to $0 and see how much we can save then! And people will be so much happier with their healthcare and costs!
Seriously. Cut it!
The Socialist Security is FAILING in the USA too???????
OMG..... What NOT a surprise..... Does anyone learn from past mistakes anymore or endlessly repeating a known complete failure of governing with it's horrid consequences is never-ending?
Yes; The losers will be the American people, as excessive federal STEALING and unchecked ROBBERIES occur driving up inflation and interest rates and undermine stronger economic growth resulting from EARNING (not stealing) a living.
Socialism is the ideology of a government that works for the *entitle-me* "armed-theft" Criminals instead of ensuring Liberty and Justice for all. It will *always* be a failure because 'guns' don't make sh*t. Socialism (i.e. "armed-theft") is a zero-sum resources game and the USA is already there. It's unproductive, can't compete, lazy, entitled and thinks 'guns' are going to keep ?making? sh*t. The scarce supplies are also a big part of inflation precisely because of the 'guns' make sh*t mentality.
Your homeboy Fatass Donnie loves Social Security and vowed not to touch it.
turd lies when he knows he’s lying. turd lies when we know he’s lying. turd lies when he knows that we know he’s lying.
turd lies. turd is a lying pile of lefty shit and a pederast besides.
Your homeboy FDR created Social Security.
Just another HUGE mistake Republicans make when supporting Democrats Nazi-Policies. Now; Why don't you tell us who will repeal Social Security instead of just persecuting Trump for every needle in the haystack you can find.
Listen up prospective retirees. Your money is already STOLEN. It's gone. Stolen by leftard scum who won't EARN a G.D. thing. If you want Justice your only path is 'gun' slavery of the lazy F'Ers and good luck with that. They've taken and spent your money. It's gone.
The ****mistake was putting the same entity**** in charge of Justice also in charge of contracting your retirement savings. You just as well have put your savings in the mob. Ironically; you'd probably have better justice there than were it is. BUT that IS the problem.
You VOIDED your Justice when you decided to save your $ in the same entity that is suppose to ensure Justice. You have no Checks and Balances just one entity that does whatever they want with your $.
Well yeah except nobody decides to invest in SS. It's confiscatory taxation paid directly to the US Treasury.
No one should ever use the word "invest" in the same sentence as "social security".
Oh! I did it!
Gov-gun armed-theft. Exactly....
The national debt is mostly a result of Boomers giving themselves free shit at the expense of future generations. I suspect future historians will call them Looters.
+10000000000... Perfectly said.
Don't think so. The giving themselves free shit started before them and didn't stop after.
True their parents started it, but boy oh boy did they expand it and reap most of the benefits. They are the main beneficiaries of Social Security and Medicaid, which are the biggest drivers of the national debt. By the time the
BoomerLooter generation dies off, the debt will come to a head like an angry boil. And it’s their kids and grandkids who will have a lower standard of living as they/we get to the be ones who pay off what they borrowed to finance their retirement and healthcare.You'd be more correct to peg Democrats than a particular generation. When FDR went ape-sh*t with UN-Constitutional "New Deal" armed-theft ([Na]tional So[zi]al[ism]) it was during a Democratic Trifecta.
The rule of law was collapsing as the result of Hoover's policies and there was a serious potential for mass starvation in rural America and actual revolution in urban America in 1933. Roosevelt saved free market capitalism from itself.
Try the Federal Reserve Act of 1913 by Woodrow Wilson also by a Democrat Trifecta you blinded buffoon.
Funny how Roosevelt did such a bang-up job he had a 12-year administration and the USA's longest depression ever.... UR so FOS.
I'd love to blame the Democrats for the 33 trillion dollar debt, but the truth is, a lot of it is on Bush and Trump as well.
Lookup who sponsored the bills. It literally is all Democrats fault the only blame Republicans muster up most of the time is NOT BLOCKING the Democrats.
Between Boomers rigging social programs to benefit themselves at the expense of younger generations and all the geezers running things in Washington, D.C. you'd think young people would be the ones staging an insurrection.
I'm an old fart myself, but I wouldn't blame the youth if they started an anti-old fart rebellion.
One of the most horrorific deaths imaginable to the youth of today is to be beaten to death with an aluminum walker.
That's why you never see any young people hanging out on old peoples' lawns.
The following generations expect more of the same and MORE. So don't expect that to happen.
They can expect whatever they want, but they're not going to get it. At some point people will stop buying bonds, and that's when it's going to get real because government spending, including debt maintenance, will have to be funded solely by taxes. As in no more free shit. At that point they might revolt, but it will be too late.
Being a Boomer (on the tail end of it, anyway), I reflexively wanted to disagree with that comment. Unfortunately, I can't. My generation did fail.
On reflection, I can quibble some. You could argue that the trend started with Roosevelt in 1935. Boomers hadn't even started being born yet. But, yeah, we stepped it up a lot when we should have fixed it.
Yeah I'm a boomer and for most my lifetime there have been numerous proposals to "reform" SS. They always came from Republicans and the Democrats always screamed their heads off about pushing grandma off a cliff. I would have opted out decades ago if an alternative was available but none ever made it through congress. SS was the third rail before I was born and that hasn't changed. And it won't change until the empire implodes.
This.
American life expectancy is already in decline due to shitty living environments, shitty health care and shitty social safety nets.
How much more Reduction in American Life Expectancy do the Libertarians plan on creating?
Well they killed seven hundred thousand people unnecessarily during the pandemic because they didn't want Evil Government Mandates.
Not to dogpile, but it would have been nice if Boomers hadn't tried to saw off the ladder underneath them just as older Millennials were entering college by expanding Occupational Licensing and making it even more difficult to obtain that permission slip from the government.
I agree it doesn't make things easier, but it's something that's been going on long before capitalism even existed. It's the modern equivalent of the ancient guild system.
Oh absolutely. I will fully admit that I'm just butt hurt because they lobbied and changed the rules right before I started my undergrad in Architecture to where I had to get a Master's degree AND do 2.5 years of internship under a licensed architect before I could even think about sitting for the exams.
Mind you some of the greatest architects in history had little more than a high school education and were able to design and build things that are still standing.
I'm not a big fan of credentialism. A piece of paper isn't a guarantee that someone knows what they're doing. It's just a lazy way for people with power to make decisions. Same mentality as zero tolerance policies. It removes any judgement.
You don't want a doctor from a fake medical school
Date boomer control of decisions to 1993 (Clinton). Not the best but ok. Obama was almost Genx but not – and since then we’ve reversed backwards into gerontocracy. So 30 years now and counting for boomer control of decisions.
Debt – 1993 – $4.4 trillion 2023 – $33.0 trillion
So 87% of public debt is on boomers. With not one nanosecond of even discussion during the entire generation. Not one mini-mini-reform during the entire generation. And far worse social cohesion now to even argue about the shape of a table at which a future difficult decision might start to happen.
Obviously its impossible to identify a more incompetent generation because boomers are more incompetent than all generations that came before combined.
But its not just on boomers. If they never intended to be responsible/adult, then they succeeded didn’t they. And they took over the two political institutions – D and R – that ensure that success. And boomers themselves are still basically the majority of voters.
No reason why boomers should create successor institutions to address problems that they don’t care about and that will mostly explode after they die. That’s on millennials and X. And yet – while a plurality (probably) of those two are registered independent, they all vote DeRp.
That means there is no option for change in the future. Which also means that even if there are boomers who would want to vote for a change in direction – they can’t do that either. That’s not just a ‘no option’ for issues like debt but also climate or foreign policy or all sorts of other stuff with generational differences in mindset.
If there is a failure in 'civic education', this is it. An intractable problem that is difficult anyway - but impossible because the civic institutions have been taken over and corrupted. All in res publica. Solutions which had a long history (see civic associations of DeToqueville) but are now missing in the entire population.
It is largely the result of the Bush tax cuts (boomer), the Bush wars (boomer) and the Trump tax cuts (boomer). We would be paying of the national debt today were it not for those three actions. Remember that the Evil Democrat Clinton gave us four consecutive budget surpluses.
Bush tax cuts, like Trump tax cuts, added 0 dollars to the national debt. Federal tax revenues continued to climb. All of the debt is from additional spending.
No, you lying sack of dogshit, the Republican led congress gave us those budgets. And national debt went up every fucking year even then.
Fuck you, cut spending.
Boomers? Most of the debt was racked up in the past 15 years.
National debt in 2023: 33 trillion dollars
National debt in 2008: 11 trillion dollars
Who do you think is still running Congress and Prez? The US is a gerontocracy
"America’s biggest fiscal challenge lies in the unchecked growth of federal health care and old-age entitlement programs."
OR - - - -
America’s biggest fiscal challenge lies in the unchecked creation and growth of federal agencies not authorized by the US Constitution.
or BOTH ...
Yes.
To wit: Elon Musk calls for federal department of AI after Capitol Hill summit.
Like an Air Force and a Space Force
Government shutdowns, as far as I know, have never resulted in government employees not eventually getting paid. Services may stop, but the pay will get made good.
Government employees get a paid vacation. It's just that they don't get paid during the vacation. They get it all in a lump sum after they're called back to work.
Government shutdowns provide a valuable public service:
they identify non-essential personnel.
The problem is they are never permanently laid off after being so identified.
Out of control federal healthcare because the federal healthcare programs have been until THIS MONTH been forbidden to do what every other healthcare program does — negotiate for prices. And that was a Republican doing.
Meanwhile Medicare gets bullied into covering every new treatment no matter how limited the evidence of effectiveness is.
"Out of control federal healthcare because the federal healthcare programs" are an UN-Constitutional [Na]tional So[zi]alist agency.
It's funny you are almost pointing directly at the problem while being completely ignorant of it. And P.S. 'guns' (gov-guns) are not a tool of "negotiation" and governments only tool in its toolbox is legal gun-force.
Leave it shut down. What’s the downside? At least the debt will stop growing. And you won’t have to pay 25% of your income for nothing anymore.