In a report issued last year, the Pew center determined that there was a $1 trillion gap "at the end of fiscal year 2008 between the $2.35 trillion states had set aside to pay for employees’ retirement benefits and the $3.35 trillion price tag of those promises." Since then that gap has only grown and is estimated to now be closer to $2 trillion.
The report continued "In 2000, just over half the states had fully funded pension systems. By 2006, that number had shrunk to six states. By 2008, only four—Florida, New York, Washington and Wisconsin—could make that claim. In eight states—Connecticut, Illinois, Kansas, Kentucky, Massachusetts, Oklahoma, Rhode Island and West Virginia—more than one-third of the total pension liability was unfunded. Two states—Illinois and Kansas—had less than 60 percent of the necessary assets on hand."
In Connecticut, the state government has $9.35 billion in assets in its pension fund, but $21.1 billion in obligations. In Maryland, the state pension and retiree health health benefit system is underfunded to the tune of $35 billion. In New Jersey, the state's pensions are underfunded to the tune of $54 billion.
The impact of these pension obligations have come to head recently in Wisconsin where Governor Scott Walker has introduced legislation to increase state employee contributions to their health care and pension programs. In Maryland, Governor O'Malley has proposed changes to the state's pension system as well - essentially telling state employees that they can either pay more to receive current benefit levels, or pay current amounts and receive less. New employees would simply face greater costs to fund their beneifits, and receive less than under the current system.
Indiana, New Jersey, New York and myriad other states are attempting to deal with these unfunded obligations - but in Wisconsin, Governor Walker has gone a step farther. In addition proposing that public employees contribute more toward their benefits, he is proposing to eliminate the right of public employees to engage in collective bargaining for non-wage benefits. He argues that this must be done to allow the state and local governments restore fiscal order.
The idea that the budget troubles in states like WI, NJ, NY and CA (or, well, everywhere) are the result of public sector unions and collective bargaining is ridiculous. Certainly states face tremendous deficits owing to the legacy costs of retiree pensions and health - but the fault does not lie with the unions, it rest solely with the governments that made the deals then chose to not fund them (or that chose to invest them, ignoring the risks of a down market).
States agreed to the retiree benefits, wages, and health benefits, states agreed to wage increases, states made promises to their workers and then chose to not fund those promises. Doing so during tight times would have meant tax increases, program cuts, or both. Instead state goverments, governors and legislators, promised the moon and stars to everyone - great benefits for state employees, low taxes and public services for the taxpayers.
Now, the bills are coming due. States are facing the harsh reality of their unfunded obligations and realizing they have run out of options. And the magnitude of the problem has grown to the point where there are no easy solutions. Increasing taxes to close the gaps would require significant tax increases, cutting programs or benefits would require dramatic cuts - the only real option is a combination of tax increases and spending cuts. Promised benefits will need to be curtailed, Americans who have enjoyed the services provided by government will now have to start paying off the debt incurred by habitually underfunding them.
But even if pensions and benefits are cut, even if taxes need to be raised - curtailing or eliminating collective bargaining rights accomplishes little. We have not come to this point because unions demanded too much, we're here because policymakers made promises they never paid for.
At the federal level we see the same issue with the looming funding crises for Social Security and Medicare, the problems stem from promises made that we chose to not fund. The Social Security unfunded liability, in other words, what government has promised compared to what we have committed to fund, is projected to be $17.5 trillion. For Medicare, the unfunded obligation is greater than $80 trillion. Social Security will begin to pay out in benefits more than it takes in this year. Medicare faces a solvency crisis in about 6 years.
The unfunded liabilities of Social Security and Medicare are no more the fault of workers and retirees than are the unfunded state pensions - they simply reflect promises made that have not been funded. It's a situation not unlike the decision to authorize wars in Iraq and Afghanistan at an annual cost of $200 billion while simultaneously reducing government revenue via tax reductions.
States face $2 trillion in unfunded obligations, the federal government tens of trillions, our current federal deficit is $1.6 trillion in a $3.7 trillion budget, our accumulated national debt stands at $14 trillion, and our interest payments on that debt are set to soar.
We cannot tax our way out of debt, we cannot cut our way out of debt, we cannot grow our way out of debt - the magnitude of the problem demands a combination of painful cuts and tax increases in the near term, coupled with reforms and ultimately reductions in entitlement programs (or, at the state level, retiree benefits) long term. Had we been more proactive and begun to deal with these problems sooner, it would have been less painful. Had we promised less, or actually funded the promises we made we would not be where we are... but we didn't, and we are.
How likely are we to make the tough decisions that are now required? At the federal level a very reasonable proposal from the National Commission on Fiscal Responsibility has already been rejected by Congress and the President that created the commission. Instead, Congress and the President agreed to extend the Bush era tax rates at a cost of $550 billion.
In the states, Republican governors like Chris Christie in New Jersey or Scott Walker in Wisconsin speak of fiscal discipline and budget cuts, all while cutting taxes and decreasing revenue. In Illinois, a Democratic legislature and governor raised income taxes by 66% to close a budget gap, but on the spending side merely restricted spending growth to 2% - a rate greater than the inflation rate. My award for political courage and common sense goes to Connecticut governor Daniel Malloy who has proposed solving his state's budget crisis with $1.8 billion in spending cuts and $1.5 billion in tax increases - neither Democrats nor Republicans are happy with his plan, which means it must be a pretty responsible and balanced plan. In Maryland, Governor O'Malley signed tax increases into law in 2007 and since then has submitted budget cuts totaling $6.6 billion, and has begun pension reform - other states need to follow the lead of Malloy and O'Malley.
In the end, the problem is not collective bargaining, the problem is a collective cowardice on the part of those who made easy promises and avoided tough decisions - and ultimately the collective willingness of the American public to believe that no bill would ever come due for all that we've enjoyed.
Showing posts with label medicare expansion. Show all posts
Showing posts with label medicare expansion. Show all posts
Tuesday, February 22, 2011
Tuesday, December 15, 2009
Health Reform Will Pass.... Probably
Update - There's a reason why I tend to practice cautious optimism - Susan Collins appears to be a solid "No" and Ben Nelson continues to say "No" as well. And the Democratic Left may be unwilling to accept the watered down bill.
Last month I took to this page to argue that health reform would fail to pass. In my original post and one subsequent follow-up I theorized that disagreements within the Democratic Party and between the House and Senate over funding, mandates, taxes, and abortion would ultimately sink health reform - and they almost did. But it is now increasingly likely that health reform will pass and all credit goes to two Senators - Max Baucus (D-MT) and Joe Lieberman (I-CT). Lieberman has become public enemy number one among the Left this week since stating that he would filibuster any bill with a Public Option AND any bill that allowed for a Medicare buy-in. Baucus enjoyed a similar bit of infamy back in September when his Senate Finance Committee drafted health reform legislation that did not include a public option and had watered done the individual and employer mandates. Baucus argued that his goal was to write a bill that could receive 60 votes.
Senate Majority Leader Harry Reid (D-NV) took Baucus' bill and added a public option and has spent the better part of a month trying to reach 60 votes. It seems that Reid has now surrendered. Word out of Washington is that the Senate will strip away the public option, will strip away the recently proposed Medicare expansion and will essentially consider the legislation originally reported by Baucus' committee back in October. Liberal Senate Democrats such as Tom Harkin (D-IA) have stated that they will accept scaled back legislation and the White House has urged Reid to make what ever concessions are necessary to get the bill passed.
Perhaps most significant is the increased likelihood that the scaled back Baucus inspired bill may receive 2 Republican votes – Olympia Snowe and Susan Collins, both from Maine. Snowe supported the Baucus bill in committee and Collins recently praised Lieberman’s efforts to strip away objectionable elements in the bill. So there you have it – the bill that Baucus originally produced has now become the savior of the Democrats' health reform effort and because of the efforts of Joe Lieberman it is likely to pass complete with a Republican vote or two.
If you are wondering why Harry Reid opted to not introduce the Baucus bill in the beginning it is because of the politics of the House of Representatives and the powerful progressive caucus there. Reid needed to prove that a public option could not survive in the Senate, he needed to prove that the Baucus bill was the only acceptable legislation. The last month has made that clear. Given that the House has passed a health care bill the normal process would be for a House/Senate Conference Committee to reconcile differences between the chambers and return a compromise bill for final votes in each. I do not expect that to happen – rather I suspect that whatever passes in the Senate will be introduced in the House and approved unamended, thereby negating the need for a conference. Any other approach would introduce more delay and uncertainty. The White House and Democratic Leaders will exert tremendous pressure on progressive House members to grit their teeth and simply vote for the Senate bill, or risk getting no reform at all.
I would add that abortion remains a hurdle – but I suspect that it is one that will be overcome.
Last month I took to this page to argue that health reform would fail to pass. In my original post and one subsequent follow-up I theorized that disagreements within the Democratic Party and between the House and Senate over funding, mandates, taxes, and abortion would ultimately sink health reform - and they almost did. But it is now increasingly likely that health reform will pass and all credit goes to two Senators - Max Baucus (D-MT) and Joe Lieberman (I-CT). Lieberman has become public enemy number one among the Left this week since stating that he would filibuster any bill with a Public Option AND any bill that allowed for a Medicare buy-in. Baucus enjoyed a similar bit of infamy back in September when his Senate Finance Committee drafted health reform legislation that did not include a public option and had watered done the individual and employer mandates. Baucus argued that his goal was to write a bill that could receive 60 votes.
Senate Majority Leader Harry Reid (D-NV) took Baucus' bill and added a public option and has spent the better part of a month trying to reach 60 votes. It seems that Reid has now surrendered. Word out of Washington is that the Senate will strip away the public option, will strip away the recently proposed Medicare expansion and will essentially consider the legislation originally reported by Baucus' committee back in October. Liberal Senate Democrats such as Tom Harkin (D-IA) have stated that they will accept scaled back legislation and the White House has urged Reid to make what ever concessions are necessary to get the bill passed.
Perhaps most significant is the increased likelihood that the scaled back Baucus inspired bill may receive 2 Republican votes – Olympia Snowe and Susan Collins, both from Maine. Snowe supported the Baucus bill in committee and Collins recently praised Lieberman’s efforts to strip away objectionable elements in the bill. So there you have it – the bill that Baucus originally produced has now become the savior of the Democrats' health reform effort and because of the efforts of Joe Lieberman it is likely to pass complete with a Republican vote or two.
If you are wondering why Harry Reid opted to not introduce the Baucus bill in the beginning it is because of the politics of the House of Representatives and the powerful progressive caucus there. Reid needed to prove that a public option could not survive in the Senate, he needed to prove that the Baucus bill was the only acceptable legislation. The last month has made that clear. Given that the House has passed a health care bill the normal process would be for a House/Senate Conference Committee to reconcile differences between the chambers and return a compromise bill for final votes in each. I do not expect that to happen – rather I suspect that whatever passes in the Senate will be introduced in the House and approved unamended, thereby negating the need for a conference. Any other approach would introduce more delay and uncertainty. The White House and Democratic Leaders will exert tremendous pressure on progressive House members to grit their teeth and simply vote for the Senate bill, or risk getting no reform at all.
I would add that abortion remains a hurdle – but I suspect that it is one that will be overcome.
Wednesday, December 9, 2009
As Progress is Made on Health Reform, Public Opposition Solidifies
Update II: Senate Democrats have reached an agreement and the Public Option is gone. This clears one hurdle, but another has popped up. The Senate rejected Ben Nelson's abortion funding amendment making the math of 60 votes still a difficult equation.
Update: Late word indicates that GOP moderate Olympia Snowe is not a fan of the new compromise that would expand Medicare and Medicaid, this could make it very hard for Democrats to reach 60 votes. Especially if they lose Ben Nelson over the issue of abortion coverage.
News today suggests that significant progress is being made in the Senate on compromise health care reform as Democratic Party leaders seek a path to 60 votes. It is increasingly clear that the Public Option that Majority Leader Harry Reid had included in the bill will be dropped - but progressive members of the Democratic caucus have not simply surrendered, rather they are using the elimination of the Public Option to bargain for new and potentially far reaching concessions. Multiple sources are reporting that the Public Option would be replaced with a new nationwide nonprofit health plan to be administered by the federal Office of Personnel Management (the same agency that administered the federal employee health benefit system). The new national plan would be offered by a private insurance company. Party leaders hope that progressives will find this to be an acceptable alternative to a Public Option run by the government. In exchange for dropping their demands for the Public Option, progressives have pursued amendments to the current legislation in the form a significant expansion of the Medicare program – the nation’s health insurance system for those over the age of 65. Under the proposal currently being discussed, the Medicare program would be opened to Americans over the age of 55. This is a population that can face great difficulty obtaining affordable coverage – especially if they suffer a job loss. Also being pursued is a proposal to open the new national health insurance exchange to more Americans. As originally proposed, the exchange would have been limited to a select few small employers and uninsured Americans, perhaps as few as 15-30 million. Adoption of these compromises would have a far more significant impact on health reform and coverage expansion than would the limited Public Option and progressives would be wise to pursue them.
Interestingly, or perhaps distressingly for Democrats, just as progress is being made on reform public opposition is on the rise and public support is collapsing. According to the latest tallies from Pollster.Com a majority of the country now opposes reform and less than 40% is in support. As heated debates remain over touchy issues such as abortion and funding – to say nothing of a needed reconciliation with the House – Democrats in tough re-election fights need the cover of public support - at the moment they do not have it. Only time will tell if that changes as details of these new negotiations emerge.
Update: Late word indicates that GOP moderate Olympia Snowe is not a fan of the new compromise that would expand Medicare and Medicaid, this could make it very hard for Democrats to reach 60 votes. Especially if they lose Ben Nelson over the issue of abortion coverage.
News today suggests that significant progress is being made in the Senate on compromise health care reform as Democratic Party leaders seek a path to 60 votes. It is increasingly clear that the Public Option that Majority Leader Harry Reid had included in the bill will be dropped - but progressive members of the Democratic caucus have not simply surrendered, rather they are using the elimination of the Public Option to bargain for new and potentially far reaching concessions. Multiple sources are reporting that the Public Option would be replaced with a new nationwide nonprofit health plan to be administered by the federal Office of Personnel Management (the same agency that administered the federal employee health benefit system). The new national plan would be offered by a private insurance company. Party leaders hope that progressives will find this to be an acceptable alternative to a Public Option run by the government. In exchange for dropping their demands for the Public Option, progressives have pursued amendments to the current legislation in the form a significant expansion of the Medicare program – the nation’s health insurance system for those over the age of 65. Under the proposal currently being discussed, the Medicare program would be opened to Americans over the age of 55. This is a population that can face great difficulty obtaining affordable coverage – especially if they suffer a job loss. Also being pursued is a proposal to open the new national health insurance exchange to more Americans. As originally proposed, the exchange would have been limited to a select few small employers and uninsured Americans, perhaps as few as 15-30 million. Adoption of these compromises would have a far more significant impact on health reform and coverage expansion than would the limited Public Option and progressives would be wise to pursue them.
Interestingly, or perhaps distressingly for Democrats, just as progress is being made on reform public opposition is on the rise and public support is collapsing. According to the latest tallies from Pollster.Com a majority of the country now opposes reform and less than 40% is in support. As heated debates remain over touchy issues such as abortion and funding – to say nothing of a needed reconciliation with the House – Democrats in tough re-election fights need the cover of public support - at the moment they do not have it. Only time will tell if that changes as details of these new negotiations emerge.
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