Tuesday
Jun172008
Long term health care budget likened to a dysfunctional relationship
The long term budget outlook for slowing the growth of health care costs was discussed at a hearing before the U.S. Senate Committee on Finance. Panelist Dr. Peter R. Orszag, Director of the Congressional Budget Office (CBO), gave the analogy of a dysfunctional relationship to illustrate the unsustainable state of the federal budget. Orszag said that, like such a relationship, there was no telling how long the budget would last but the end was bound to be messy.
Panelist Mr. Gene Dodaro, Acting Comptroller General of the Government Accountability Office (GAO) cautioned that Social Security cash surplus would start declining in 2011. Dodaro said that this would force increased borrowing from the public, reduced spending or increased revenue. Dodaro also said that American standard of living would be affected in terms of how the types of services would be funded.
Chairman Max Baucus (D-Mont.) noted that Congress would be able to help more if given more data regarding health care costs and guidelines. Orszag agreed and discussed ways to constrain costs without adversely affecting health benefits. Orszag recommended increasing the salience of health costs and improving health care efficiency. He said that might result in a change in cost-consciousness which would shift demand. Orszag also recommended generating more information about effectiveness and changing incentives such that people pay for ‘better care and not just more care’. Lastly, Orszag stressed the importance of adopting measures that promote healthier living such as increasing cigarette tax to discourage smoking.
Panelist Mr. Gene Dodaro, Acting Comptroller General of the Government Accountability Office (GAO) cautioned that Social Security cash surplus would start declining in 2011. Dodaro said that this would force increased borrowing from the public, reduced spending or increased revenue. Dodaro also said that American standard of living would be affected in terms of how the types of services would be funded.
Chairman Max Baucus (D-Mont.) noted that Congress would be able to help more if given more data regarding health care costs and guidelines. Orszag agreed and discussed ways to constrain costs without adversely affecting health benefits. Orszag recommended increasing the salience of health costs and improving health care efficiency. He said that might result in a change in cost-consciousness which would shift demand. Orszag also recommended generating more information about effectiveness and changing incentives such that people pay for ‘better care and not just more care’. Lastly, Orszag stressed the importance of adopting measures that promote healthier living such as increasing cigarette tax to discourage smoking.
Is 70 the new old?
Terry said baby boomers, who begin qualifying for Social Security in 2008, are only part of the problem. According to Terry, the current age of retirement is frozen at 67, an increase of two years since President Franklin Roosevelt enacted Social Security in 1935. Terry said a major way to reduce strain on Social Security is to raise the age of retirement. Terry said Americans' life expectancy continues to rise, causing more people to claim benefits for longer periods of time.
Bruce Schobel, chairman of the Retirement Security Principles Task Force at the academy, gave statistics that show American longevity. He said in 1940, the average person outlived the age of retirement by 12 to 13 years. He countered that data with 2008 statistics in which people, on average, outlive retirement by 16-19 years. Schobel gave a hypothetical situation whic proposes that if the age of retirement is increased by two months annually until retirement reaches the age of 70, half of Social Security's long-term deficit would be eliminated. Schobel reiterated that raising the age of retirement is not an all-inclusive solution to Social Security's long-term finances. He did say, however, that any future legislation should include changes in the age of retirement. He also noted that this particular proposal would not affect those born prior to 1960.