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How to Wipe Out the Deficit

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An observer less given to post-partisan politics might call the $849 billion Senate health care bill, introduced by Senate Majority Leader Harry Reid yesterday, a colossal fraud perpetrated upon the American people. He might call it a disgraceful display of contempt for the American people, even a slap in the face. He might describe the estimates that the bill would cut federal deficits by $127 billion over the next decade an example of criminal sleight-of-hand, a manifestation of the sort of fiscal legerdemain which recently landed Bernie Madoff in jail.

He might do that. However, I have long been a firm supporter of the hope and change which impelled Barack Obama (D-Chi.) to the White House. I celebrate the President’s commitment to bringing people together, and finding a happy middle ground. I certainly agree that once we agree on the problems, it will be easy to come up with the solutions. Which is why I am ecstatic that the latest version of health care overhaul will cut the deficit by $36 billion more than the Baucus bill promised.

That more churlish observer, having already pointed out that the Baucus bill numbers were a sham, based as they were on ten years’ worth of revenue covering seven years’ worth of expenditures, will no doubt call Reid’s version, calling for just six years’ worth of expenditures covered by the same ten years’ worth of revenues, an even more egregious offense to common sense and fiscal probity.

But I, willing to unclench my fist at the first sight of a hand extended in friendship, view this latest bill as a good start. It may not be perfect, but, as Rahm Emanuel and his boss both like to say, we should never allow the perfect to be the enemy of the good. Rather than dwell on the negatives, rather than keep harping on the fact that every version of health care reform seems designed to increase the cost and reduce the effectiveness of health care for 80% of the population to ensure that the remaining 20% can continue receiving the same shoddy health care they do today, let’s look at the potential benefits.

If pushing the onset of expenditures further into the future increases the amount by which the deficit is reduced, then it is possible to eliminate the deficit. What if we don’t start implementing the expensive parts of the bill for a full ten years, or even twenty? Why, the deficit will be a thing of the past.

In fact, we might even have a surplus. If so, we can use part of the surplus to fund another stimulus bill. Given the success of the first one, in which more than 640,000 jobs were either created or saved, at the cost of a paltry $176,000 per job, then think how much more effective a second stimulus bill will be. Why, the last one was so successful that the innovative folks over at recovery.org are already having to make up places to put all the new jobs. (Incidentally, ACORN has announced a new voter registration drive in Arizona’s 15th Congressional District).

With the next stimulus bill, funded by the remarkably cost-effective health care bill, the Obama Administration might have to start creating jobs in other countries, or even out in space. Guess now we know why NASA was so intent on finding water on the moon.


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Tragic Overreach

Twice in the last seventeen years the American people have reached a consensus that there is something wrong with the way we provide and pay for medical care in this country. In both cases,  Hillary Clinton’s bid to overhaul health care in the early nineties, and President Barack Obama’s attempt to socialize the medical industry today, the opportunity to achieve necessary reform was squandered through the act of overreaching.
 
There are two sides to the health care debate. Obamacare opponents maintain the private sector serves as an incubator that produces dramatic improvements in the treatment of injury and disease. Supporters assert that the cost of medical care has outstripped the means of a large and growing percentage of Americans. For many, not just care itself, but even insurance is too expensive.
 
Both sides are correct. At the top end of the medical pyramid miraculous inventions and new pharmaceutical discoveries are saving lives. At the bottom of the pyramid the system is a wreck. Obviously, the solution should lie in fixing what is broken without endangering what works better in the United States than anywhere else in the world.
 
Americans, regardless where they fall on the political spectrum, are generally generous, caring people. They don’t like to see people unable to receive the medical care they need. They acknowledge that a single mother of two making $15 an hour working for a company that doesn’t provide health insurance is incapable of finding affordable insurance. They agree that this is wrong, and they want to see it fixed.
 
That doesn’t mean they want to give up their personal doctor, their own health insurance, or the right to decide what kind of medical care they wish to receive. Yet this is exactly what both ambitious plans threatened to do. Confronted with a problem, both Clinton and Obama sought to remake American medical care from top to bottom.
 
At least Clinton bothered to attend her own lengthy, swollen and interminable hearings. Obama, on the other hand, had an idea, and turned it over to Congress to flesh it out. And flesh it out they did, producing another thousand plus page document. Obama wanted to extend access to medical care to everybody in the country while dramatically reducing its cost. A noble goal, to which no one should be opposed. That it may well be impossible to achieve is another matter, but the goal is praiseworthy.
 
Certainly nothing about the bill currently festering in the House of Representatives is in accordance with that goal. Even the Congressional Budget Office has acknowledged that the plan will dramatically increase costs rather than lowering them. With a price tag in excess of one trillion dollars, what is known as Obamacare is destined to fail, and fail tragically.
 
An unwillingness to seek a bipartisan solution, a kneejerk recourse to name-calling in response to public resistance, and a White House led bid to induce Americans to spy on each other, have pretty much spelled doom to the latest overreach on health care reform.
 
In one way this is fortunate, as the unwieldy, bureaucrat-encrusted, federal government empowering bill would have been a disaster. It could very well have bankrupted the nation. In another way it is unfortunate because Representatives, Senators and even Presidents are faithful adherents to the once-burned-twice-shy philosophy of governance. If they can’t transform health care from top to bottom, if they can’t ensure total government control of medical care, they won’t be willing to do anything.
 
Which is a tragedy for the single mother of two, the young family, and their aging parents. Those who need help the most will find their interests have been sacrificed, once again, in the interest of partisan politics.
 
Instead of pursuing incremental reform, those driving this debate have assumed an all-or-nothing position. They won’t get it all, which means the American people will get nothing.
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