How the Left Really Plans to Pay for
Obamacare<http://paracom.paramountcommunication.com/ct/4115728:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>
According to the Congressional Budget Office (CBO), over
half<http://paracom.paramountcommunication.com/ct/4115729:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>of
President Barack Obama's new $940 billion health care entitlement is
paid
for by price-fixing Medicare cuts. Never mind that the President's own
Centers for Medicare and Medicaid Services says that these cuts would
cause "roughly
20 percent"
<http://paracom.paramountcommunication.com/ct/4115730:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>of
Medicare providers to go bankrupt in Obamacare's first ten years. The CBO
has to believe these cuts will happen because they are required, by law, to
believe everything Congress tells them. The American people are not. So the
American people ought to know that instead of cutting doctors' Medicare
reimbursement rates by 21% as required by law on April 1, the Centers for
Medicare and Medicaid Services froze
payments<http://paracom.paramountcommunication.com/ct/4115731:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>at
current levels until Congress could come back after Easter recess and
rescind those cuts. Again. As they have done every year but one since the
cuts were first enacted in 1997.

This doc fix is big enough that, if it had been included as a cost of
Obamacare, it would have sent the President's bill into the red all by
itself. But the half trillion dollars in Medicare cuts used to fund the rest
of Obamacare are a much bigger problem. Even if we assume they all go as
planned, President Obama's
budget<http://paracom.paramountcommunication.com/ct/4115732:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>would
borrow 42 cents for each dollar spent in 2010; would run a $1.6
trillion deficit in 2010; and would leave permanent deficits that top $1
trillion as late as 2020. Add on the half trillion dollars in Medicare cuts
that, given Congress' track record, the American people would be naive to
think will ever happen, and the federal government is looking at a pile of
new debt.

The left's solution to this problem has been simmering for some time now.
Senate Budget Committee chairman Kent Conrad (D-ND) floated the idea to The
Washington 
Post<http://paracom.paramountcommunication.com/ct/4115733:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>last
May. Speaker Nancy Pelosi (D-CA) told Charlie
Rose<http://paracom.paramountcommunication.com/ct/4115734:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>it
was "on the table" in October. And yesterday White House adviser Paul
Volcker 
told<http://paracom.paramountcommunication.com/ct/4115735:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>the
New York Historical Society it should be considered. The "it" here is
a
Value Added Tax (VAT), which is a fancy way of saying national sales tax.

A VAT can be (and has been) structured in many different ways. But the real
world results are always the same: higher taxes, more government spending,
lower growth, fewer jobs and more special interest power.

*Higher Taxes:* Don't believe for a second that a VAT will help offset other
taxes. International evidence clearly shows that a VAT is likely to increase
the aggregate burden of govern­ment. Europeans used to only have a slightly
higher tax burden than the United States. But beginning in the late 1960s,
European countries began to implement VATs. Since then, the overall tax
burden in Europe has climbed rapidly. And once a VAT is in place, the
evidence<http://paracom.paramountcommunication.com/ct/4115736:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>shows
that the tax rate rises over time.

*Higher Government Spending:* Not surprisingly, with more revenues, European
governments turn around and spend much more than the United States does.
According to a study by the U.S. Chamber of Commerce, government spending
grew 45 percent faster in VAT nations than in non-VAT countries.

*Slower Growth:* According to the academic
literature<http://paracom.paramountcommunication.com/ct/4115737:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>,
there is a strong negative relationship between govern­ment spending and
economic performance. In other words, more government spending means less
economic growth and fewer jobs. Economic growth is driven by individuals and
entrepreneurs operating in free markets, not by Washington spending and
regulations<http://paracom.paramountcommunication.com/ct/4115738:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>
.

*More Power to Washington:* There is one economy that would greatly benefit
from a VAT: Washington, DC. No VAT could ever be levied evenly on all goods
and services. Due to political considerations, a VAT in addition to current
taxes would likely exempt politically sensitive items like food, clothing,
health care and housing. Industries would lobby heavily for exemptions from
the VAT for the economic benefits described above. This would give Congress
an even larger role in picking winners and losers in the marketplace.
Success would depend less on ingenuity and hard work and more on the ability
to gain political favor.

Our nation faces a financial crisis. But low revenues are not the problem.
Spending is. Heritage fellow Brian Riedl
explains:<http://paracom.paramountcommunication.com/ct/4115739:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>

Real federal spending remained steady at $21,000 per household throughout
the 1980s and 1990s, before President Bush hiked it to $25,000 per
household. Now, President Obama has a proposed a budget that would
permanently spend a staggering $32,000 per household annually – and that’s
before all the baby boomers retire and add another $10,000 per household in
Social Security, Medicare, and Medicare costs to the bottom line.

So the problem is not declining revenues, but rather a spending spree unlike
any in American history. If Washington insists on spending $32,000 per
household, it will have to tax $32,000 per household – an unaffordable and
unfair tax burden regardless what kind of tax collects it.

Rather than tax America into permanent economic stagnation, President Obama
and Congress must rein in runaway federal spending. Simply bringing real
federal spending back to the $21,000 per household average that prevailed in
the 1980s and 1990s would balance the budget by 2012 without raising a
single tax on anyone. Even returning spending to the pre-recession level of
20 percent of GDP would eliminate two-thirds of the projected 2019 budget
deficit without raising taxes.

ow the Left Really Plans to Pay for
Obamacare<http://paracom.paramountcommunication.com/ct/4115728:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>
According to the Congressional Budget Office (CBO), over
half<http://paracom.paramountcommunication.com/ct/4115729:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>of
President Barack Obama's new $940 billion health care entitlement is
paid
for by price-fixing Medicare cuts. Never mind that the President's own
Centers for Medicare and Medicaid Services says that these cuts would
cause "roughly
20 percent"
<http://paracom.paramountcommunication.com/ct/4115730:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>of
Medicare providers to go bankrupt in Obamacare's first ten years. The CBO
has to believe these cuts will happen because they are required, by law, to
believe everything Congress tells them. The American people are not. So the
American people ought to know that instead of cutting doctors' Medicare
reimbursement rates by 21% as required by law on April 1, the Centers for
Medicare and Medicaid Services froze
payments<http://paracom.paramountcommunication.com/ct/4115731:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>at
current levels until Congress could come back after Easter recess and
rescind those cuts. Again. As they have done every year but one since the
cuts were first enacted in 1997.

This doc fix is big enough that, if it had been included as a cost of
Obamacare, it would have sent the President's bill into the red all by
itself. But the half trillion dollars in Medicare cuts used to fund the rest
of Obamacare are a much bigger problem. Even if we assume they all go as
planned, President Obama's
budget<http://paracom.paramountcommunication.com/ct/4115732:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>would
borrow 42 cents for each dollar spent in 2010; would run a $1.6
trillion deficit in 2010; and would leave permanent deficits that top $1
trillion as late as 2020. Add on the half trillion dollars in Medicare cuts
that, given Congress' track record, the American people would be naive to
think will ever happen, and the federal government is looking at a pile of
new debt.

The left's solution to this problem has been simmering for some time now.
Senate Budget Committee chairman Kent Conrad (D-ND) floated the idea to The
Washington 
Post<http://paracom.paramountcommunication.com/ct/4115733:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>last
May. Speaker Nancy Pelosi (D-CA) told Charlie
Rose<http://paracom.paramountcommunication.com/ct/4115734:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>it
was "on the table" in October. And yesterday White House adviser Paul
Volcker 
told<http://paracom.paramountcommunication.com/ct/4115735:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>the
New York Historical Society it should be considered. The "it" here is
a
Value Added Tax (VAT), which is a fancy way of saying national sales tax.

A VAT can be (and has been) structured in many different ways. But the real
world results are always the same: higher taxes, more government spending,
lower growth, fewer jobs and more special interest power.

*Higher Taxes:* Don't believe for a second that a VAT will help offset other
taxes. International evidence clearly shows that a VAT is likely to increase
the aggregate burden of govern­ment. Europeans used to only have a slightly
higher tax burden than the United States. But beginning in the late 1960s,
European countries began to implement VATs. Since then, the overall tax
burden in Europe has climbed rapidly. And once a VAT is in place, the
evidence<http://paracom.paramountcommunication.com/ct/4115736:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>shows
that the tax rate rises over time.

*Higher Government Spending:* Not surprisingly, with more revenues, European
governments turn around and spend much more than the United States does.
According to a study by the U.S. Chamber of Commerce, government spending
grew 45 percent faster in VAT nations than in non-VAT countries.

*Slower Growth:* According to the academic
literature<http://paracom.paramountcommunication.com/ct/4115737:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>,
there is a strong negative relationship between govern­ment spending and
economic performance. In other words, more government spending means less
economic growth and fewer jobs. Economic growth is driven by individuals and
entrepreneurs operating in free markets, not by Washington spending and
regulations<http://paracom.paramountcommunication.com/ct/4115738:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>
.

*More Power to Washington:* There is one economy that would greatly benefit
from a VAT: Washington, DC. No VAT could ever be levied evenly on all goods
and services. Due to political considerations, a VAT in addition to current
taxes would likely exempt politically sensitive items like food, clothing,
health care and housing. Industries would lobby heavily for exemptions from
the VAT for the economic benefits described above. This would give Congress
an even larger role in picking winners and losers in the marketplace.
Success would depend less on ingenuity and hard work and more on the ability
to gain political favor.

Our nation faces a financial crisis. But low revenues are not the problem.
Spending is. Heritage fellow Brian Riedl
explains:<http://paracom.paramountcommunication.com/ct/4115739:6112839350:m:1:147140772:57EA3AF845F8251BE0ADE9D58704AE2A>

Real federal spending remained steady at $21,000 per household throughout
the 1980s and 1990s, before President Bush hiked it to $25,000 per
household. Now, President Obama has a proposed a budget that would
permanently spend a staggering $32,000 per household annually – and that’s
before all the baby boomers retire and add another $10,000 per household in
Social Security, Medicare, and Medicare costs to the bottom line.

So the problem is not declining revenues, but rather a spending spree unlike
any in American history. If Washington insists on spending $32,000 per
household, it will have to tax $32,000 per household – an unaffordable and
unfair tax burden regardless what kind of tax collects it.

Rather than tax America into permanent economic stagnation, President Obama
and Congress must rein in runaway federal spending. Simply bringing real
federal spending back to the $21,000 per household average that prevailed in
the 1980s and 1990s would balance the budget by 2012 without raising a
single tax on anyone. Even returning spending to the pre-recession level of
20 percent of GDP would eliminate two-thirds of the projected 2019 budget
deficit without raising taxes.

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