FedUpUSA

Archive for the ‘budget’ Category

CBO Confirms Tickerguy’s Projections…..

Here’s the old sign again…

(Reuters) – Gvernment spending for Medicare, Medicaid and other healthcare programs will more than double over the next decade to $1.8 trillion, or 7.3 percent of the country’s total economic output, congressional researchers said on Tuesday.

In its annual budget and economic outlook, the non-partisan Congressional Budget Office said that even under its most conservative projections, healthcare spending would rise by 8 percent a year from 2012 to 2022, mainly as a result of an aging U.S. population and rising treatment costs. It will continue to be a key driver of the U.S. budget deficit.

That’s not going to happen, because it can’t.  That number would represent approximately 1/2 of today’s Federal Budget, incidentally.

The bad news is that it doubles again in another eight years.

This is the nature of all exponential functions folks.  Compound growth just is, and it is never, ever sustainable over the intermediate and longer term.  Yet we’ve played this game since 1980, with medical spending by the Federal Government expanding at roughly 9% for that entire 30 years.

What’s worse is that the bolded text is false — in the private sector insurance costs are rising at least as fast as they are in the government.  When I ran MCSNet in the 1990s we were seeing double-digit premium increases every single year, and this is still going on.  The only way to keep it under some resemblance of control was to cut back on the offered services in the plan, but on a “like-for-like” basis there was never a year during my time running MCSNet that we saw increases under 10%. 

Not once.

There is no solution to this problem that can be found with “reform” of Medicare and Medicaid.  The problem lies in the underlying medical system in this country and addressing it must happen there, not through things like Obamacare or changes in the government side.

The ridiculous growth in medical costs have come from ridiculous cost-shifting and obfuscation, along with a completely-unrealistic set of expectations.

Consider the cost of putting a man on the moon.  We can do it, but it’s ridiculously expensive.  Likewise, we can put men in space at the ISS, but on a per-person basis it’s ridiculously expensive.  Ditto for flying in a private jet — yes, you can do it, but it’s ridiculously expensive.

Now consider what would happen if everyone could demand and enforce via government a ride in a moon rocket, a month at the ISS, or the ability to walk into any executive airport and demand that the Lear sitting there immediately take off for Bermuda, irrespective of how much money you had in your bank account!

That’s exactly what we’ve done in the medical system.

Provenge is just one example.  Dendreon developed the drug for late-stage metastatic prostate cancer, a terrible disease.  Statistically it adds 4 months to your life, but costs $100,000.  So for about a quarter of a million dollars per person-year, you can have it — the problem is that you don’t need to have the quarter of a million bucks first, or choose to spend your own funds on the treatment.

Bypass operations and myriad other very expensive procedures, drugs and devices are also part of this problem.  Many chronic conditions have costs in the tens or even over a hundred thousand a year, yet your access to those treatments is not conditioned either by your lifestyle choices that led to the problem (or lack thereof) or your ability and willingness to personally spend the money.

The medical industry capitalizes on all of this and then adds both anti-trust exemptions and intentional forced cost-shifting onto the backs of those who can pay for those who can’t.  This is why the aspirin in the hospital costs $25 — you’re paying for Juanita the illegal immigrant who showed up last night in labor at 7-1/2 months, having drunk and drugged herself during pregnancy while receiving zero prenatal care, and pooped out a severely-underweight kid who’s now in the NICU and is in the process of running up a million dollar tab.  This happens every single day and it is why you can buy the same operation in India, performed by a US trained doctor with US medicines, devices, and operating room equipment with a hospital room that is equipped like a luxury suite in the Ritz-Carlton to recover in for 1/5th the cost of the same procedure here in the United States.

Then there’s defensive medicine.  You show up with a non-specific pain in the abdomen.  The doc checks what he can and rules out appendicitis (an immediate emergency) and a few other things.  Now there’s a problem — he has a list of a dozen things running around in his head that could be wrong with you.  There’s a 10% chance that one of the couple of really nasty ones (such as cancer) are involved but ruling them out will require $5,000 worth of tests.  The odds, however, are 90% that the problem is not serious and is something as simple as a mild case of food poisoning.  Who’s money and risk is involved in the decision as to whether or not to run those tests?  Today, the answer is that they get run every single time because if he doesn’t and you hit the bad dice roll you’ll sue (and win.) 

In short you’re not required to allocate the risk and cost on your own.

There’s no fix for Medicare and Medicaid, nor for the Federal budget, without resolving all of this.  And make no mistake folks, this will blow up and destroy not only the federal budget but privately-provided medical care as well within the next five years if we don’t stop it right now.

Here we go again….

Republican Rep. Paul Ryan plans to unveil a new Medicare proposal Thursday that would give future seniors the choice of purchasing private insurance coverage or staying in the traditional federal plan.

This will do exactly nothing.

Here’s the underlying problem that nobody is offering a legislative agenda to address: Medical spending in the Federal Budget has expanded at a compounded rate of 9% since 1980 and is projected to continue to do so.

The reason for this is that medical care generally in the private economy (e.g. health insurance premiums) is expanding in price at roughly that rate or better for the last 30 years as well, and as such so is the government side of it.

At present the government spends about $800 billion a year (up from ~$53 billion in 1980!) on medical care in all of its programs.  At 9% compounded rates of growth for the 50 year old by the time he reaches 85 (35 years from now) this spending is projected to increase to $16.3 trillion.

That obviously won’t happen — the entire federal budget is currently $3.8 trillion and the entire economy is $15 trillion.  If the economy grows at 3% annually every year for the next 35 years the economy will be $42 trillion in size; with the government being ~20% of the economy ($8.4 trillion) this would still leave medical care totaling twice the entire federal budget.

Again, that obviously won’t happen because you can’t spend more than 100% of something as a subset of that thing.

This has to be stopped — right here and now.

The expansion is being caused by the massive cost-shifts through all areas of the medical system.  As I detail in Leverage these cost-shifts are pervasive and outrageous — we effectively in America pay for the development of every advanced technology and treatment and subsidize government-run health care worldwide!  This is a very profitable model for pharmaceutical and device makers, not to mention all the other providers who look at the provision of these products as “cost plus” — the higher the price, the greater in dollars the “plus” percentage is.

There are too many points of debate to cover in one ticker on this; you can go back through my various points in this regard using the Archive function if you wish, or buy a copy of Leverage and read it for a more-succinct yet reasonably-complete treatment of the problem.

What we cannot do is continue to sit back and watch partisans like Ryan continue to lie through his teeth, along with the others in Congress on both the Left and Right.  If we do not get our arms around this portion of the Federal Budget in the immediate future it will lead to the destruction of the US Government and our way of life.

The American middle class is furious and this is reflected in how people perceive their failed government but also a financial system that has largely profited from the failures of millions.  A recent Gallup poll shows that only 13 percent of Americans actually approve of Congress and the way they are handling their job.  This is a record low.  Of course the financial system for those too big to fail banks is doing just fine thanks to years of accommodative policy, taxpayer bailouts, and politicians that basically collect payroll checks from the HR department of these large financial institutions.  As we have noted and the media fails to report, the average per capita income in the United States is $25,000.  What is even more disturbing is that a recent poll found that 64 percent of Americans would not be able to shoulder even an unexpected expense of $1,000.  If a transmission on a car goes down or additional medical expenses hit, it will cost well over $1,000.  This is simply another reflection of how the crushing collapse of the middle class will not be televised.

$1,000 enough to crush many Americans

Source:  National Foundation for Credit Counseling

The fact that $1,000 of unexpected expenses would leave many Americans gasping for financial help is troubling enough but the even more disturbing methods of how families would deal with issues that go to the debt addicted psychology of the nation.  9 percent said they would take out a loan (assuming they could) to deal with the expense.  17 percent would borrow from friends or family.  Presumably these family members fall in the 36 percent category that actually have savings to deal adequately with a $1,000 unexpected expense.  Another 9 percent would take out a cash advance on their credit card which is one of the worst things you could possibly do.  12 percent would sell or pawn current assets assuming it had value enough to cover $1,000.  If that isn’t troubling enough, 17 percent would flat out disregard other monthly expenses.  Welcome to new reality for the working and middle class in our nation.

How in the world did we get to a point where $1,000 would be a crushing blow to most families?  All this coincides with the new gilded age mentality of our nation where financial oligarchs are protected at the expense of the middle class.  The media simply keeps singing their songs of praise.  We have another 46,000,000 Americans that are living day to day with food stamps, the highest percentage of Americans ever.  This does not sound like any sort of recovery to me.  To the contrary this sounds like a banking and government system simply trying to keep the public comfortable enough so they don’t realize the scandal that has taken place over the last decade.  It really has been a robbery.  The facts showing the top one percent income growth and no subsequent growth in the real economy highlight a twisted new system that we live in.  These large banking systems abjectly failed but were socialized into existence by taxpayers.  When I hear politicians ranting about working and middle class Americans needing to deal with austerity what about the financial system?  Why don’t we claw back some of the trillions of dollars the U.S. Treasury and Federal Reserve funneled their way?  Every time you hear that line think of this chart:

Read More At My Budget 360

Are you ready for part two of the global financial collapse?  Many now fear that we may be on the verge of a repeat of 2008 after the events of the last several days.  On Friday, Standard & Poor’s stripped the U.S. government of its AAA credit rating for the first time in history.  World financial markets had been anticipating a potential downgrade, but that still didn’t stop panic from ensuing as this week began.  On Monday, the Dow Jones Industrial Average dropped 634.76 points, which represented a 5.5 percent plunge.  It was the largest one day point decline and the largest one day percentage decline since December 1, 2008.  Overall, stocks have fallen by about 15 percent over the past two weeks.  When Standard & Poor’s downgraded long-term U.S. government debt from AAA to AA+, it was just one more indication that faith in the U.S. financial system is faltering.  Previously, U.S. government debt had a AAA rating from S&P continuously since 1941, but now that streak is over.   Nobody is quite sure what comes next.  We truly are in unprecedented territory.  But one thing is for sure – there is a lot of fear in the air right now.

So exactly what caused S&P to downgrade U.S. government debt?

Well, it was the debt ceiling deal that broke the camel’s back.

According to S&P, the debt ceiling deal “falls short of what, in our view, would be necessary to stabilize the government’s medium-term debt dynamics.”

As I have written about previously, the debt ceiling deal was a complete and total joke, and S&P realized this.

Forget all of the huge figures that the mainstream media has been throwing at you concerning this debt ceiling deal.  The only numbers that matter are for what happens before the next election.

The only way that the current debt ceiling deal will last beyond the 2012 election is if Obama is still president, the Democrats still control the Senate and the Republicans still control the House.  If any of those things change, this deal ceiling deal is dead as soon as the election is over.

Even if all of those things remain the same, there is still a very good chance that we would see dramatic changes to the deal after the next election.

So in evaluating this “deal”, the important thing is to look at what is going to happen prior to the 2012 election.

When we examine this “deal” that way, what does it look like?

Well, Barack Obama and the Democrats get the debt ceiling raised by over 2 trillion dollars and will not have to worry about it again until after the 2012 election.

The Republicans get 25 billion dollars in “savings” from spending increases that will be cancelled.

The “Super Congress” that is supposed to be coming up with the second phase of the plan may propose some additional “spending cuts” that would go into effect before the 2012 election, but that seems unlikely.

So in the final analysis, the Democrats won the debt ceiling battle by a landslide.

25 billion dollars is not even 1 percent of the federal budget.  The U.S. national debt continues to spiral wildly out of control, and our politicians could not even cut the budget by one percent.

Somehow our politicians believed that the rest of the world would be convinced that they were serious about cutting the budget, but it turns out that global financial markets are tired of getting fooled.

It has gotten to the point where now even the big credit rating agencies are being forced to do something.  Not that they really have much credibility left.  Everyone still remembers all of those AAA-rated mortgage-backed securities that imploded during the last financial crisis.  The reality is that the big credit rating agencies are a bad joke at this point.

Several smaller credit rating agencies have already significantly slashed the credit rating of the U.S. government.  But a lot of pressure had been put on the “big three” to keep them in line.

But now things have gotten so ridiculous that S&P felt forced to make a move.

Sadly, our politicians are still trying to maintain the charade that everything is okay.  Barack Obama says that financial markets “still believe our credit is AAA and the world’s investors agree”.

Once again, Barack Obama is dead wrong.

The truth is that the credit rating for the U.S. government should have been slashed significantly a long time ago.  This move by S&P was way, way overdue.

Moody’s might be the next one to issue a downgrade.  At the moment, Moody’s says that it will not be downgrading U.S. debt for now, but Moody’s also says that it has serious doubts about the enforceability of the “budget cuts” in the debt ceiling deal.

This crisis is just beginning.  It is going to play out over time, and it is going to be very messy.

The following are 8 more reasons why you should be deeply concerned that the U.S. government has lost its AAA credit rating….

#1 The U.S. dollar and U.S. government debt are at the very heart of the global financial system.  This credit rating downgrade just doesn’t affect the United States – it literally shakes the financial foundations of the entire world.

#2 As the stock market crashes, investors are flocking to U.S. Treasuries right now.  However, once the current panic is over the U.S. could be faced with increased borrowing costs.  The credit rating downgrade is a signal to investors that they should be receiving a higher rate of return for
investing in U.S. government debt.  If interest rates on U.S. government debt do end up going up, that is going to make it more expensive for the U.S. government to borrow money.  The higher interest on the national debt goes, the more difficult it is going to become to balance the budget.

#3 We could literally see hundreds of other credit rating downgrades now that long-term U.S. government debt has been downgraded.  For example, S&P has already slashed the credit ratings of Fannie Mae and Freddie Mac from AAA to AA+.  S&P has also already begun to downgrade the credit ratings of states and municipalities.  Nobody is quite sure when we are going to see the dominoes stop falling, and this is not going to be a good thing for the U.S. economy.

#4 10-year U.S. Treasuries are the basis for a whole lot of other interest rates throughout our economy.  If we see the rate for 10-year U.S. Treasuries go up significantly, it will suddenly become a lot more expensive to get a car loan or a home loan.

#5 The current financial panic caused by this downgrade is hitting financial stocks really hard.  The big banks led the decline back in 2008, and it looks like it might be happening again.  Just check out what CNN says happened to financial stocks on Monday….

Financial stocks were among the hardest hit, with Bank of America (BAC,
Fortune 500) plunging 20%, and Citigroup (C, Fortune 500) and Morgan Stanley
(MS, Fortune 500) dropped roughly 15%.

#6 China is freaking out. China’s official news agency says that China “has every right now to demand the United States to address its structural debt problems and ensure the safety of China’s dollar assets”.  If China starts dumping U.S. government debt that would make things a lot worse.

#7 There are already calls for the Federal Reserve to step in and do something.  If the U.S. economy drops into another recession, will we see more quantitative easing?  It seems like we have reached a point where the Fed is constantly in “emergency mode”.

#8 The U.S. national debt continues to get worse by the day.  Just check out what economics professor Laurence J. Kotlikoff recently told NPR….

“If you add up all the promises that have been made for spending
obligations, including defense expenditures, and you subtract all the taxes that
we expect to collect, the difference is $211 trillion. That’s the fiscal
gap”

Dick Cheney once said that “deficits don’t matter”, but the truth is that all of the debt we have been piling up for decades is now catching up with us.

The United States is in such a huge amount of financial trouble that it is hard to put into words.  The days of easy borrowing for the U.S government are starting to come to an end.  We have been living in the greatest debt bubble in the history of the world, and it has fueled a tremendous amount of “prosperity”, but now the party is ending.

A whole lot of financial pain is on the horizon.  Please prepare for the hard times that are coming.

The Economic Collapse

Rick Santelli of CNBC, the man who ignited the fire for the Tea Party, vents his spleen about the blame game going on in Washington….and he’s precisely right.

Let’s start with whose fault it is not: S&P.

To recap:

• S&P warned early in the year that there was a risk of a downgrade.
• S&P, when the debate was entered in May, said that they needed to see $4 trillion in actual deficit reduction and that this was a “down payment” on the problem, not the entire solution (they’re right, incidentally.)
• S&P then re-iterated the warning when the debate got contentious.

That’s (at least) three separate warnings that were intentionally ignored.  S&P was not ambiguous nor did they blindside anyone.  They told the government exactly what they needed to see and when in order to avoid the downgrade.  They’re blameless.

So who’s to blame?

• CONgress, for it’s willing refusal to either clearly state that it didn’t care if the downgrade happened or complying with S&Ps demands. Pick one.  When you have a firm saying “do X or we do Y”, and that’s a legal act, you either do X or you expect Y.  It is the height of arrogance to try to shine someone on like this – yet Congress did – on both sides of the aisle. If you’re in Congress and you’re “offended” or “surprised” by this action, STFU.  You have no right to complain – you knew exactly what you had to do in order to avoid it, and you failed.  Eat your (rotten) peas.

• President Obama, for his belief that he could simply bully an independent business into not doing a lawful thing. Again, he is a President, not a King.  Go back to Chicago Obama where you belong, and where “kneecap politics” are the way of the world.  Illinois deserves you.  Once again, eat your own damn peas.  You too knew exactly what you had to do as a leader to avoid the downgrade, and you failed.

• We the people, for our refusal to accept that we cannot have services from our government we refuse to pay for in the present tense. This is a fact, whether we like it or not. Our incessant demands for that which we refuse to pay for do not make those goods and services magically appear forever.  We are acting like spoiled little brats and deserve the spanking we are receiving this evening (and over the last two weeks) in our 401ks and IRAs.  Worse, the damage tonight is a “love tap” – the belt of cold hard economic reality, applied with extreme vengeance, is headed toward our butts if we don’t cut our behavior out right now.

We have all squandered the three years of forbearance we received after the 2008/09 crash.  Instead of doing the right thing we did the wrong thing.  Instead of closing bankrupt institutions we turned formal accounting fraud (“mark to myth”) into a legal and accepted practice.  Instead of accepting that we had a bloated Federal government that was not being funded with tax revenues we insisted on “more free cheese” to “help people” without any means to pay for it.  We listened to people like Biden and Obama who claimed we had to “stimulate” the economy, when in fact we’d been deficit spending to the tune of about $500 billion every year since 2003.  In other words we were already massively distorting the economy – and in no small part that was why we had a housing bubble.  Our nation is addicted to debt and we’re all in denial.

We must either face our addiction and break it or it will break us.

Never mind the “supply side” delusion.  Oh sure, it sounds good.  It even looks good – initially.  But explain to me this – if you’re a supply-sider, then how come the debt addition and GDP addition chart, if it works to produce sustainable economic growth, looks like this?

There’s the outcome of “supply side” economics: It’s a scam and a fraud – the math always shows exactly what you did, no matter what you claim happened.

Here’s the question before us tonight folks: Are we ready to accept reality?

While the markets are down a good bit, they opened down much more.  The rebound has been reasonably impressive.  But it can all disappear – and a lot more – by morning.  It will too, if not tomorrow then in the coming weeks and months if we don’t cut the crap.

You’ve already seen your 401ks and IRAs get trashed.  The next time it will not bounce by 100% in 18 months – it will go down and stay down because we already played all the “new fraud” cards to create the pop we have just “enjoyed.”  This time there is no ability to bail out the banks – irrespective of political will.  We either do the right thing – now – or events will overtake us in a disorderly fashion.

The G7 and ECB statements today were quite weak.  Oh sure, the Fed and the rest of the Central Banks will point their “bazookas” at the “evil speculators” and blast away with more liquidity (debt) in the firehose.  But there’s no meaningful uptake.

The credit report last Friday was especially alarming.  It showed, for the first time in a long time, an uptick in credit card debt.  This would be thought of as good rather than bad except that the consumer income and spending were down.

So we have consumers who are not getting more money and not spending it – they’re shifting spending to add more debt and it is reasonable to assume that this shift is forced rather than voluntary.

That’s very bad folks.

As I have said a few times of late I do not think it’s September of 2008 – yet.  I think the analogue is more like Bear Stearns’ time.  This means we still have some months left before the various governments point their mighty bazookas (the most-powerful of which is simply their mouths) at the market and get a “click” rather than a “whoosh!” and “boom!”

But that day is coming folks – make no mistake.  I see no evidence from either political party in the Sunday shows today that either accepts what happened and why – nor any responsibility.  Instead we have everyone pointing fingers claiming the “other guy” did it.

Well, go back and read the top of this Ticker.  The terms for avoiding the downgrade were clear, they were published, they were consistent, and they were given with four to six months of warning, reiterated several times.  Congress and President Obama both gave the finger to S&P.

That’s fine – but they gave the finger back, and they had every right to do so on the objective facts.

We either face facts and fix what’s broken or we will have another Lehman 2008 moment, and much sooner than you think.

Since I do not believe the infestation in Washington DC are capable of acting like adults, as demonstrated by the fact that they just proved their inability for the entire world to see, I suggest that you be prepared for what is, in my opinion, the inevitable outcome.