Archive for the ‘Medicare’ Category
25 Bitter And Painful Facts About The Coming Baby Boomer Retirement Crisis That Will Blow Your Mind
For decades we were warned that when the Baby Boomers started to retire that this country would be facing a retirement crisis of unprecedented magnitude. Well, that day has arrived ladies and gentlemen. Back on January 1st, the Baby Boomers began to retire and more than 10,000 of them will be retiring every single day for years to come. Most of them have not saved up nearly enough money for retirement. At the same time, private sector pension plans are failing all over the place, hundreds of state and local government pension plans from coast to coast are woefully underfunded, and the Social Security system is on the road to complete and total disaster. A massive wave of humanity is hitting retirement age at a moment in history when the U.S. economy is coming apart at the seams. We do not have the resources to keep the promises that we made to the Baby Boomers, and most of them have not made adequate preparations for retirement. What we have is a gigantic mess on our hands, and millions of Baby Boomers are going to find retirement to be very bitter and very painful.
A lot of younger Americans just assume that Social Security is enough to take care of the needs of elderly Americans. But that is just not the case.
Have you ever tried to live solely on a Social Security check?
It is not easy. The truth is that those checks are just not that large.
The following comes directly from the Social Security Administration….
The average monthly Social Security benefit for a retired worker was about $1,177 at the beginning of 2011.
Could you live on less than 300 dollars a week?
And keep in mind that the $1,177 monthly figure is just an average. Many receive a lot less than that.
In addition, Social Security benefits have been seriously squeezed by inflation in recent years. The cost of food and other basics has risen briskly and Social Security benefits have not.
Today, many elderly Americans have to make a choice between buying food, heating their homes or buying medicine that they need. They simply do not have enough money to do all of them.
It would have been nice if all of the Baby Boomers had been busy saving money for retirement all these years, but that just did not happen. In fact, the Baby Boomers as a group are trillions of dollars short of what they need for retirement.
So why doesn’t the U.S. government step in to help them out?
Well, the reality of the situation is that the U.S. government is flat broke. The federal government is now over 15 trillion dollars in debt. During the Obama administration so far, the U.S. government has accumulated more new debt than it did from the time that George Washington took office to the time that Bill Clinton took office.
Lawmakers are already looking at ways to make the Social Security program less costly. No, the federal government is not going to be riding to the rescue.
In fact, it will be a minor miracle if the Social Security program is able to survive until the end of this decade, and it will be a major miracle if the Social Security program is able to survive until 2030.
As for myself, I do not believe that I will ever see a single penny from Social Security, and many other working age Americans feel the same way.
Retirement is supposed to be a fun time, but sadly most Americans that are approaching retirement age are not going to have any “golden years” to look forward to.
Rather, millions of elderly Americans are going to find the years ahead absolutely agonizing as they struggle just to survive.
The following are 25 bitter and painful facts about the coming Baby Boomer retirement crisis that will blow your mind….
#1 According to the Employee Benefit Research Institute, 46 percent of all American workers have less than $10,000 saved for retirement, and 29 percent of all American workers have less than $1,000 saved for retirement.
#2 According to a recent poll conducted by Americans for Secure Retirement, 88 percent of all Americans are worried about “maintaining a comfortable standard of living in retirement”. Last year, that figure was at 73 percent.
#3 A study conducted by Boston College’s Center for Retirement Research has found that American workers are $6.6 trillion short of what they need to retire comfortably.
#4 Today, one out of every six elderly Americans lives below the federal poverty line.
#5 On January 1st, 2011 the very first Baby Boomers started to retire. For almost the next 20 years, more than 10,000 Baby Boomers will be retiring every single day.
#6 At the moment, only about 13 percent of all Americans are 65 years of age or older. By 2030, that number will soar to 18 percent.
#7 Right now, there are somewhere around 40 million senior citizens. By 2050 that number is projected to increase to 89 million.
#8 Back in 1991, half of all American workers planned to retire before they reached the age of 65. Today, that number has declined to 23 percent.
#9 According to one recent survey, 74 percent of American workers expect to continue working once they are “retired”.
#10 According to a recent AARP survey of Baby Boomers, 40 percent of them plan to work “until they drop”.
#11 A poll conducted by CESI Debt Solutions found that 56 percent of American retirees still had outstanding debts when they retired.
#12 A study by a law professor at the University of Michigan found that Americans that are 55 years of age or older now account for 20 percent of all bankruptcies in the United States. Back in 2001, they only accounted for 12 percent of all bankruptcies.
#13 Between 1991 and 2007 the number of Americans between the ages of 65 and 74 that filed for bankruptcy rose by a staggering 178 percent.
#14 What is causing most of these bankruptcies among the elderly? The number one cause is medical bills. According to a report published in The American Journal of Medicine, medical bills are a major factor in more than 60 percent of the personal bankruptcies in the United States. Of those bankruptcies that were caused by medical bills, approximately 75 percent of them involved individuals that actually did have health insurance.
#15 Public retirement funds all over the United States are woefully underfunded. For example, it has been reported that the $33.7 billion Illinois Teachers Retirement System is 61% underfunded and is on the verge of complete collapse.
#16 Most U.S. states have huge pension obligations which threaten to bankrupt them. For example, pension consultant Girard Miller told California’s Little Hoover Commission that state and local government bodies in the state of California have $325 billion in combined unfunded pension liabilities. When you break that down, it comes to $22,000 for every single working adult in the state of California.
#17 Robert Novy-Marx of the University of Chicago and Joshua D. Rauh of Northwestern’s Kellogg School of Management have calculated the combined pension liability for all 50 U.S. states. What they found was that the 50 states are collectively facing $5.17 trillion in pension obligations, but they only have $1.94 trillion set aside in state pension funds. That is a difference of 3.2 trillion dollars. So where in the world is all of that extra money going to come from?
#18 According to the Congressional Budget Office, the Social Security system paid out more in benefits than it received in payroll taxes in 2010. That was not supposed to happen until at least 2016. Sadly, in the years ahead these “Social Security deficits” are scheduled to become absolutely nightmarish as hordes of Baby Boomers retire.
#19 In 1950, each retiree’s Social Security benefit was paid for by 16 U.S. workers. According to new data from the U.S. Bureau of Labor Statistics, there are now only 1.75 full-time private sector workers for each person that is receiving Social Security benefits in the United States.
#20 The U.S. government now says that the Medicare trust fund will run out five years faster than they were projecting just last year.
#21 The total cost of just three federal government programs – the Department of Defense, Social Security and Medicare – exceeded the total amount of taxes brought in during fiscal 2010 by 10 billion dollars. In the years ahead expenses related to Social Security and Medicare are projected to skyrocket dramatically.
#22 The Pension Benefit Guaranty Corporation is the agency of the federal government that pays monthly retirement benefits to hundreds of thousands of retirees that were covered under defined benefit pension plans that failed. The retirement crisis has barely even begun and the PBGC is already dead broke. The PBGC says that it ran a deficit of $26 billion during the fiscal year that just ended and that it will probably need a huge bailout from the federal government.
#23 According to a survey by careerbuilder.com, 36 percent of all Americans say that they don’t contribute anything at all to retirement savings.
#24 More than 30 percent of all investors in the United States that are currently in their sixties have more than 80 percent of their 401k plans invested in equities. So what is going to happen to them if the stock market crashes?
#25 A survey taken earlier this year found that 20 percent of all U.S. workers admitted that they had postponed their planned retirement age at least once during the last 12 months. Back in 2008, that number was only at 14 percent.
Our politicians should have addressed the retirement crisis decades ago before we got to the point of being in debt up to our eyeballs.
It is being projected that the U.S. national debt will hit 344% of GDP by the year 2050, and the Congressional Budget Office says that U.S. government debt held by the public will reach a staggering 716% of GDP by the year 2080.
Obviously those figures will never be reached because our financial system would totally collapse long before then.
So what do we do?
We have tens of millions of elderly Americans that are completely and totally dependent on Social Security and Medicare, but those programs also threaten to bankrupt us as a nation.
Anyone that believes that there is a “quick fix” to these issues is being naive.
The “supercommittee” was supposed to address this problem, but they failed so spectacularly that they have become a national joke.
Sadly, most of our politicians just keep kicking the can down the road. They hope that somehow things will just magically “work out”.
Well, the truth is that things are not going to “work out”. The poverty level among the elderly is going to continue to increase. Pension plans all over this nation are going to continue to fail in staggering numbers. Social Security and Medicare are going to bleed more red ink with each passing year.
Something should have been done about this problem a long, long time ago.
But it wasn’t.
This crisis was ignored, dealing with it was put off time after time and all the doomsayers were laughed at.
Now the crisis is here, and we are all going to pay the price.
More Willful Ignorance: Health Care “Reform”
Some day people will demand that commentary have some sort of intelligent basis behind it.
Yet, the current system is falling apart. Medicaid, which funds almost half of all paid long-term care, is under immense financial pressure. Few Americans have saved for their long- term-care needs in old age — half of retirees have less than $55,000 in financial assets, barely enough to pay for nine months in a nursing home, or two years of limited daily help from a home health aide. And hardly anyone buys private long- term-care insurance — only 7 million Americans own policies.
Despite the death of CLASS, the challenge of long-term care financing is not going away. So, how can we fix a badly broken system?
The best way is probably through universal long-term care insurance. Every major developed country on the planet — except for the U.S. and the U.K. — has already gone this route. Here, insurance could be offered by the government, or by private carriers in a regulated national marketplace (much like the Medicare Part D drug benefit or Medicare Advantage managed-care plans).
Utter nonsense. Here we are with another “plan” to simply play ponzi for a few more years.
Health care has expanded in cost at an average of 7.9% from 1990 through 2010 for individual “coverage.” Family coverage has expanded at 8.2%.
This is what you’re trying to “provide”, assuming the “young person” buys at age 25 and continues through age 65, a period of 40 years. We will assume that the care today costs $4,000/month, which is well under the average actual cost, or $48,000/year. In short I’m being “polite” about the numbers, giving you the maximum benefit of the doubt.
To Bloomberg: Would you please stop publishing utter and complete crap under the rubric of “opinion”, when said “opinion” is an argument for that which is mathematically impossible?
Alternatively you can explain how we’re going to pay (through any mechanism) $931,274 annually for each insured person 40 years hence to cover this “long-term care.”
The claims of “solutions” that are in fact the incessant selling of Ponzi Schemes must end right now.
Further, any government or private party setting up, maintaining or promoting such a scheme must face immediate prosecution as Ponzi schemes are illegal under existing law.
American Taxpayers’ Money Is Being Used By Our Government To Put Americans Out Of Work
America, you’re being destroyed from within. And you don’t even know it. If you want to know why you lost your job, you better pay attention to what OUR government is doing to you…but not just to the poor American who is now unemployed, you Americans working are FUNDING the literal destruction of your fellow Americans’ jobs. If you’re paying Medicare taxes (and all of us who are working are doing that), then you are directly kicking a fellow American out of his job. How the hell can this be? Well…..
Medicare and Medicaid money have been used to outsource American jobs, and US workers say they were fired and discriminated against by a healthcare insurance company funded solely by federal funds, according to a suit filed in Los Angeles Superior Court.
By way of Molina, several billion of UStaxpayer’s dollars have gone directly to India without any benefit to theAmerican company or the US taxpayer,” the suit states.
The suit, filed on behalf of more than 50 employees, alleges Molina Healthcare Inc. used federal money, defrauded the federal government, failed to pay overtime, discriminated, terminated and violated numerous federal and state labor codes. Molina collected over $9 billion in federal funds in the last three years, the suit states.
‘Since 2006, Molina has spent a large portion of the taxpayer’s money to fire American workers and to hire an abundance of workers brought in from India.
The suit further claims:
… in or around 2007 and 2008, Molina terminated approximately 100 American workers in various states to make room for 100 laborers from India to handle all Molina’s US business operations involving Medicare and Medicaid claims … Molina then billed the US government for the cost it incurred by importing workers from India.
The suit, filed in Los Angeles Superior, alleges Molina used a H1-B visas to bring the workers into the US. “This case is not about illegal or undocumented workers,” the suit states.
To bring in workers from India, the suit alleges Molina used a Cognizant Technology Solutions, a California-based recruiting company, and further claims Cognizant “had to provide false statements to the federal government because Cognizant had to certify there were ‘no qualified United States citizens.” On Jan. 13, 2010, the US Dept. of Labor approved Cognizant’s application for 40 H1-B visa holders from India to work for Molina, in the middle of a recession when many American workers were seeking jobs.
Cognizant imports H1-B employees almost exclusively for India and leases said employees to United States employers … Cognizant has received billions of dollars through it’s business practices … and has displaced millions of of competent US workers from their jobs.
“The recession in the United States made it a virtual certainty that there were US workers available,” the claim states. They were hired at $50,000 a year without benefits. To file the federal government claim, Cognizant certified that it searched and could find no qualified American applicants (or green card holders) to fill job openings for programmers and security analysts for the same pay.
On Jan. 14, the day after the application was approved by the Labor Department, Molina fired 40 workers – programmers, managers and security analysts, the suit states. Most fired employees earned between $75,000 and $100,000 a year with benefits. Employees listed in the lawsuit also claim the Indian managers allowed the celebration of India’s holidays, but not US holidays and ‘actively discouraged US workers from celebrating US holidays and traditions,” such as Fourth of July, Thanksgiving and Christmas, by assigning mandatory work that required working holidays.
The suit seeks unspecified damages against Cognizant, Molina and several Indian managers.
Your government is intentionally destroying American jobs to enrich certain preferential corporations and using taxpayer money to do so. Are you beginning to understand WHO the criminals are? And just to be clear, the politicians involved are both Republican and Democrat.
Wade Booth-Corona – FedUpUSA
Discussion (registration required to post)
The Promises That Cannot Be Kept
To Fix Social Security, First Ask Why It Is Deep in the Red (January 18, 2011)
Is the Recovery “Self-Sustaining”? Here’s a Test (March 22, 2011)
If You Want Solutions, First Pin Down Where the Money Is Going (May 23, 2011)
Please sit tight while I walk you through the math of Medicare. As you may know, the program comes in three parts: Medicare Part A, which covers hospital stays; Medicare B, which covers doctor visits; and Medicare D, the drug benefit that went into effect just 29 months ago. The infinite-horizon present discounted value of the unfunded liability for Medicare A is $34.4 trillion. The unfunded liability of Medicare B is an additional $34 trillion. The shortfall for Medicare D adds another $17.2 trillion. The total? If you wanted to cover the unfunded liability of all three programs today, you would be stuck with an $85.6 trillion bill. That is more than six times as large as the bill for Social Security. It is more than six times the annual output of the entire U.S. economy.
I want to remind you that I am only talking about the unfunded portions of Social Security and Medicare. It is what the current payment scheme of Social Security payroll taxes, Medicare payroll taxes, membership fees for Medicare B, copays, deductibles and all other revenue currently channeled to our entitlement system will not cover under current rules. These existing revenue streams must remain in place in perpetuity to handle the “funded” entitlement liabilities. Reduce or eliminate this income and the unfunded liability grows. Increase benefits and the liability grows as well.To solve the entitlement deficit problem, discretionary spending would have to be reduced by 97 percent not only for our generation, but for our children and their children and every generation of children to come. And similarly on the taxation side, income tax revenue would have to rise 68 percent and remain that high forever. Remember, though, I said tax revenue, not tax rates. Who knows how much individual and corporate tax rates would have to change to increase revenue by 68 percent?For the existing unfunded liabilities to be covered in the end, someone must pay $99.2 trillion more or receive $99.2 trillion less than they have been currently promised. This is a cold, hard fact.
Total personal income is defined by the United States’ Bureau of Economic Analysis as income received by persons from all sources. It includes income received from participation in production as well as from government and business transfer payments. It is the sum of compensation of employees (received), supplements to wages and salaries, proprietors’ income with inventory valuation adjustment (IVA) and capital consumption adjustment (CCAdj), rental income of persons with CCAdj, personal income receipts on assets, and personal current transfer receipts, less contributions for government social insurance.

Charts: Conerly Consulting
Ryan's Falsehoods Continue
Here are the facts. Medicare is a critical program that helps people age 65 or older achieve health security. But it’s headed for a painful collapse. Independent experts and leaders in both parties agree that if we do nothing, Medicare will exhaust its trust fund in nine years, putting enormous pressure on the federal budget as health-care costs continue to rise. Unless we act, we’re moving toward a debt-fueled economic crisis, harsh cuts that affect today’s seniors and enormous tax increases that diminish the dreams of the next generation.
We can save Medicare, but we have to reform it so that it delivers the high quality we expect, at a price we can afford.
Medicare is one of the worst examples of forced cost-shifting at the point of a gun. It creates monstrous distortions in the delivery of health care and, when coupled with a legal environment that permits behavior illegal in other fields (anti-trust exemptions, demands to provide service to those who cannot pay, including those who can’t pay by choice and explicit legal support for price-fixing across international boundaries) we have created a “free money spigot” that has cranked up the cost of health care at multiples of the general inflation rate while failing to materially improve the quality of care.
But compound functions like this cannot go on forever. The solution is not “vouchers”, which simply shift the cost yet again, this time onto the back of seniors instead of the population generally. Nor can we realistically exempt anyone 55 and older – the bulk of the boomers are in the bracket from 55-65, and they will enter the system over the next ten years.
We must fix the structure of health care in the United States.
But neither the left or right is interested in doing this. Fixing the structure of health care means telling the medical industry to stick it. It means repealing EMTALA and forcing level pricing and billing for everyone, forbidding medical providers from forcing you to pay for Juanita’s illegal entry to the United States which she did for the explicit purpose of obtaining “free” medical care when she gave birth. It means telling the pharmaceutical and device firms that if they are going to sell drugs in other first-world nations like Canada for $2/pill they cannot price-fix here, and that if someone buys those drugs in another nation and re-imports them, that’s perfectly legal. It means having the conversation with the American public we needed to have two decades ago, explaining that Grandma cannot have two new hips and Grandpa a quadruple-bypass – we simply don’t have the money to provide one hundred million of those over a space of 20 years, and that’s what the current system is demanding we provide.
It requires that we have an honest discussion about not only personal responsibility, but also a full and robust scientific review of what we’re telling people about diet and exercise. Does everyone need that 30 minutes of moderate exercise at least three times a week? Yes. But is the “food pyramid” as currently constructed and promoted valid? That’s a better question, especially in the world of engineered “foods” such as high-fructose corn syrup and other high-glycemic-index processed foods that do nothing about satisfying hunger but do plenty to fatten both waistlines and “food” company balance sheets.
Never mind the other problem we have with the medical industry – being sick is big business. Especially if you’re “chronically” sick but the industry can give you a nice pill and make it all better. For a while, anyway. We have a diabetes epidemic in the United States but much of it is self-inflicted. It’s easier to demand a $300/month prescription for some wonder drug (even with its risks and side effects) than to buy a $100 pair of running shoes and get off your ass, even though a huge percentage of Type II diabetics are 50lbs or more overweight and if they lose the weight their blood sugar will either come back into balance or they will be able to control it with older, generic medications that cost pennies. What is our social responsibility as a nation to provide? The running shoes, the $300/month pill, or nothing, since the solution is as close as the suffers’ pie hole?
None of this is easy and it sure as hell is tougher than simply running the common demagogue positions on the left and right. The right wants to throw Granny down the stairs. The left wants socialized medicine.
The truth is that if we don’t cut the crap we’re going to wind up both ridiculously ill and broke. Our nation cannot continue on the path we’re on. We cannot “get our health care costs under control” while maintaining the system for health care as it exists now in the United States.
There’s no way to solve the cost escalation problem, with near-double-digit increases every year in actual cost, without shutting off the cost-shifting and changing the paradigm on how health care works in the United States. EMTALA may have been well-intentioned but it has become of the biggest drivers in the escalation of hospital costs, rendering nearly anyone, even those who are insured, subject to instant financial ruin should they have a medical emergency.
The common tonics dispensed by the left and right sound good but they’re both wrong and time is running out to do the right thing.
Ryan’s plan isn’t it.
SS Trust Fund – "We lost $1.1 Trillion last year!"
Yes, that is a correct headline. In its annual report to Congress last week SS acknowledged that its condition had sharply deteriorated in 2010. This sentence from the report is all you really need to know about what the status is:
The open group unfunded obligation over the 75-year projection period has increased from $5.4 trillion (present discounted value as of January 1, 2010) to $6.5 trillion (present discounted value as of January 1, 2011).
Note that this is a present value calculation. The total unfunded obligation has grown by a cool $1.1 trillion in just a year. In other words, if we had to shore up the TF to the level that it was just a year ago the USA would have to write a check for $1.1 T. The unfunded status was a disaster a year ago at $5.6T, it got worse by 20% during 2010. The cost of “fixing” SS goes up as a result. To put things in balance one of these two extremes are now required:
For the combined OASDI Trust Funds to remain solvent, the payroll tax rate could be increased an immediate and permanent 2.15%, (or) scheduled benefits could be reduced by an immediate and permanent 13.8%.
If you think this a ho-hum result, think again. If benefits get cut across the board by 14% we will have many seniors who will fall into a hole. An increase in payroll taxes of 2.15% is simply not going to happen anytime soon. There is no support in Congress for an increase like that. It would mean that taxes on all workers/employers would have to go up by $110b in the first year and rise every year thereafter. This would be a very regressive tax increase that hurts lower end workers the hardest. For 2011 there is already a payroll tax holiday of 2%. If the required increases take place in 2012 it would mean a 3.2% reduction in wages. Kiss the economy goodbye under that scenario.
I underlined the TF’s use of the words immediate and permanent as this language highlights the fact there can be no delaying on the fixes necessary at SS. One thing that you can take to the bank is that nothing will happen with SS in 2011 or 2012. This is a problem that will simmer for at least another 24 months. This delay will prove to be very costly for all involved. Both the required tax increases and/or the required cutbacks will be much larger than today.
The NPV of the unfunded liabilities at SS are now growing by at least $100b a month. One would think that this massive cost would spur some response in D.C. Don’t count on it. As a result, SS is going to come off the rails in about two years.











