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Government Spending Cuts Don't Cut, They Shift Costs To US

Posted: 07/21/11 03:23 PM ET

The conservatives are following up on their decades-old plan to use tax cuts to create terrible deficits, and then use the resulting "debt crisis" to cut government. But cutting government doesn't mean the costs go away, it means that we each have to bear those costs ourselves, on our own, without the help of the rest of us. This is really about cutting democracy so the very rich can be even very-richer.

A Huge Tax Increase On Regular People

A government budget cut is like a huge tax increase on regular people because it increases what each of us pays for the things government does -- or forces us to go without. This is because cuts in government spending don't actually cut the cost of things, they just shift those costs onto each of us on our own.

For example, if you cut the the government's Medicare or Medicaid budget our health problems don't disappear, but each of us has to find ways to pay the cost of medical care or a nursing home on our own. If you cut what government spends for maintaining infrastructure, the roads/bridges/dams/schools/etc. deteriorate and we all pay for that through a less competitive economy, car-repair costs, and sometimes with our lives. And when each of us has to pay more for these things, it really does take money out of the economy. We're spending on those things, instead of more usefully contributing to the economy.

Cuts Just Shift And Increase The Costs

So spending cuts really just shift the spending and cost of the things we have to do -- and often increase those costs. This is because doing things on our own instead of collectively through our government is the smallest possible economy-of-scale. The best example of this shift-and-increase effect is the Republican plan to phase out Medicare. As I wrote above, our health problems won't disappear just because government cuts out Medicare. But the costs of treating -- or not treating -- those health problems is now on us, individually, instead of aggregated through the mechanism of democracy. And that is money that would otherwise be spent elsewhere in the economy.

In Cost of Medicare Equivalent Insurance Skyrockets under Ryan Plan the Center for Economic and Policy Research (CEPR) explains what happens to the cost of health care if Medicare is eliminated. Summary: it shifts the costs to us, except each of us ends up paying seven times as much as the same care costs under Medicare. This is because Medicare covers millions, and that economy-of-scale means the government can negotiate bulk discounts, etc. that we cannot get on our own. From the CEPR explanation:

[The Republican] plan to revamp Medicare has been described as shifting costs from the government to beneficiaries. A new report from the Center for Economic and Policy Research (CEPR), however, shows that the [Republican] proposal will increase health care costs for seniors by more than seven dollars for every dollar it saves the government, a point missing from much of the debate over the plan.

... In addition to comparing the costs of Medicare to the government under the current system and under the [Republican] plan, the authors also show the effects of raising the age of Medicare eligibility. The paper also demonstrates that while [the Republican plan] shifts $4.9 trillion in health care costs from the government to Medicare beneficiaries, this number is dwarfed by a $34 trillion increase in overall costs to beneficiaries that is projected ...

The Mechanism Of Democracy

In other words, the Republican plan to phase out Medicare would cost the economy seven times as much as it cuts government. In this case the mechanism of democracy works seven times better than doing the same thing on our own. The economy of scale introduced by democracy -- We, the People gathering together to watch out for and take care of each other -- saves the economy sevenfold on costs. And that is money that would be spent by each of us but now goes just to cover the healthcare costs. This is one more reason why democracies are more prosperous for regular people than other forms of government that leave people on their own against the wealthy and powerful and drive all of the income and wealth to a few at the top.

Budget Cuts Deals Hurt Us And The Economy

When you hear that the "debt-ceiling" deal being negotiated in Washington is going to cut $4 trillion from the government's budget it doesn't mean that $4 trillion is is going to be saved and put into the economy, it means the opposite, and worse. It means that $4 trillion in costs will be shifted from the mechanism of democracy and onto our backs, each of us, on our own. And that means that the total costs of accomplishing the same things will go up. And that means each of us will have less to spend in the economy. Think about what that will do to jobs.

  • As government health care is cut each of us will take on those costs on our own, and will be paying up to seven times what the same care would have cost.

  • As infrastructure maintenance and modernization is cut, our economy will become less competitive, unemployment will increase and our wages and spending power will fall.

  • As spending on education is cut, our costs of educating ourselves and our kids will increase. College costs will soar.

  • As environmental regulation and enforcement is cut the costs of the resulting health problems and cleanups will increase.

  • As enforcement of labor laws is cut, our wages and protections will fall.

  • As etc. is cut, the costs of etc. are shifted to each of us, on our own, and the total costs of accomplishing etc. actually increase.

This Is About Democracy

In the bigger picture budget cuts are about shifting away from the mechanism of democracy -- where We, the People aggregate and cover these costs in a more effective way -- and instead moving costs to each of us on-our-own. And because of the effect of reduced economies-of-scale we then each face a much greater cost-per-person than if we did these things through the mechanism of democracy. This hurts our economy.

Don't be fooled: this is really about shifting from democracy to a system where we are on our own, up against the wealthy and powerful. This is about shifting from a system where we can all be prosperous to a system where a few have all the wealth and power.

This post originally appeared at Campaign for America's Future (CAF) at their Blog for OurFuture. I am a Fellow with CAF.

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wmnorton
Moderate where moderate used to be
03:37 PM on 07/24/2011
This is why the Republicans have refused to raise taxes on the wealthy and end weakthy welfare. They have been cutting revenue for thirty years and since they have gotten the debt up to where it is a real burden on the economy they think that they now have the leverage to demand that SS, Medicare and Medicaid be cut. But SS and Medicare have not contiributed on dime to the debt, why are they even being discussed since they are clearly not part of the problem and ending them would not be the solution. We do not now and never have had a spending problem! What we have is the results of thirty years of Welthy Welfare. Time to take the top tax rate back to where it was before Reagans Tax Reform which was 50%. That should start with income above $500 thousnad a year
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Aaron Calhoun
What are you DOING to improve things?
03:29 PM on 07/24/2011
GREAT explanation of this critically important topic....I haven't seen such a well-worded but concise explanation of the impacts of budget cuts at the federal level. THANK YOU for your worthy contribution to this national discussion!
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dadw5boys
Disabled Vietnam Vet
12:57 AM on 07/22/2011
Now the U.S. Government can Increase the amount they give Israel.
Millions more in Weapons and aid.
The U.S. Military already has a Weapons Depot in Israel to maintain the Nukes the USA gave them and make sure they are always armed to the teeth with the latest and most expensive Weapons the U.S. Tax Payer can afford.

What is the Total in U.S. Aide since the 1950's $ 14.6 Trillion Dollars with INTEREST ADDED ?????
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wmnorton
Moderate where moderate used to be
02:07 PM on 07/24/2011
What does this have to do with Medicare? You certainly can complain about foreign aid, but it is not the root of any of our current problems. For exam;ple how much have Oil subsidies been since 1950? 40 Billion times 60 years 24 Trillion
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dadw5boys
Disabled Vietnam Vet
03:21 PM on 07/24/2011
It has nothing to do with Medicare but all to do with what the Americans Government can CHOOSE to spend or who to GIVE money too.

For example with Medicare the Insurance Company's have taught Doctors and Medical Groups how to keep their income stream maxed out by CALLING the Elderly in every 3 or 4 months for Urine and Blood Test which they bill Medicare for. Most of the people are not sick and did not call the Doctor for an appoinment. The Doctors use FEAR to use their Medicare Patients like ATM's.
The old people show up because their Doctors Office says the Doctor wants to make sure they are ok, or the Doctor is going on vaction and wants to see you before they leave, or there was a problems with your last test and the Doctor wants antoher test . All of these re from an Insurance Training Script for Medical Office Staff !
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dadw5boys
Disabled Vietnam Vet
03:23 PM on 07/24/2011
How many old people in the USA ? how many are getting unneccessary blood and urine test 4 times a year ? 10's of 1000's -- at $200.00 a pop !
03:16 PM on 07/21/2011
The republicans, tea party and their wealthy supporters are literally paying for the Wars and Tax Cuts for the rich and corporations by trying to make up the lost revenue by cutting social security, medicaid, medicare, veterans benefits, federal employees salaries and pensions, education, health care and infrastructure spending. More evidence that Tax Cuts and Unfunded Wars, Do Not Pay For Themselves, WE all are paying a huge cost.
missprissanna
the weight of the news nearly broke my back
10:15 AM on 07/22/2011
Last year, I don't remember exactly when...but I clearly remember the "honorable" Mr. Boehner on some "news" show, saying loud and clear in no uncertain terms.....social security, medicare and medicaid MUST be cut to pay for the wars.

I just can't understand why so many people think it's perfectly acceptable to cut from those who need it most, while continuing to call for even more favorable tax rates for the have mores.
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wmnorton
Moderate where moderate used to be
02:14 PM on 07/24/2011
favorable tax rates for the super rich shoukd be called Wealthy wWelfare. Also we should be talking about them as the job destroyers since they got rid of 8 nillion jobs since 2008.
03:06 PM on 07/21/2011
The conservatives want to dismantle 50 years worth of progress overnight and do it when the economy is failing and regular people are already hurting. This is Disaster Capitalism at work and is a huge threat to the future of our country.

Conservatives don't believe in democracy or the concept of the greater good. They are inspired by the philosophy of Any Rand, the symbol of greed and selfishness. I don't understand how our country could sink so fast, but if we don't band together to stop the destruction of our country soon, it will be too late.