iPhone app iPad app Android phone app Android tablet app More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Richard (RJ) Eskow

GET UPDATES FROM Richard (RJ) Eskow
 

Social Security and Medicare: Six Common Myths, Debunked

Posted: 04/24/2012 7:46 pm

In the coming days and weeks we'll be hearing a lot of misinformation about the Trustees Report from the Social Security Administration. It's time to separate the myths from the realities:

1. Myth: "Social Security and Medicare have a cost problem."

Fact: Medicare has a financial problem. As this chart shows, the cost of providing Social Security benefits is not out of control or skyrocketing.

Social Security is on an even keel for the foreseeable future. Twenty years from now it's projected to be in a position to pay only 75 percent of benefits -- but that's easily fixed by lifting the payroll tax cap.

2. Myth: "Aging workforce strains Social Security, Medicare"

Fact: That's a headline we saw repeated across the country in anticipation of the Trustees Report, but it's wrong. What's "straining" Social Security and Medicare today is the unequal distribution of income and a broken regulatory system for Wall Street that has put the entire economy under stress.

Social Security was actuarially stable after it was overhauled by the Greenspan Commission in the 1980s. The baby boomers were all alive and (mostly) working by then. So what really happened?

First, a radical upward shift in income toward the "1 percent" -- and the "0.0001 percent" -- meant that more and more of the nation's income was above the payroll tax cap threshold. That reduced the revenue for Social Security (and much of Medicare) from a projected 90 percent of national income to a figure that's closer to 83 percent.

Secondly, a financial crisis brought on by reckless and under-regulated Wall Street banks crashed the economy in 2008. For millions of Americans it has never come back. Joblessness, along with wage stagnation for the "99 percent," further depleted the programs' revenues.

3. Myth: We need to place limits on Medicare spending and cut its benefits.

Fact: That's like saying the way to end forest fires is by firing Smokey Bear. Benefit cuts and spending caps won't solve our health cost problem. There has been an explosion of for-profit hospital chains in the last twenty years, along with profit-driven laboratories, imaging centers, and other types of health providers.

In addition, our system of reimbursing physicians provides an incentive for them to treat more and charge more for their services. That's costly -- and it subjects patients to a lot of unnecessary tests. On top of that, the lion's share of our health economy is "managed" by for-profit insurance companies who have little motivation or skill when it comes to prudent fiscal management.

If we expand Medicare to our entire population we'd have a health system like that of all other industrialized countries -- whose health costs are roughly 60 percent of our own and grow more slowly than our own. Medicare's cost problem would be solved.

By contrast, the solutions being floated in Washington wouldn't fix the problem -- they'd just dump it onto the backs of seniors and the disabled.

4. Myth: We can't get our federal deficits under control without cutting Social Security benefits -- either by raising the eligibility age, placing gimmicky limits on cost-of-living adjustments, or all of the above.

Fact: Social Security is forbidden by law from contributing to the federal deficit. It's an entirely self-sustaining program. If the day comes when it can't pay its full scheduled benefits, those benefits must and will be cut. This is a phony argument.

5. Myth: Too many millionaires are collecting Social Security and Medicare, so we should means-test and deny them these benefits.

Fact: The number of actual "millionaires" on Social Security and Medicare is tiny, by any objective measure. It wouldn't have any significant impact on their budgets to exclude them -- although it would help a lot to tax them.

(Oh, we can't do that! say the "centrists.")

What's more, Medicare and Social Security are social insurance programs. By definition, insurance shouldn't be means-testing like welfare and other aid programs, because you've already paid your premiums. The "means-testing" argument is often used to mischacterize these programs as "welfare," instead of what they really are: Something people have paid into through the payroll tax throughout their working lives, and (in Medicare's case) which they've also supported through their taxes.

6. Myth: Social Security benefits are too generous. They need to be cut because we can't afford them.

Fact: Our Social Security benefits are lower than those of nations that are economically similar to the US. As we said, the current reductions in revenue were caused by 1) an upward distribution of wealth to the "1 percent" and 2) a financial crisis brought about by Wall Street greed and speculation.

That suggests two possible solutions to Social Security's 20-year-from-now problem: 1) Lift the payroll tax cap, and/or 2) impose a small financial transactions tax on Wall Street and use it to make up the Social Security shortfall. Either of these approaches would solve the problem.

Richard (RJ) Eskow, a consultant and writer (and former insurance/finance executive), is a Senior Fellow with the Campaign for America's Future and the host of The Breakdown, broadcast Saturdays nights from 7-9 pm on WeAct Radio, AM 1480 in Washington, D.C.

 

Follow Richard (RJ) Eskow on Twitter: www.twitter.com/rjeskow

FOLLOW POLITICS
In the coming days and weeks we'll be hearing a lot of misinformation about the Trustees Report from the Social Security Administration. It's time to separate the myths from the realities: 1. Myth: ...
In the coming days and weeks we'll be hearing a lot of misinformation about the Trustees Report from the Social Security Administration. It's time to separate the myths from the realities: 1. Myth: ...
 
 
  • Comments
  • 241
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
Page: 1 2 3  Next ›  Last »  (3 total)
04:14 PM on 04/26/2012
So you're arguing that you can't means test because it's not a welfare program while also arguing to remove the threshold cap and not make benefits proportional to contributions, thus making it a welfare program.

Either these are mutually exclusive options or you're talking out of both sides of your mouth.
photo
HUFFPOST SUPER USER
pooka47401
Reality is the leading cause of stress!
10:25 AM on 04/27/2012
I have paid into Medicare my whole working life, 45 years and counting. So I have paid for benefits ahead of time. So how are you going to make my benefits "proportional to my contributions"?. So those who don't pay into Medicare, because they did not work, should just get sick and die when they get old?? Who would "Decide" what my benefits would be and when they would be capped?? The person who is paid by the Health Insurance Industry because Medicare is privatized??
10:40 AM on 04/27/2012
My comment was in regards to Social Security. It was SS that he proposes to remove the cap and stated it wasn't a welfare program.
05:50 PM on 04/25/2012
It's not quite true that SS has nothing to do with the deficit. Yes, it doesn't directly contribute because it's a separate account, but the problem is that Congress has borrowed from the SS surpluses over the years. The trust fund has "invested" in special issue Treasury securities that have accumulated over the years to the amount of about $2.6t. This counts as intragovernmental debt and not public debt and markets don't care about it much since it's money the government essentially owes itself.

As SS starts running in the red year after year, however, the trust fund will start cashing in those securities ahead of maturity to make up the difference. These will be redeemed with money from the Treasury. Because the Treasury is already running deficits, having to to redeem SS's securities would thereby increase the deficit since the government would have to borrow money elsewhere to pay off the debt. The intragovernmental debt would in this way be converted into public debt. So yes, on the present course, SS will worsen the deficit.
09:26 AM on 04/26/2012
There are some assumptions in your argument. The biggest one is "As SS starts running in the red year after year, however, the trust fund will start cashing in those securities ahead of maturity to make up the difference." You do not know that this will happen. You also seem to think that SS will "run into the red year after year". First, if adjustments are made to the earnings cap, as the article points out, SS won't run into the red at all. Second, if it DID run into the red, a single fix would stop the bleeding - it wouldn't occur "year after year".
As it stands now, no - SS is not a factor in the deficit, and with prudent modifications, it never will be.
04:41 PM on 04/26/2012
null, yes, it's an assumption and it's a fairly safe one. According to the SS trustees, SS has already run deficits in 2010 and 2011 and will again in 2012. Current projections are that it will continue to run deficits and the Treasury securities in the trust fund will be exhausted by 2033 (three years earlier than they projected just last year). Because SS did not have enough income to fund itself in 2010 and 2011, it had to cash in some of those securities which were paid for by the Treasury by borrowing money elsewhere. This means that SS has already contributed to the deficit and will do so more in the future (and this doesn't include the $150b or so contributions made from the general fund to replace the shortfall from the two year 2% payroll tax holiday that looks to be extended even further).

Some object to this by contending that it doesn't change the debt because debt is just being exchanged for debt and this much is true. SS is included in the overall national debt. But the type of debt is important, going from intragovernmental to public. Congress can just cancel any or all of intra-governmental debt by fiat and it will have little effect on bond markets. Convert it to public debt, though, and it's money the government now owes to somebody else and it cannot be canceled without jeopardizing the full faith and credit of the U.S.
photo
HUFFPOST SUPER USER
Scott EngageAmerica
04:37 PM on 04/25/2012
"Social Security is on an even keel for the foreseeable future. Twenty years from now it's projected to be in a position to pay only 75 percent of benefits."

Does no one else see the large contradiction in this statement? It goes to show that reform is needed.

2011 OASIDI Trustees Report indicates that by 2036 the Social Security trust fund will be exhausted (http://www.ssa.gov/OACT/TR/2011/II_D_project.html). It is a problem that only three quarters of benefits will be paid.

Reform must take place: either by raising the wage cap, by increasing the retirement age to keep pace with longevity, by means-testing and eliminating benefits for very high income seniors, or by some combination of these proposals.
09:27 AM on 04/26/2012
No one is suggesting that reform is not needed.
09:29 AM on 04/26/2012
As the article points out, means testing would not help the problem, since there are not that many millionaires collecting SS, unless you mean by this to suggest that the level of income at which SS begins to be cut is quite low. It also suggests that SS is a welfare program, when it is not - it is analogous to an insurance plan.
02:18 PM on 04/25/2012
I see many of these comments and I feel like I am from another planet. Does anyone understand that Govt services inherently suffer from declining quality, scarcity, increasing costs for a given level of service, lack of innovation; all of which are exactly the opposite of what occurs in an unencumbered market. The consumers of Govt services are often asked to cut back, consume less, and put up with delays, shortcomings, etc. while privately produced services are advertised heavily to get the consumer to buy more, which they freely choose to do. There is no legitimate reason for Govt to supply any of these services, notwithstanding the invasion of personal property rights required to fund them via coercive taxation.
09:32 AM on 04/26/2012
No - you're wrong. What happens in an "unencumbered market" is the victimization of the consumer, as profit becomes the sole motivator. The things you accuse government services of - cutting back services, delays, etc - are precisely what the private sector delivers. Have you ever tried to get service from your internet provider in a timely and efficient manner? You may notice that when you call a government office, you don't get someone in Pakistan or the Philippines.
HUFFPOST SUPER USER
disc0pat
Just because we can do it doesn't mean we should.
01:11 PM on 04/26/2012
Fanned and faved.
12:46 PM on 04/25/2012
I agree with other bloggers. If we let everyone enroll in Medicare, we could keep it solvent.

We also can save Medicare by saving our environment, since many illnesses are created by pollution. Also ending government subsidies on beef and pork, as well as taxing anything made of refined sugar, would help create healthier diets.

I will also add that the ACA rewards best practices - That also cuts back on medical expenses.

Rather than shutting down Medicare, let's improve it.
12:42 PM on 04/25/2012
If we elect Romney as President, he will turn Social Security and Medicare over to Bain Capital, which will then gut both Social Security and Medicare of all their reserves, and shut both programs down.

That's what Romey did as CEO of Bain Capital. That's what he plans to do again.

If you depend on Social Security and Medicare, be forewarned. If you vote GOP, you will lose all the money you put into these programs. By voting GOP, you will sign your own death warrant.
09:34 AM on 04/26/2012
You really think the President has the power to do these things? I'm a flag-waving Democrat, and I think you're being a non-thinking doofus by suggesting what you have. By all means vote for Obama, as I will, but don't spread stupid nonsense. It just makes our side look like idiots.
HUFFPOST SUPER USER
disc0pat
Just because we can do it doesn't mean we should.
01:13 PM on 04/26/2012
No, the president alone doesn't have the power, but MR would try to lead the country inthat direction. You know it and I know it.
Hambone1
When not just ANY bone will do
12:33 PM on 04/25/2012
Richard, another great article. Now how do we get the low information voters to read the truth before they talk/write about solutions?
photo
WI Patriot
Defending the Constitution.
12:12 PM on 04/25/2012
All I ask as a citizen that I get the money back that was collected under the original intent and purpose of Social Security.

Now if the Govt says they blew my money and nothing is there - I will start repossesing Federal Govt property/money until the debt is paid, which is completely legal, and will defend myself from any and all criminals that stand in my way.
12:48 PM on 04/25/2012
What do you plan to take over? The nearest military base? The nearest veterans' hospital? Or the nearest Interstate? I wish you a lot of luck in any of these endeavors.
photo
WI Patriot
Defending the Constitution.
12:35 PM on 04/26/2012
Thanks, as a 6-tour combat vet I have the capability, knowledge, weapons, and people.
09:39 AM on 04/26/2012
Typo: what you are suggesting, not suggestion.
HUFFPOST SUPER USER
gateking
11:04 AM on 04/25/2012
The usual selective and creative use of facts, near facts and fiction. For example, the author opposes means testing as these are really social insurance programs. At the same time, the author favors uncapping what you pay in despite the fact that no rational person would ever buy the resultant negative payback insurance. Need to decide if desire a welfare program or an insurance program, it isn't a Chinese menu.
09:46 AM on 04/26/2012
You are wrong. As it stands, the cap on income subject to tax is an arbitrary number, and raising it will not affect most Americans at all - only the well-to-do will notice an increase, but they can well afford the slight dip in their lavish income.
Means testing, besides being irrational in an insurance program - it would convert SS into a welfare program - would do very little to help the potential insolvency issue. Raising the cap on income subject to tax raises the cost to a small percentage of well-off citizens and fixes the problem for the entire nation for the foreseeable future.
The sky will not fall if we ask a few people to pay a little more for their insurance. Especially people who already draw an obscene amount of income. There is too much money in too few hands for the well-being of this country as it is.
Let's at least pretend we care about social equity, ok?
This user has chosen to opt out of the Badges program
photo
10:49 AM on 04/25/2012
There is so much misinformation about Social Security being circulated that we truly need some facts to balance the politically-motivated hyperbole. The truth is that Social Security has been adjusted numerous times over its history to meet economic and demographic changes. The simple solution to address the current "shortfall" (bearing in mind that the program is fully solvent until 2033 and would still pay 80% of benefits thereafter, even if nothing was done) is to remove or raise the wage base, currently topping out at $106,000. The point that Social Security is required by law to be self-sufficient and has nothing to do with the deficit. Good article.
09:48 AM on 04/26/2012
I agree. While SS benefits are raised to account for inflation, the tax base of the system remains where it was 30 years ago. Inflation should be taken into account as regards taxable income.
photo
RUKidding0
Freedom is Fundamental
10:37 AM on 04/25/2012
Eskow is following the maxim, "Get out in front of news that is devastating to your cause.", but that won't change the bad news.
HUFFPOST SUPER USER
jumpinjezebel
I'll show U mine if U'll show me urs
10:52 AM on 04/25/2012
Don't let the facts get in your way!!
HUFFPOST SUPER USER
LA RAM
11:43 AM on 04/25/2012
Yes, the bad news may be that too many folks out there aren't bright enough to see that Eskow is correct.

They are much more likely to accept the misinformation and ignorance peddled on Fox Entertainment channel 24 hours a day, and vote against their very own financial interests.

Thank you, Mr. Eskow, for this fabulous article. Will forward it to all of my friends and family.
HUFFPOST SUPER USER
Allene Stucki
10:33 AM on 04/25/2012
Not true that 'social security is insurance" and that "you have already paid your premiums". What you paid, by whatever name, went to support your parents and/or grandparents. The money was all spent. Now, you expect the "premiums" your children and grandchildren pay will support you. Problem is, your generation elected to have fewer kids than previous generations, so now the Ponzi principle is kicking in. Might as well face the truth, fewer workers and more retirees means less money in the system.
12:56 PM on 04/25/2012
Well, yes and no. True, the cash isn't there. But there are IOUs. Is that money good? Matter of opinion I guess.

Greenspan helped the Reagan admin pay for the deficits created by trickle-down back in the early 80's by raising the SS tax (a regressive tax) and then "lending" a lot of that to what was thought to be the most trusted borrower in the world, the US govt. The firewall that COngress created back in the 30's that stood between the SS fund and the general fund was basically breeched under the guise of a program to improve the health of the fund (man, did that backfire).

But the deficits only existed because of the tax cuts to the wealthy. So to sum it all up, a big chunk of the overall tax burden was shifted away from the wealthy and onto the backs of the middle class, present and future. The SS fund finally ran dry in 2004 at which point we started to borrow from the Chinese.

You're right, its a pay-as-you-go system now. Greenspan and the rest of the GOP managed to foil FDR in the end.
01:08 PM on 04/25/2012
Reagan as the worst president in history after bush failed us all
09:52 AM on 04/26/2012
You didn't read the article, did you? First of all, the SS system is solvent for DECADES to come, even if we do nothing. Only slight adjustments would be required to the level of income subject to SS tax for the system to be self-sustaining indefinitely. This change would likely not affect you in the slightest, except in the sense that - should you be lucky enough to live long enough to collect it, SS will be there for you, and for all of us.
photo
HUFFPOST SUPER USER
dch58
To think is to differ.
09:44 AM on 04/25/2012
Makes sense. Why not do it.
01:03 PM on 04/25/2012
Oh that's a simple answer. We don't (or haven't) done it because the Right-wingers can't wrap their heads around those pesky things we call facts.
Linda from Deerfield
Paying attention
09:41 AM on 04/25/2012
The myth that is most strikingly debunked by Mr. Eskow's article is that the mainstream media is left-leaning. Consider all of the myths about the depth of Social Security problems. As Mr. Eskow indicates, it is self-evident that the downward wage pressure that developed in the 2000's would hurt Social Security somewhat, and the mathematics of that and the rather easy solutions have been laid out by people like Bill Richardson, but does anybody ever hear that any more from any mainstream sources? No. There is dishonest journalism all around us, stacked against the left.
This user has chosen to opt out of the Badges program
09:33 AM on 04/25/2012
It can all be fixed by............raising taxes.
09:55 AM on 04/26/2012
By raising the level of income that is subject to SS tax, yes. Currently the amount of income subject to SS tax is capped at slightly over $100,000. Do you make more than $100,000? If not, then the change required will have no effect on you, other than ensuring that your SS will be there for you in total when you need it. Worth a tax increase on the wealthiest members of our society? You bet it is.