General Reform

25% of us don’t see doctors because that costs too much.

32% of older millennials (is there such a thing?  Gad) skip the doctor.  13% of Americans don’t have any health coverage plan at all—paying the penalty is more valuable to them.  Half of us don’t think we’ll have affordable health insurance much less Obamacare’s health coverage welfare.

This, together with today’s other post, just illustrates the fact that no single part of our economy—or of our Federal government—can effectively be treated in isolation: not Obamacare alone, not Federal spending alone (especially not by “cutting” through reducing the rate of growth in spending), not taxing alone, not debt handling alone.

They’re a system, and the system as a whole must be reformed, not convenient parts of it.  That’s Systems Management 101.

The Rich Are Out Of Money?

They are in Connecticut, anyway, or at least out of trust in the State’s government regarding their money.  Or the State is out of rich.  Aetna, Inc, one of the giants of health and dental coverage that’s headquartered in Connecticut is looking hard at joining the exodus from the State, having grown tired of being the State’s tax piggy bank.

Governor Dannel Malloy (D) says he’ll match other states’ financial incentives—not exceed—if only Aetna will stay, but as The Wall Street Journal put it, “taxpayer money can’t buy fiscal certainty and a less destructive business climate.”

The result of the Left’s assaults on the wealthy’s pocketbooks?  The Left has shattered its own rice bowl.  The State’s Office of Fiscal Analysis

reduced its two-year revenue forecast by $1.46 billion. Since January the agency has downgraded income-tax revenue for 2017 and 2018 by $1.1 billion (6%). Sales- and corporate-tax revenue are projected to fall by $385 million (9%) and $67 million (7%), respectively, this year. Pension contributions, which have doubled since 2010, will increase by a third over the next two years. The result: a $5.1 billion deficit and three recent credit downgrades.

The remaining rich are bugging out, headed for States that appreciate the jobs—and resulting expanded incomes and revenues for those States—that these guys and their companies bring with them.

[emphasis added] In the past five years 27,400 Connecticut residents…have moved to no-income-tax Florida, and seven of the state’s eight counties have lost population since 2010. Population flight has depressed economic growth—Connecticut’s real GDP has shrunk by 0.1% since 2010—as well as home values and sales-tax revenues.

Hmm….

Another Hypocrisy of the Left

Among the tax reforms in the current plan before Congress is the elimination of the state and local tax payments as deductions from individuals’ Federal income tax returns.  Who actually benefits from these deductions, though?  Taxpayers in New York, California, and a couple of others.  States dominated, for the most part, by the Progressive-Democratic Party.  There’s an ox being gored.

Who else benefits from these deductions?

…88% of the benefits in 2014 flowed to taxpayers who earn more than $100,000, while 1% went to those who earn less than $50,000….

That’s not quite the Progressive-Democrats’ hated 1%, but they’re included—and the poor, whom the Progressive-Democrats pretend to want to help, get almost nothing for the deduction: they don’t have enough income to be able to use it—even if they live in those Blue States whose governments so loudly pretend to be on their side.

The Progressive-Democrats aren’t even consistent in their opprobrium.

The deduction is worth about $100 billion a year—the sixth largest individual income tax break. The Tax Foundation estimates that eliminating the write-off would raise $1.8 trillion in revenue over a decade.

Not even the prospect of all this money for Federal coffers—$180 billion per year to offset those $100 billion of deductions—is enough to draw the Progressive-Democrats in.

Heaven forfend that they take an alternative course.  They could jump on that large increase in the Federal take with both feet, and in parallel (especially since the deduction goes away) those Blue State governments could lower their own tax bites….

Disingenuosity

At the State level, more and more legislatures are succeeding in ceasing to send taxpayer money to Planned Parenthood.

Planned Parenthood recently announced the shuttering of four of its 12 Iowa’s clinics in Iowa [sic] after the Hawkeye state’s Republican-led legislature voted earlier this year to cut funding to clinics that performed abortions. Also last week, the health care nonprofit announced it was closing its only clinic in Wyoming and three of its clinics in New Mexico in what it called a “realignment of resources.”

Texas and other States have similarly acted, and Congress is moving to stop transfers of taxpayer money to Planned Parenthood, also.  Of course pro-abortion folks are up in arms about this.  Raegan McDonald-Mosley, Chief Medical Officer at Planned Parenthood Federation of America:

This is hardest on people who already face barriers to accessing health care—especially people of color, young people, people with low to moderate incomes, and people who live in rural areas.

And hold-overs from the Obama administration:

Estimates by the Congressional Budget Office indicate that defunding Planned Parenthood would save roughly $200 million in federal spending while reducing health care for as many as 390,000 people.

These claims are disingenuous at best.  If the reductions or removals of taxpayer money to abortion providers like Planned Parenthood are “hardest on people who already face barriers to accessing health care,” if pending cuts really would “reduc[e] health care for as many as 390,000 people,” it’s only because abortion providers insist on allocating the monies they have away from providing health care to needful women toward providing abortions instead—thereby denying health care to those needful babies as well as to the needful women, pregnant and otherwise.

Organizations like Planned Parenthood really do provide valuable health care services to needful women, and to their families.  They could continue to do so largely unabated if only they’d use the funds they bring in for that instead of for abortions.

Budget Cuts and Bribery

…or budget cuts and coercion, depending on your perspective.

The president’s budget, due for release Tuesday, will spare the two largest drivers of future spending—Medicare and Social Security—leaving trillions in cuts from other programs. That includes discretionary spending cuts to education, housing, environment programs, and foreign aid already laid out by the administration, in addition to new proposed reductions to nondiscretionary spending like food stamps, Medicaid, and federal employee-benefit programs.

What’s going to be ignored in the inevitable hoo-raw over these allegedly terrible cuts to various aspects of our nation’s “safety” net is the truly terrible downside of those aspects.

The Federal monies being sent to the States for education, housing, environment programs, food stamps, Medicaid, and on and on in the seemingly endless, yet growing, list is in large part those States’ own money.  Its income and other taxes collected from each State’s citizens and businesses (which is to say each State’s citizens), with a fraction of those collections then returned to each State (the rest is sent to other States, which does the collected-from State’s citizens no good at all), but with a cynically attached value-add: Federal strings.  Use this money the way we tell you to use it, or we’ll reduce the amount of your money we return to you.

With the proposed cuts to these programs, the States actually will be gaining: the cuts will facilitate associated tax rate cuts, leaving more money in those States—those States’ citizens’—hands.  Just as importantly, though, the strings attached to the Federal funds transfers will be greatly weakened in favor of the States’ own decision-making.

We’ll find out, too and in short order, how sincere the Republican-controlled Congress, whose members ran on and were elected to effect fiscal discipline, really are, whether they’re more interested in maintaining Federal control over States’ individual and varied economic decisions, or whether we need to just keep doing what we’ve been doing the last several Congressional election cycles: firing those who fail to perform, and replacing them.

Congressman Mark Sanford (R, SC) had such a thought:

For a budget to have any meaning, it’s essential we have realistic assumptions in terms of economic growth and in terms of spending reductions.

True enough.  It’s more essential, though, that our representatives not use such excuses to block meaningful tax reform and actual spending cuts and with that continue to exercise too much control over the 50 States.

As an aside, this brings up two elephants in the safety net herd: Social Security and Medicare.  The foregoing—all of it—applies to these two things, also.  In spades.