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Posts Tagged ‘Tax Cuts’

Debt and Taxes in Pictures and Graphs

Sat ,09/03/2013

We all have different ideas about what is a fair tax policy and a fair distribution of wealth.  Below are some pictures and graphs  which  show that conventional wisdom may not give us a clear picture of the facts – and that we may need to reconsider what is actually fair.

State Taxes: Last year, Oklahoma cut  state taxes and is considering another tax cut. The graph below is the data for Oklahoma from the Institute on Taxation and Economic Policy .  It shows that those in the lowest income group pay the highest percentage  of their income in taxes.  The 2012 Oklahoma tax cuts skewed the distribution even more, as 75% of the tax cuts went to the top 20%  in income.  You may look  up the data for your state at the link above. The tax cuts in Oklahoma, and perhaps in your state, were justified by using Laffer’s economic theory, though the theory apparently fails in practice.

Capture
Distribution of Wealth:  The graph  below compares what people consider the ideal distribution of wealth, with how they think wealth is distributed. Both are very different from the actual distribution of wealth. Taxation and spending policies have greatly contributed to this distribution of wealth.

 

Wealth in Amer 2

 

National Debt:  Taxation and spending policies greatly affect our national debt. The graph  below, from the CBO, shows how the surplus projected in 2001, the top red line, was decreased by the weakening economy, tax cuts, and spending decisions. The stimulus accounted for  6% of the decrease and Obama’s policies for 8%.

 

debt

 

Tax Rates: This chart gives some historical perspective on the top marginal tax rates. Those in the top  income bracket     have been enjoying the lowest tax rates since World War II.

 

tax rates

 

Spending:  The conventional wisdom is that our current deficit is because of  increasing government spending. That is not borne out by the data.

spending

 

The Deficit: Though there have been many claims about our growing deficit,  the deficit has actually been shrinking as a share of the GDP.

 

Deficit Obama

 

Ancient Wisdom: Aristotle thought that nature, and even politics, could best be understood by observations and reason. In the fifth century BC, Aristotle compared the democracy in Athens with other forms of government and warned against a major flaw in democracy. If the poor gain too much power, they will vote too many benefits for themselves and will deplete the treasury.  If the rich gain too much power,  they will use that power to further enrich themselves, leaving too many of the citizen’s poor. Aristotle thought democracy was only a viable form of government if there was a strong middle class.

Economics is not the only issue in most elections, and many people vote for a candidate based on social issues, sometimes without considering that  the candidate may make decisions against their best economic interests. Perhaps it’s time we put divisive  social issues aside for awhile, and work on restoring the economic balance in our society. Our education system, our infrastructure, our health, and our economic well-being all depend heavily on our taxation and spending policies. Although economic imbalance may be becoming a threat to our democracy, that can be changed if we will become informed and

 

Vote

 

(C) 2013 J.C. Moore

The 2012 Presidential Election: Things You Should Know Before You Vote

Wed ,24/10/2012

The idea of “death panels” has seemed to fade somewhat from the political debate scene lately but what if I told you there was actually a real case of government control that came very close to what could actually be called a “death panel”?

In one U.S. state, a governor trying to balance the state budget made serious cuts to Medicaid expenditures that included limiting the payments of hospital stays to 20 days, no matter how sick the patients was and regardless  of the need for further care.  Hmm, that sounds like something very close to a government “death panel”. Denying care to the sick in order to balance a budget is not the kind of government intervention I want and I would hope that most people with a conscience would feel that way.  Ok, you might have guessed that I am referring to Governor Mitt Romney. Yes, you can check it out, but he actually did that.

Medicaid Cuts: Along with this care restriction, he also proposed that low-income Medicaid patients be charged a monthly fee for participation and co-payments for doctor’s visits. If you don’t have the money for the co-payment you won’t go to the doctor and therefore Medicaid won’t have to pay for your visit thus saving money! Because Medicaid spending was more than one-fourth of the state spending, it was an easy target. One might wonder if cuts to Medicare and Social Security might not have the same easy target, budget balancing appeal for Romney as president. If you could make cuts to these two programs which makeup a large portion of the Federal budget, you could show a better bottom line. Is that really the way government should get to a better bottom line?

Raising Taxes: If you research just a little, you will see more of the real Romney. He runs on the premise of not raising taxes but then, as he did inMassachusetts, comes up with plans to raise fees and cut loop holes which are actually new taxes disguised as fees.  Romney proposed 33 new fees along with increases in 57 existing fees resulting in higher costs for birth certificates, new car purchases, driver’s learning permits, firearms permits, professional licenses, and billboards advertising, as well as for many state services. He also increased a state gasoline fee originally intended for cleanup of contamination around underground fuel storage tanks. The two cents per gallon increase made for a total effective state gasoline tax of 23.5 cents per gallon, generating about $60 million per year in additional revenue. Even with all the cuts and “non-tax” increases, the government spending showed an increase under Romney.

Jobs: Oh, and then there is his statement about “ I know how to create jobs”. (Though he is fond of pointing out that government doesn’t create jobs.) Well, during his time as governor, Massachusetts job growth was 1.5 percent when the national average was 5.3 percent making them 47th of the 50 states in new job creation.

Bipartisanship: Romney has also been fond of pointing out how well he worked with the Massachusetts Congress but it is noted that he issued 844 vetoes and the largest share of them were overturned by one or the other of the state houses.  He was quoted as saying, “I know how to veto. I like vetoes. I’ve vetoed hundreds of spending appropriations as governor.” Again, this sounds more like a CEO than a servant of the people.

With what I’ve read about Mitt Romney’s time as governor of Massachusetts, it seems that he governed very much  like a CEO with the bottom line always driving his decisions – and not so much the good of the citizens of his state. The Federal budget might be in a poor state at present, but The United States of America is not a company. We do not need a CEO  nor are the tactics of a business CEO the best way to govern. We need a President.

Source: http://en.wikipedia.org/wiki/Governorship_of_Mitt_Romney

This is a guest post by Barbara Moore.

© 2012 Barbara Moore

Should Entitlement Programs Be Reformed?

Sun ,10/06/2012

Many who are successful attribute it to their ability and hard work. That is often true, but most Americans also owe their success to the opportunities, education, and resources that our country provides us – and also to good fortune. Our country provides safety nets so that no matter how fortunate or unfortunate a person is in their life, they will receive healthcare and not be destitute in old age. Those safety nets are often called “entitlements programs “, and that is true. We all pay to support those programs through taxes and contributions and we are all entitled to the benefits. Those who do not need the safety nets, or who do not wish to pay their share, often want to reform them in ways consistent with their self-interest.

 In the Tulsa World article, “Social Security, health care reform needed”, John Brock lays out a plan to remove government from managing retirement funds, Social Security, workers compensation, and health care. Mr. Brock says “the solution to our government’s problems is to empower people to manage their own affairs.” Though empowering people sounds good, the article is based upon questionable assumptions.

 The first assumption is “that the government is controlling our lives more and more.”  That is a common theme in politics these days, but hardly true. We democratically elect our representatives and leaders, and we have much more control over our government than probably any other country in the world.

The second is “having a government manage these necessities is risky. “ He points out that Greece, Spain, and a number of state and local governments are having financial problems. That’s true, but is not necessarily because of their entitlement programs. Many of the problems stem from the fact that the wealthy have found ways to reduce or avoid paying taxes. He goes on:  “For decades governments have been taking on future obligations without making provisions to cover the costs.” However, in many cases, provisions were made to cover the cost but later tax cuts reduced the expected revenues. Then, there are many who do not think that teachers, policeman, fireman, serviceman, and other government employees are worth the retirement funds provided them.

The next assumption is that Social Security “will default in the near future”. The Social Security trust fund is adequate to pay benefits through 2023, and raising the FICA cap could extend it through 2080. The Social Security Trust Fund is invested in US Treasury bonds, which earn interest and are as solid as theUS government. We are lucky that Social Security was not privatized in 2006, as the recession would have wiped out much of our retirement savings.

The final assumption is that we all have the time and the expertise necessary to deal with the work that Mr. Brock’s plan would require. Those who are wealthy and lucky would certainly profit from managing their own accounts, but those who lack expertise or are not lucky may end up with no medical care provisions or retirement funds.

 The idea of insurance is to spread risk and the larger the population, the less expensive and more reliable insurance is. Spreading the risk over every citizen increases the efficiency and provides a safety net for everyone. We are lucky to live in a country where we enjoy the benefits that self governance and cooperation affords us. We should resist efforts to remove programs which provide our safety nets from government management, particularly if it makes them less reliable or managed by those who desire to profit from them.

(c) 2012 J.C. Moore

Congressman John Sullivan’s Town Hall Meeting II

Tue ,07/02/2012

 

Congressman John Sullivan (R-OK) held a town hall meeting in Tulsa, Oklahoma where he discussed the budget, Social Security,  energy issues, EPA regulations, jobs, and the XL pipeline. The article gives Congressman Sullivan’s positions, comments and questions asked by the audience, and compares the authors views to Congressman Sullivan’s.

Congressman John Sullivan conducted two town hall meetings in Tulsa on January 26, 2012. The first was held at Tulsa Community College’s Metro Campus where a number of his constituents challenged Sullivan’s views. That meeting was reported  by the Tulsa World’s Randy Krehbeil in, “Sullivan town hall-goers applaud Obama speech”.  The afternoon meeting, which was held at the Hardesty Library in South Tulsa, had a much more partisan crowd. Congressman Sullivan’s opening remarks were much like those at his Sand Springs meeting last November. At the Hardesty meeting, he did not give people the opportunity to applaud Obama’s speech, he just criticized it. When people tried to point out the errors in his criticisms, they were interrupted by people shouting,” Ask a question”. Sullivan was there to hear what his constituents thought, but apparently his supporters did not want to hear anything good about the President.

 Gridlock: Congressman Sullivan likened Obama to a football coach who gives a great locker room talk but doesn’t win. It was a bad analogy as the coach cannot win without cooperation from the players, and many players in Congress seem more interested in beating the coach than winning for the country. Every winning team needs a reasonable budget, but many Congressmen have insisted on cutting taxes and 206 legislators, Sullivan included, have signed Norquist’s pledge not to raise taxes. He blamed the President and the Democrats in the Senate for the gridlock, saying that the house had sent the Senate 26 bills that were not enacted. However, most of those bills contained a “poison pill”. For instance, H.R. 3630, the badly needed Middle Class Tax Relief and Jobs Creation Act of 2011, also had a provision to delay implementation of the Medicare Sustainable Growth Rate, to hinder the EPA, and to force approval of the Keystone XL pipeline. It is hardly fair to blame the Senate when they are not sent clean bills.

 Energy : Congressman Sullivan said that we needed the XL pipeline to create jobs and claimed that it would create hundreds of thousands of jobs directly and indirectly – and that the only problem was just a few miles through Nebraska wetlands. The problems are actually much greater.  They involve destruction of the boreal forests in Canada, pollution of Canadian rivers, acquiring the water and energy needed to process tar sands, and the carbon emissions the project would cause. Then, it is still not clear how many jobs it will actually create, who will profit from the project, and whether much of the oil will be shipped to foreign countries, possibly without being taxed as some of the refineries are in a tax-free zone.

 The Congressman said he has introduced legislation encouraging the development of natural gas as a fuel. He pointed out that natural gas provides about three times as much energy and costs much less than gasoline. Natural gas is plentiful in Oklahoma and developing the infrastructure to use it as a fuel would help Oklahoma’s economy and reduce our dependence on foreign oil. That is about the only positive contribution that Congressman Sullivan has made on environmental issues. Using natural gas would also significantly decrease our carbon emissions – but the Congressman did not mention that as he does not accept the scientific research on climate change. His supporters claim to be conservatives, but it is hard to imagine how they could support someone who is not also a conservationist. Congressman Sullivan scored a 9% on the League of Conservation Voters scorecard (page 52).

Audience Questions: The wife of a veteran told of the problems her husband had getting help from the Veterans Administration and asked if Sullivan could help. Congressman Sullivan said he would see what he could do. I hope he can help that veteran, but it is not likely that all the veterans needing help will get it if we cut the budget as Congressman Sullivan wanted. The veteran was certainly a good man, and when pressed to speak, he said that it would really help if people would recycle more. He pointed out that we throw away a lot of things that are still useful and that by recycling them we could create a lot of jobs and save our resources.

 Another woman complained that the EPA’s rules about Freon were making it difficult to get the refrigerant needed for their air-conditioning business. Congressman Sullivan took it as an opportunity to criticize the EPA and the Obama administration, apparently unaware that those rules had been signed into law by President Reagan.

A CPA in the audience brought it to the Congressman’s attention that the low interest rates were hurting people who had their nest egg in savings accounts and CDs. He also pointed out that the mandatory IRA withdrawals required at age 70 1/2 are making people withdraw the money that they may need to save for later in life. The Congressman agreed that some changes need to be made there.

 When the Congressman was asked about who he would like to see as the Republican presidential candidate, he said he would support whoever could beat President Obama. A member of the audience tried to point out that there were other things more important than beating Obama, and that the President and his wife were good role models and examples of family values. She was almost drowned out by disagreements from the audience.

 Entitlements: There was a time when Republicans were fiscal and environmental conservatives. Congressman Sullivan said he wanted to cut what he calls “entitlement programs”, but one of his own supporters set him straight by pointing out that those were “earned benefits”, not entitlements. I want my children and grandchildren have the same benefits I did, and I want them to have clean air to breathe and clean water to drink and a beautiful Earth to enjoy. They are entitled to that.

Research Credit: Barbara Moore

(c) 2012 J.C. Moore

Congressman John Sullivan's Town Hall Meeting

Sat ,31/12/2011

Election season is coming up, and many of our representatives are, or will be, holding town hall meetings. Congressman John Sullivan (R-OK) held  one of his town hall meetings in Sand Springs on November 7, 2011. He told us that things have been crazy lately in Washington, and he illustrated that by talking about the budget.

 Budget: A Supercommittee has been formed with the goal of reducing the deficit by $1.2 trillion. Congressman Sullivan said he did not think that was enough and he supports a balanced budget amendment, with the goal of cutting $4 trillion from the budget. He said that we would have to cut entitlement programs such as Social Security, Medicare, Medicaid, and a list of other programs that mostly help the poor and the middle class.  He said he supports raising the age or cutting the benefits for Social Security, but that those over 55 should not worry, as the proposed changes would only affect those younger than 55.

 A member of the audience commented that he did not think that was fair, as he was just under 55. When the Congressman was asked if he would consider raising revenue rather than making such deep cuts in spending, he said he could not support raising taxes. That is not surprising as he and 276 Legislators have signed Grover Norquist’s anti-tax pledge, making it almost impossible for Congress to raise taxes. Any reasonable effort to balance the budget will require tax increases as well as spending cuts. Congress is trying to fight the budget battle with one hand tied behind its back.

 Congressman Sullivan also criticized the budget submitted by the President, saying that no one would vote for it and even Harry Reid voted against it. A member of the audience pointed out that Harry Reid changed his vote for procedural reasons and asked what the Senate’s vote was. The congressman replied he did not know. The records show that the President’s budget passed the Senate by a vote of 51 to 47, but not enough to overcome a filibuster. Harry Reid changed his vote as a procedural move so that it might be brought up again later.

 Banking reform: Congressman Sullivan said he could not support unneeded regulations and that the Dodd Frank law should be repealed because “it hurts small banks”. That is surprising, as the Dodd Frank bill was applauded by the Independent Community Bankers of America who said it would “level the regulatory and competitive playing field for community banks.”

Energy: The Congressman said he has introduced legislation encouraging the development of natural gas as a fuel. He pointed out that natural gas provides about three times as much energy and costs much less than gasoline. Natural gas is plentiful in Oklahoma and developing the infrastructure to use it as a fuel would help Oklahoma’s economy and reduce our dependence on foreign oil. Using natural gas would also significantly decrease our carbon emissions – but the Congressman did not mention that as he does not accept the scientific research on climate change.

 EPA: Congressman Sullivan was quite critical of the EPA and stated he has introduced legislation that would require the EPA to do a cost-benefit analysis for every rule it makes. His legislation would create a huge amount of paperwork for the EPA and would make its job impossible to do, which seems to be his goal. Perhaps Congressman Sullivan could help by including a value for human life in his bill, as the EPA says slashing toxic emissions would prevent many premature deaths. The American Lung Association  estimates that the EPA’s proposed  guidelines could prevent 38,000 heart attacks and premature deaths, 1.5 million cases of acute bronchitis and aggravated asthma, and 2.7 million days of missed work or school. The public agrees that the EPA should be setting standards to protect our health, not Congress. A recent poll found that more than two-thirds of registered voters supported EPA setting strong air pollution standards.

 Jobs: The Congressman spent considerable time criticizing the job creation efforts and the economic policies of the President, particularly the stimulus program. When he declared that the government could not create jobs, someone the audience asked him about the CCC and the WPA, which created jobs during the Great Depression and provided improvements in the infrastructure, such as creating the REA. The Congressman answered with a long criticism of the stimulus package, which he finished by claiming that the stimulus package had not created one job.

 A school administrator in the audience said that there were a number of jobs saved in education by the stimulus money and that the cuts to the school budget would’ve been much worse without it. Interestingly, the records show that District 1 in Oklahoma, Congressman Sullivan’s district, received $463 million in stimulus money which directly created 280 jobs. That did not include jobs indirectly created or jobs that were saved, such as the teaching jobs.

 Services: When asked about cuts to mental health services, the Congressman rather surprised us all by saying that one fourth of all Oklahomans have some form of mental illness. The Congressman said he supports mental health programs, efforts to help soldiers with PTSD, and programs that help those with substance abuse. However, it is rather difficult to see where money would come from to support those programs if the budget were cut by $4 trillion.

 2012: The 1st District covers the population centers in the northeast part of Oklahoma, mostly Tulsa and north to Bartlesville. We certainly appreciate Congressman Sullivan taking time to share his comments with us and answer our questions. Some of the things the Congressman said were of concern to the author, as you can discern from his comments. As the 2012 elections near, Oklahoma voters need to weigh carefully what Congressman Sullivan says and how he votes in order to decide if we should return him to Washington.

Co-authorship credit: Barbara Moore

(c) 2011 J.C. Moore

Is Grover Norquist Helping Your State Go Broke?

Thu ,06/10/2011

Tax Cuts: Though it sounds good to be against taxes, fiscal responsibility may require that taxes be raised, particularly after they have been cut beyond what is prudent. Because of the reduced revenue in Oklahoma caused by the 2004 state tax cuts, it has become very difficult for the state to meet its financial obligations. In spite of that, another tax cut that was set to be triggered when state revenues improved by 4%, will go into effect in 2012. Astoundingly, that tax cut was triggered only because the state revenue had fallen far below the amount needed to fund the state’s needs adequately. Oklahoma is not able to adequately fund K-12 education, higher education, infrastructure, transportation, public health services, public safety, and other services. Oklahoma ranks near the bottom of all the states in poverty, public health, education, crime, and infrastructure repair, yet the legislature has engineered another tax cut . While the tax cuts were touted as a way to lure businesses to the state, it is difficult to see why a business would want to move to a state where its management and employees would have to live in substandard conditions.

Oklahoma Taxes: Although it is easy to cut taxes in Oklahoma, it  is very difficult to raise them. Raising taxes requires either a three fourths majority in both houses of the legislature or approval by a referendum.  It is very difficult to convince voters that they should vote to increase taxes upon themselves. Tax decisions are best decided by the legislatures, who are charged by the Constitution with budgeting adequately for the needs of the state. However, it is unlikely that Oklahoma would ever get a three fourths majority to raise taxes as Oklahoma’s  Governor, Lt. Governor, 7 Senators( of 48), and 26 House members( of 101)  have pledged away their responsibility to raise needed revenue by signing Grover Norquist’s  Americans for Tax Reform Pledge.

Norquist’s   Pledge is not as much about reform as one might expect. The true nature of the anti-tax organization was revealed when Norquist claimed it was a violation of the Pledge to close tax loopholes for companies that outsource American jobs overseas. Apparently, Norquist has set himself up as the sole interpreter of what the Pledge means, and he uses it to intimidate those who have signed the pledge into following his wishes. He first said that allowing the Bush tax cuts to expire was not really a tax increase, then reversed his position, claimed he misspoke earlier, then claimed anyone voting to let the cuts expire would be violating the Pledge. He also claimed that Sen. Tom Coburn violated the Pledge when he supported ending the subsidies for ethanol, which have raised food prices and been disadvantageous to Oklahoma farmers. Grover Norquist, who was not elected, and whose name many would not even not recognize, has become a power broker in our national and state governments.

Oklahoma’s Constitution: Still, the responsibility rests with the elected representatives.  In Oklahoma, there is a prohibition against our elected Representatives signing such a pledge. The Oklahoma Constitution, says in Article X, Section 5: under Surrender of Power of Taxation :

“ A. Except as otherwise provided by this section, the power of taxation shall never be surrendered, suspended, or contracted away. “

There are no provisions in the section exempting Oklahoma’s elected representatives from abiding by the restriction stated in “A.”  Clearly, signing the Pledge is a violation of the Oklahoma Constitution, which the legislators have sworn to uphold. 

Your Representatives:  US Senators and Congressmen are important at the state level as they are considered to be leaders in our respective states. Norquist claims 235 US Representatives and 41 US Senators have signed  his Pledge. In doing so, they have clearly given up their responsibility as our elected representatives.   If your state is unable to meet its financial obligations, those at the state level who have taken the anti-tax pledge are listed in this article.  Also, those in the US Legislature who have signed the pledge are listed here. You may wish to check see who from your state has signed the pledge and contact them. Since Norquist claims that signing the pledge is binding into perpetuity, I would suggest that we make sure none of the signers are re-elected.

 

The Oklahoma Lists: Below is a list of those who have signed the pledge in Oklahoma. If anyone is listed who has not signed the pledge or has had their name removed, please notify the author in a comment on this article.

Oklahoma:  

Gov. Mary Fallin

Lt. Gov. Todd Lamb

 

7 Senators (of 48)

Cliff Aldridge (S-42)

Josh Brecheen (S-6)

Bill Brown (S-36)

Sean Burrage (S-2)

Kim David (S-18)

David Holt (S-30)

Jonathan Nichols (S-15)

 

26 House members (of 101)

Gus Blackwell (H-61)

Mike Christian (H-93)

 Josh Cockroft (H-27)

David Dank (H-85)

Lee R. Denny (H-33)

David Derby (H-74)

George Faught (H-14)

Corey Holland (H-51)

Charlie Joyner (H-95)

Sally Kern (H-84)

Charles Key (H-90)

Randy McDaniel (H-83)

Jason W. Murphey (H-31)

Charles Ortega (H-52)

Leslie Osborn (H-47)

Mike Reynolds (H-91)

Mike Ritze (H-80)

Dustin Roberts (H-21)

Sean Roberts (H-36)

Mike Sanders (H-59)

Earl Sears (H-11)

Colby Schwartz (H-43)

Randy Terrill (H-53)

Sue Tibbs (H-23)

John Trebilcock (H-98)

Paul Wesselhoft (H-54)

 

Six of Oklahoma’s seven  US Legislators have signed Norquist’s  Pledge. Those are:

Senators: Sen. Tom Coburn* (R), Sen Jim Inhofe (R)

 Representatives: John Sullivan (R), Frank Lucas (R), Tom Cole (R), and James Lankford (R).

* In all fairness, Senator Coburn has worked on a bi-partisan budget solution and recently drew Grover Norquist’s ire by suggesting we might have to raise revenue.

(c) 2011 J.C. Moore

Research credit:  Barbara Moore

Bits and Pieces 7: The President and the National Debt

Tue ,02/08/2011

This link is to a Tulsa World Cartoon showing Congress playing President Obama like a fiddle. Many who commented on it used it as an excuse to criticize Obama. They need to stop and think.

Yes, Congress is playing Obama like a fiddle. However, it reminds me of the story of Solomon. When two women came before him, both claiming the same son, Solomon ordered the boy cut in two and each woman given half. When one woman, cried “No”, she would give up her claim, Solomon awarded her the child, as she obviously cared more for it.

When Congress demanded Obama extend the tax cuts or they would cut benefits to the unemployed, Obama compromised. When Congress would have let us default on our debts, causing untold damage to our financil institutions and our citizens, Obama compromised. You may criticize Obama for compromising, but I think it is clear who cares more for America.

The Health Care Debate's Red Herrings

Tue ,15/09/2009

The debate on the healthcare has been filled with red herrings. Swallowing red herrings makes people irritable and they often say things in anger without thinking them through. If we trace the red herrings to their source, we would probably find that they were created by those who have the most to gain from the failure of health care reform. However, health-care reform is too important to let it be sidetracked into pointless arguments.

One of the red herrings popped up dramatically in the President’s address to Congress. When President Obama pointed out that the Health Care Reform Bill would not provide coverage for illegal aliens, Senator Joe Wilson (R-SC) shouted out “You lie.” Clearly someone had planted a red herring as the health-care bill specifically says on page 146: “Sec 246 — NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS: Nothing in this subtitle shall allow Federal payments for affordability credits on behalf of individuals who are not lawfully present in the United States.”

The problem with illegal immigrants arose from a truly bipartisan and humanitarian effort.  In 1986, two major pieces of legislation were passed by the Democratic Congress, approved by the Republican Senate, and signed into law by President Reagan. The 1986 Immigration Reform and Control Act provided amnesty for 1.5 million undocumented aliens. Its purpose was to halt illegal immigration, but we now have 12 million illegal immigrant so it has apparently failed. The connection to health care came also in 1986 with the passage of the Emergency Medical Treatment & Labor Act which ensured public access to emergency services regardless of ability to pay. Those without money or health insurance now use the emergency room as their primary healthcare provider. The cost of that is staggering, and much of the cost is eventually paid by citizens in the form of higher taxes and more expensive medical services. Illegal immigrants have become a serious problem, but it is not one that can be corrected by the health-care bill.

There are strong feelings on both sides of the abortion issue. Health care reform is too important to those on both sides to let it become a battlefield for ideological differences. The Health-care Reform Bill does not provide public funds for abortions. The bill does not mention abortion. There are those who wish to insure that public funds are not used for abortion and their wishes should be respected. There are those who think providing health care to women who are now uninsured would surely reduce the number of unintended pregnancies and they are right. There are methods of birth control acceptable to every religious faith. Certainly, providing health counseling to women, good prenatal care for expectant mothers, and excellent health care for babies are goals that everyone can share.

 Tort reform is another red herring. The malpractice system is clearly broken. Doctors are afraid to admit error for fear being sued, malpractice insurer will not pay a claim without an admission of error, and an injured patient has little recourse but to sue.  A University of Michigan1 study has shown that malpractice lawsuits could greatly be reduced if doctors would admit their errors, apologize, and compensate the patient fairly for their mistakes.  It has been estimated that litigation costs and malpractice insurance add about 1-1.5 % to total health-care costs.2 The malpractice system needs to be fixed but doing so will not substantially reduce medical costs or help the uninsured. Perhaps malpractice insurance co-ops for doctors should be considered.

 Unfortunately, the cost of health care reform is not a red herring.  Most estimates put the cost at slightly less than $1trillion over 10 years. To put that in perspective, that is about the amount spent in seven years on the Iraqi war; the amount spent in one year to bail out the banks, insurance companies, and the auto industry; or half the amount spent over 9 years to provide tax cuts to those in the highest income tax brackets.3 (See note below.) Healthcare reform could easily be paid for by letting the 2001 tax cuts expire . The United States has a graduated income tax scale based on the idea that those who profit the most from the resources and opportunities our country offers should pay more in taxes. Perhaps seeing that every citizen has health care would let us feel good about paying more in taxes.

(1)   See: http://www.msnbc.msn.com/id/32011837/

(2)   http://www.upenn.edu/pennnews/sourcesheet.php?id=529

(3) Citizens for Tax Justice, using data from the Congressional Budget Office, calculate  that  the 2001 tax cuts have cost  about $2.1 trillion in lost revenue and another $0.4 trillion in  interest  on  the deficit created. Letting the tax cuts expire would  save about  $2.5 trillion over the next 10 years which would pay for Health Care Reform twice over.    See  http://www.ctj.org/pdf/bushtaxcutsvshealthcare.pdf  for their figures.

Research Credit:  Barbara Moore