Health Care 4181
some past posts mentioning transcript of speech by the federal comptroller general (appointed in the mid-90s for a 15 yr term)
I had watched the speech on cspan (8apr2006)
comptroller general's url
misc. pieces from the previous posts:
... the comptroller general talk had something about there being enormous increases in gov. spending as a percent of gnp over the past 50 years ... however the defense budget as percent of gnp is the same as it was 50 years ago
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... where some numbers are provided. For one set of numbers he made some comment that some of the numbers (from congressional budget office) were extremely conservative based on four buttumptions. He read off each buttumption and asked people in the audience (meeting of state governors) to raise their hand if they believed the buttumption was valid (nobody raised their hand for any one of the buttumptions). The point was the probable financial impact would be significantly more severe (buttuming any set of realistic buttumptions).
He repeatedly made the point that he believed that nobody in congress has been capable of even simple school math for at least the past 50 years.
re: then there is the story about getting operating system deployed in the disk engineering lab (bldg. 14) and disk product...
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... the talk mentioned that there is a problem that most economic policies have poor metrics, instrumentation and audits to be able to check whether they have actually accomplished anything at all in addressing-meeting the stated objectives.
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i caught bits & pieces of discussion last night about directed appropriations ... I think I heard that one transportation bill had something like 3000 amendments for directed appropriations and something like $26B was involved (I may have gotten it wrong ... the number of directed appropriation amendments may have been spread over a larger number of bills ... but mostly they supposedly had little or nothing to do with transportation).
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One of the comments the comptroller general made during the talk was that there is a $160k-person (every man, woman, child, and baby) fed. program liability in the US for various obligations. The extract (in this earlier thread) explains how the bailout of the S&L industry is being carried off-books, since it represents a $100k-person liability. It wasn't clear in the comptroller general's speech whether his figure of $160k-person included the S&L $100k-person bailout obligation or was in addition to the S&L bailout obligation.
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the following has reference to the S&L bailout
and from (note that the numbers are in TRILLIONS):
Estimated Fiscal Exposures (in $ trillions):
Explicit liabilities (Publicly held debt, military & civilian pensions & retiree health, other); 2000: $6.9; 2005: $9.9.
Commitments & Contingencies: e.g., PBGC, undelivered orders; 2000: $0.5; 2005: $0.9.
Implicit exposures; 2000: $13.0; 2005: $35.6.
Implicit exposures: Future Social Security benefits; 2000: $3.8; 2005: $5.7.
Implicit exposures: Future Medicare Part A benefits; 2000: $2.7; 2005: $8.8.
Implicit exposures: Medicare Part B benefits; 2000: $6.5; 2005: $12.4.
There's some sort of disconnect here. I've heard all sorts of horror stories about our health care system, and no doubt many of...
Implicit exposures: Medicare Part D benefits; 2005: $8.7.
Total; 2000: $20.4; 2005: $46.4.
How Big is Our Growing Fiscal Burden?
Total Fiscal Exposures; 2000: $20.4 trillion; 2005: $46.4 trillion;
Burden: Per Person; 2000: $72,000; 2005: $156,000.
Burden: Per Full-time Worker; 2000: $165,000; 2005: $375,000.
Burden: Per Household; 2000: $189,000; 2005: $411,000.
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a little bit further down:
There are lots of tax treaties where you can have a full tax settlement in each country, complete with pensions rights. The...
Social Security, Medicare, and Medicaid Spending as a Percent of GDP:
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2080: Total value: 25.23% of GDP. Medicare value: 13.85% of GDP, which is 54.9% of 2080 spending. Medicaid value: 4.75% of GDP, which is 18.8% of 2080 spending. Social Security value: 6.63% of GDP, which is 26.3% of 2080 spending.
Note: Social Security and Medicare projections based on the intermediate buttumptions of the 2005 Trustees' Reports. Medicaid projections based on CBO's January 2006 short-term Medicaid estimates and CBO's December 2005 long-term Medicaid projections under mid-range buttumptions.
Source: GAO analysis based on data from the Office of the Chief Actuary, Social Security Administration, Office of the Actuary, Centers for Medicare and Medicaid Services, and the Congressional Budget Office.
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Debt per Capita Could Exceed GDP per Capita by 2030 buttuming Discretionary Spending Grows with GDP after 2006 and All Expiring Tax Provisions are Extended
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