Tani Coyote
Son of Huehuecoyotl
- Joined
- May 28, 2007
- Messages
- 15,195
I made a long post on one of the healthcare threads that might be worth repeating here. It addresses some of the spending/tax increase concerns raised on this thread.
Spoiler :...But here's a perspective from the resident tax wonk's end.
I'm fairly certain that if this bill didn't pass, then no health bill would have passed before the November elections. The reconciliation/Senate bill was the Democrats' only shot.
My primary worry is that there is no way for us to get future Congresses and Administrations to commit to any of the meager cost-side provisions of the bill. Previous Congresses have shown no inclination towards reducing entitlements of any kind; there is no reason to believe that future Congresses will be any different. The probability that the provisions of this bill become another unfunded entitlement is exceedingly high.
By forming a new entitlement, we risk seriously burdening ourselves by choosing an unsustainable package of fiscal policies and taxes. Federal tax revenues are consistently around 19%-21% of GDP; given that this situation already produces consistent deficits there is little chance that the current tax structure will be able to handle the new subsidies**. This implies that there will be a push for a new major tax. It'll either be the ones in the bill (focused on insurance packages and payroll taxes), or perhaps a VAT. You aren't going to squeeze much more than 1-2% of GDP out of the income tax system even if you raise taxes on the rich, the poor and everyone in between. Further, any tax increases you use to pay for this bill are revenue options that you can't use for deficit reduction.
We know that if something can't go on forever, it'll stop. But at the rate we're going, with a jump in Federal expenditures from its historical 23% of GDP to 26%, we're in for a harder landing than we otherwise would. The last fifty years or so, we've seen a tax share of GDP of about 19% and an expenditure share of about 21%; the resulting average 2% of GDP deficit could be absorbed by economic growth, and the debt/GDP ratio never exploded upward. But to raise Federal expenditures to 26% of GDP, which appears to be the new equilibrium, we would need to find 3% of GDP in new taxes to offset the rise in spending. This cannot come from the current income tax system and most would argue that it should not come from the payroll tax system. So we'll need new taxes, which will inevitably introduce yet more distortions in the marketplace and reduce economic efficiency. We'd be trading a bit of efficiency for a bit of equity. That tradeoff might be worth it, but it should be acknowledged that the tradeoff is real and the loss in efficiency may be substantial. Would it be substantial enough to knock us off of our 2.1% long-term real growth rate? We'll see.
An additional problem is that the projected growth of Medicare and Medcaid point to a fiscal path that is unsustainable. That is, even without a new insurance subsidy, we'd have to make very hard decisions over the next ten years about provider reimbursement, payment rates, and the like. Adding a new entitlement only accelerates this burden.
I hope this hasn't sounded too fatalistic/pessimistic/reactionary/whatever. I'd like to think that I'm far more sane than the screaming heads on the far right. But these are my concerns, and nothing in either the Administration's announcements or Congress's actions addressed them satisfactorily.
**These deficits have historically not been a problem: they have usually been less than GDP growth, so at the current menu of taxes and spending we can just about grow our way out of a potential debt crisis. Holding the world's reserve currency has helped as well, but should not be used as a cruch.
Interesting stuff, Integral. How do you think a national sales tax and/or a Georgist-style land tax would impact revenues? If they were levied, do you think it would be wise to cut income taxes back a bit to lessen the overall burden(this also increases personal choice/responsibility with how money is spent, as a bonus)?