While politicians hammer out the details of healthcare reform legislation and debate some of the more “controversial issues” (which I put in quotes because they shouldn’t be as controversial as they are) surrounding healthcare reform, the administration is busy doing things that everyone should be able to happy about.  Of course good news doesn’t draw as many readers as doom and gloom so its easy to miss some of these developments if you’re just clicking through a news website or taking in a bit of CNN, so I’ve highlighted a couple of the recent positive developments after the jump.

Key Senator, White House Strike Deal With Drug Industry for Health Coverage

First up is an article from several weeks ago.  And I apologize for using partisan news sources but I’ve got one from each side of the aisle so I guess it balances out.  Basically, Senator Max Baucus was able to negotiate a deal with the Pharmaceutical industry whereby they will eat some of the cost of drug coverage for seniors on medicare who make less than 80-85,000 per year.  They’re expecting to subsidize about 80 billion dollars worth of care over the course of the next ten years.  Not too shabby.

Biden, Hospital Leaders Announce Pact To Help Cover Uninsured

Next up is an article from today.  Joe Biden announced that the nation’s hospitals had agreed to comp 155 billion dollars worth of medicare and medicaid care over the course of the next ten years.  Nice.

These developments, along with the pledge from leaders of the healthcare industry a few months back (Titans of Healthcare Pledge to Reduce Healthcare Costs) are good news for members of congress as they attempt to draft legislation that is “budget neutral”, they’re good news for the country since healthcare costs are the primary drivers of our dismal deficit projections, and its good news for average Americans, who for some time now have been dealing with healthcare costs that are rising at more than three times the rate of their wages.

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Well with finals over and done with you can expect to get a lot more posts from me in the coming weeks!  And we start out today with some very exciting  news.  President Obama held a press conference today for what he called, “a watershed event in the long and elusive quest for health care reform.”  The American Hospital Association, the American Medical Association; PhRMA; AdvaMed; America’s Health Insurance Plans, the SEIU, and the Greater New York Hospital Association and the California Hospital Association announced a new cooperative effort to drastically reduce the rate of growth of healthcare costs beginning immediately.  They pledged to cut the rate of growth by 1.5%.  This may not seem like a lot but this means a cut from about 7% to 5.5%, bringing us much closer to the annual rate of income growth which tends to hover around 4-5% but which has at times grown to near 6%.  And that’s what really matters, that’s really our baseline here.  If healthcare costs can be reduced such that their growth is equal to the rate of income growth in the US then the future of healthcare suddenly gets a lot rosier.  And this commitment brings us much closer to that goal.

And this is also great news for America’s future financial security.  Many people don’t realize the huge impact that rising healthcare costs have on our country’s national budget.  The reasons why that is are a subject for another article but even a savings of 1.5% will mean much smaller deficits and less national debt.  One Obama aid put it this way:

“I don’t think there could be a more significant step to help struggling families and to help the federal budget than reducing the growth rate of healthcare spending by 1.5 percentage points per year. With regard to the federal budget… the only way that we are going to restore the nation to a sound fiscal path over the long term is to reduce the growth rate in health care costs… Reducing the growth rate of health care costs overall by 1.5% per year would virtually eliminate the nation’s long term fiscal gap. … This, by an order of magnitude, is far more important [than Social Security or related reforms] to the fiscal trajectory that we’re on, especially over the long term, than anything else that could be done.”

Perhaps a bit hyperbolic but nobel-prize winning economist Paul Krugman was almost as excited:

“And serious cost control would change everything, not just for health care, but for America’s fiscal future. As [Budget Director Peter] Orszag has emphasized, rising health care costs are the main reason long-run budget projections look so grim. Slow the rate at which those costs rise, and the future will look far brighter. I still won’t count my health care chickens until they’re hatched. But this is some of the best policy news I’ve heard in a long time.”   And later says, “…shaving 1.5 percentage points off the growth rate of health care spending. That may not sound like much, but it’s actually huge: achieving that goal would save $2 trillion over the next decade.”

So certainly nothing to sneeze at.  The details of how these savings will be accomplished were not released today but will be revealed over coming weeks.  As for why they’ve chosen to independently take this step?  The only answer from the industry was that they’re being “good Americans”.  This commitment will have no enforcement mechanism beyond the press and there will be no formal regulations.  Apparently the industry just came to this conclusion themselves.  Fantastic, if its that simple, but some fear this may be a preemptive attempt to block the healthcare reform that’s currently taking shape in congress.  Insurance companies can ask for patience first to see if their efforts are sufficient or they can claim that they tried to do their part but congress simply wouldn’t compromise.

I’m actually more optimistic.  In the industry’s statement on the issue they implicitly endorsed the healthcare economics currently being used by the administration to justify healthcare reform.  Which means that somewhere there has been a fundamental shift.  Previously, the insurance industry was holding up their own fringe economists to testify on their behalf against the wave of economic opinion opposing them.  Sort of like the tobacco industry doctors or the oil company ecologists.  But it seems they’ve accepted the fact that they’re part of the problem.  Of course the fact that they can suddenly reduce cost growth by 1.5% just for the heck of it seems to validate that idea as well. There’s been easily reducible waste in the private healthcare system for some time now, and this commitment just highlights that fact.

Healthcare reform plans will be presented in the next few months and I suppose the industry’s intentions will become clear then.  I’ll keep you updated as events unfold and as more details about these cost-reducing measures come to light.

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Hey look, a timely article for a change!  Finally I’m addressing a phenomenon before it happens and not days/weeks after it has passed.  Anyway, you may or may not have heard about the “tea-party” anti-tax movement that’s developing around the country.  This tea-party movement consists of people gathering in various cities on April 15th holding protests about the “terrible taxes burdening americans”, and what they see as America’s coming descent into socialism.  Here’s a quote from one of the two fawning FoxNews articles that were up about it today.  From one of the organizers of the tea party protests:

“People are getting killed — they’re getting hammered with taxes and it’s not the way this country is supposed to be run. … We want to fight back,”

Are people really getting hammered with taxes?  I don’t challenge their right to gather and protest taxes or whatever they want, but they may want to check a few facts first.  And to make it convenient for them, I’ve gathered the pertinent graphs and information after the jump.  I should also note before I begin that not all tea-party participants are claiming taxes are too high and that some are doing this for other reasons (to protest the stimulus, just to express their anger that McCain lost etc), I’m not addressing those concerns here.  But these tea-parties are being billed as “anti-tax protests” so this is a significant part of what they’re organizing for and this article will address that issue.  Anyway, as best as I can deduce, here’s some relevant historical perspective…

Taxes on the Average Family

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First up is this graph showing data compiled from the treasury department.  It only runs up to 2006 but I’m fairly certain the tax rates haven’t changed since then.  It clearly shows that the median-income family of four’s average effective income tax rate is currently at its lowest level since at least 1955.  And Obama’s budget will lower that substantially as described in this AP article.

Also, in this analysis from the Center on Budget and Policy Priorities from 2001 we read, “…this analysis’ update of the CBO data on overall federal tax burdens finds that when households’ total federal tax burdens are considered — including their payroll, excise, and other taxes, along with the income taxes they pay — most categories of households will face a lower average tax burden in 2001 than in any year from 1979 to the present. (1979 is the first year these CBO data cover.) For example, the middle fifth of taxpayers will pay an average of approximately 16.3 percent of income in total federal taxes in 2001, the lowest percentage during the 22 year period examined.”  And once again, for all but the highest earners, these tax rates, already at historic lows, are only going to fall further under Obama’s budget.

Taxes on Corporations

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What about our poor businesses and corporations?  I mean during the election the (misleading) statistic that America’s corporate tax rates are higher than any other industrialized country was thrown around left and right!  And some members of congress have continued to call for them to be lowered further.  As we can clearly see from the accompanying graph, corporate tax rates are also at near record lows.  Whether or not they need to be lowered further from here is a topic for another article.  But the fact that they’re already lower than they’ve been in 50 years should be enough to make tea-party organizers think twice.

It’s been surprisingly difficult for me to find information on what specifically  Obama’s proposed budget would do to corporate tax rates but it seems that it includes a mixture of focused tax breaks and closure of current tax loopholes and there is some uncertainty about how it will end up affecting the average corporation.  But any change in the average rate will be a matter of a few percent and won’t substantially change our position on the graph.

Taxes on the Rich

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Here we go!  Everyone knows Obama’s budget raises taxes on the rich right?  Its part of his socialistic plan for wealth redistribution!  Well this graph shows the top marginal personal income tax rate since 1913 according to the IRS.  And as you can see, the rich have had it relatively easy for the last several years.  The current marginal income tax rate for the rich lies at about 35% and Obama’s budget would move it to a little over 38%, which would be about equal with the 1997 levels on that graph.  And keep in mind we’re talking about the marginal rate.  So it’s only the income the wealthy receive that is above and beyond $250,000 that would be taxed at a higher rate.  Anything they make up to $250,000 would actually be taxed at a lower rate than it was before.  So their overall tax burden will increase by something less than 3%.  And these tax increases aren’t set to kick in until after 2011.

Wealth Redistribution

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A couple more charts and then I promise I’m done.  While we’re on the topic of wealth distribution and tax stratification, lets look at some of that data.  So when pundits and partisans throw around the word socialism in reference to Obama’s tax policies (they also use the term in reference to his spending policies but that’s another discussion) they’re talking about his lowering of the tax burden on the poor and his raising of the tax burden on the rich.  As we’ve already shown, the rich are getting a pretty paltry tax increase and even so, as this graph shows, our tax policies are flatter than they have been in decades.  The tax rates for nearly all households have been dropping since the 60s, but the rates of the richest have been dropping the fastest.

In fact they’ve been dropping so fast that when you take all sources of taxation into account our tax policies are already flat and bordering on regressive!

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When you count sales taxes (which are regressive) and all other kind of specialty taxes (most of which are also regressive), the bottom 20% of income earners in this country pay a larger percentage of their income in the form of taxes than anyone but the highest 20% of earners.  and even then its only 1% less!  So when we are starting with what we see here in this graph, a slight decrease in the tax rates of most and a slight increase in the rates of the rich will not result in a substantially imbalanced tax burden by any means.

So what backbreaking taxes are these tea-parties protesting exactly?  Taxes are at historic lows (some would say they’re irresponsibly low) for almost everybody and for 95% of America they’re set to go down further.  Corporate taxes are also near all time lows and our country’s tax burden is spread fairly evenly amongst all income groups.  The only group facing any kind of tax increases at all are individuals with an income of $250,000 and even then its not until 2011, its less than 3%, and their rate will still be much lower than its been for most of this century.  And furthermore that income bracket voted predominantly for Obama in the last election, knowing full well that increasing their income taxes was one of his campaign promises.  So if these tea parties are being organized to protest increasing taxes we can only assume they’re doing it on behalf of the rich, which seems odd in its own right, but even more so when you realize that most of the wealthy don’t actually want the help.

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