National Review Online
Monday,
January 15, 2024
As the
first votes of the 2024 Republican presidential race are cast tonight in Iowa,
one thing is already clear: The party is not serious about tackling the
nation’s entitlement crisis.
There
was a time not too long ago when Republicans correctly believed that
overhauling Social Security, Medicare, and Medicaid was a key domestic
priority. Yet even as the problems facing the programs have gotten
significantly worse, serious changes are further away than ever.
In
his first run for president, Donald Trump campaigned on not making any
meaningful changes to Social Security and Medicare. He followed through on that
promise as president and trained a new wave of more populist Republican
politicians on the idea that Republicans should abandon calls for the sort of
sweeping Paul Ryan–style entitlement reforms that the party had supported
during the Tea Party era. When the slim House majority retook power last year,
they promised big fights on spending while vowing not to touch the major
entitlement programs that are the primary driver of the national debt.
In
the current campaign, Trump has not only reiterated that he doesn’t want to
make changes to Social Security and Medicare, but he has attacked his leading
rivals, Ron DeSantis and Nikki Haley, for wanting to cut the programs.
While
DeSantis did embrace the Ryan
plan and other reforms as a candidate for and member of the House, in
his presidential campaign he has declared he wouldn’t touch the programs.
In
a debate with Haley last week, DeSantis even adopted left-wing talking points
in defending his current position of not wanting to “mess with Social
Security.” He attacked Haley for calling the program an “entitlement” and said,
“You’re paying into it. It’s not a welfare program, you’re being taxed for this
your whole life.”
In
reality, the way the Social Security system works is that young workers are
paying the benefits of current retirees, making it a generational wealth
transfer. While it’s true that retirees paid taxes during their working
years, most retirees will receive benefits that exceed the value of
those taxes.
DeSantis
also argued against raising the retirement age of Social Security, saying, “I
don’t see how you can raise the retirement age when our life expectancy is
collapsing in this country.” While it’s true that life expectancy decreased in
2020 and 2021 by 2.4 years, that was primarily the result of Covid deaths — the
consequences of a once-in-a-century pandemic. Initial estimates for 2022 are that expectancy rose 1.1 years.
There is no reason that Covid should be used as an excuse to oppose
much-needed, long-term reforms.
To
her credit, Haley is the one remaining candidate who has been consistent in
arguing that the Social Security and Medicare programs are facing a crisis that
needs to be addressed, warning that “we can’t put our head in the sand” by
ignoring the problem.
The
exact reforms she is proposing, however, would need fleshing out. In the
debate, she said she would raise the retirement age, but only for those
currently in their 20s — and she wouldn’t directly answer whether she would put
the age at 70. Delaying the retirements of those who won’t be collecting
benefits until 40 years from now won’t do much to move the needle. She also
floated using a different measure of inflation to determine benefits and said
she would limit benefits on higher-income individuals.
Even
if Haley were to somehow pull off an upset in the primary and become president,
it’s hard to see her having many takers among fellow Republicans, who would
have to be united to overcome total resistance from Democrats to any changes.
The
crisis facing these programs is not as distant as many people think. This year,
the big three programs (Medicare, Medicaid, and Social Security) alone are
slated to cost $3 trillion, absorbing 62 percent of expected tax revenue,
according to the Congressional Budget Office. By the end of its ten-year
projection period, that is supposed to balloon to $5.3 trillion, or
three-quarters of tax revenue. Add in interest, and by 2033, about 95 percent
of tax revenue will be eaten up before a penny is spent on defense, border
security, or any other domestic priority. And this is with the CBO assuming
that the Trump tax cuts are allowed to expire, which no Republican candidate
wants to see happen. In other words, nearly all other spending will need to be
financed by adding more debt, which will by that time be approaching 120
percent of annual economic output.
As
dire as the situation is, help is not on the way. All indications are that
Americans are going to be faced this November with a choice between Republicans
who won’t do anything to reform existing entitlements and Democrats who want to
create new ones.
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