This short-term problem will be followed by a tidal wave of entitlement-driven spending as baby boomers flood into Social Security, Medicare, and Medicaid. Left unchecked, these programs will drive debt to nearly 200 percent of the economy. Unless Congress changes course on spending, every income tax rate will have to more than double, according to the Congressional Budget Office. Every American, especially younger generations, would have a permanently lower standard of living.
The nation is drowning in a sea of red ink, and the voters have rightly said, “Enough.” We must tame federal spending and protect our children and grandchildren from crushing debt or taxes. The policies set forth below will achieve a stronger America, one where our families and businesses are much better off.
Establish Spending Targets
Set firm budget targets to light the path for returning to fiscal sanity by lowering spending and controlling the debt.
- Specific cuts to discretionary spending, at least $170 billion in the next year.
- Cut total spending to no more than 20 percent of the economy, moving quickly towards a balanced budget within a relevant budget window—without raising taxes.
Fix the Budget Process
The budget process allows entitlements—Social Security, Medicare, and Medicaid, the biggest parts of the budget—to grow with no limits or long-term constraints. Other parts of the budget are likewise unconstrained, so Congress should:
- Place firm caps on total spending, with strong Gramm-Rudman-type enforcement mechanisms to lock in cuts.
- Increase transparency. Give the public the true picture of the nation’s finances by disclosing the unfunded obligations of Medicare and Social Security front and center in the annual congressional budget resolution. Require a clear roll-call vote to increase these obligations.
- Score major policy proposals over both short-term and long-term time horizons.
- Take entitlement programs off budgetary autopilot with a true, long-term budget. This could be done through specific caps within each program.
Provide for a Strong Defense
Fully fund defense needs so our troops can defend America and our interests abroad. Priority should be given to modernizing and developing next-generation equipment necessary to protect the nation and our interests from rapidly changing threats. Savings from military reforms, such as performance-based logistics, should be reinvested in the defense budget to help pay for these much needed improvements.
Specifically, the base Department of Defense budget should include $560 billion in funding for 2012 and an average of $720 billion over the next five years (to be adjusted for inflation). Funding for ongoing contingency operations should be in addition to this amount.
Implement Broad Spending Reforms, Including Entitlements
Beyond discretionary cuts, major programmatic changes are needed to bring federal spending under control.
Transformational changes are needed for the major entitlement programs Social Security, Medicare, and Medicaid.
- Increase the retirement age for Social Security and Medicare and the index for longevity.
- Move entitlement programs toward a real insurance model—aimed at increasing financial security rather than simply providing a stream of benefits. Each program should have firm spending controls and a limited budget.
- Gradually transform the Social Security benefit into a flat benefit that protects against poverty and is indexed to wages. Include an auto-enrollment savings system and voluntary personal accounts, which would be funded with eventual savings from reforms. Existing benefits should be indexed to the Chained Consumer Price Index.
- Move Medicare to a premium support system with a fixed contribution and long-term budget controls, giving patients maximum freedom to make health care choices without subjecting doctors and patients to artificial price controls. Greater cost sharing should be added to the traditional fee-for-service Medicare program.
- Move Medicaid’s healthy families into private health insurance. Then, convert the remaining program for the elderly and disabled into a capped allotment with greater flexibility to states to manage the program.
The Patient Protection and Affordable Health Care Act, or Obamacare, touted as a deficit reduction bill, is in reality a budget buster. It created new entitlements and will drive general health care costs up, not down.
- Repeal Obamacare and take steps to defund and block implementation of this law until Congress completes its repeal.
Welfare spending is approaching $1 trillion annually, and the 70-plus welfare programs have encouraged a pattern of cyclical dependence among tens of millions of Americans.
- Establish fiscal constraints for all federal welfare spending: After unemployment returns to normal levels, roll back funding for all programs to pre-recession levels. Then cap this spending at the rate of inflation.
The reach of the federal government is too vast. Asset sales can bring relief to the overstretched budget and bring economic benefits to society by putting resources in the hands of the more productive private sector.
- Implement a plan to sell, over time, federal assets, such as land, mineral rights, and unused federal office buildings.
Keep Taxes Low
Tax hikes are the wrong answer to the budget crisis. To keep our economy strong and growing, taxes must be kept low and competitive with other nations, and policies that distort markets should be reformed.
- Make the 2001 and 2003 tax cuts permanent, including eliminating the death tax and permanently fixing the Alternative Minimum Tax.
- Reform corporate taxes and significantly reduce the rate.
- Reform the health insurance tax exclusion by turning it into a tax credit to assist with the purchase of health insurance.
Alison Acosta Fraser is Director of the Thomas A. Roe Institute for Economic Policy Studies at The Heritage Foundation.
The author gratefully acknowledges the many contributions made by the authors of the following publications:
The Heritage Foundation, “Solutions for America,” at http://thf_media.s3.amazonaws.com/2010/pdf/SolutionsForAmerica.pdf.
The Heritage Foundation, “The Checklist,” at http://thf_media.s3.amazonaws.com/2010/pdf/Solutions_1-5.pdf.
Brian M. Riedl, “How to Cut $343 Billion from the Federal Budget,” Heritage Foundation Backgrounder No. 2483, October 28, 2010, at http://www.heritage.org/Research/Reports/2010/10/How-to-Cut-343-Billion-from-the-Federal-Budget?query=How+to+Cut+$343+Billion+from+the+Federal+Budget.
Brian M. Riedl and Alison Acosta Fraser, “Four Principles of Budget Process Reform,” Heritage Foundation Backgrounder No. 1746, April 8, 2004, at http://www.heritage.org/Research/Reports/2004/04/Four-Principles-of-Budget-Process-Reform.
Alison Acosta Fraser, “Obama’s Fiscal Commission: Avoiding a Standoff,” Heritage Foundation WebMemo No. 2882, April 27, 2010, at http://www.heritage.org/Research/Reports/2010/04/Obamas-Fiscal-Commission-Avoiding-a-Standoff.
Mackenzie Eaglen, “Taking a Scalpel to the Defense Budget,” Heritage Foundation WebMemo No. 3123, February 3, 2011, at http://www.heritage.org/Research/Reports/2011/02/Taking-a-Scalpel-to-the-Defense-Budget.
David C. John, “Time to Raise Social Security’s Retirement Age,” Heritage Foundation Backgrounder No. 2492, November 22, 2010, at http://www.heritage.org/Research/Reports/2010/11/Time-to-Raise-Social-Securitys-Retirement-Age.
Robert E. Moffit and James C. Capretta, “How to Fix Medicare: A New Vision for a Better Program,” Heritage Foundation Backgrounder No. 2500, at http://www.heritage.org/Research/Reports/2010/12/How-to-Fix-Medicare-A-New-Vision-for-a-Better-Program.
Nina Owcharenko, “State Medicaid Reform After Obamacare,” Heritage Foundation WebMemo No. 3062, at http://www.heritage.org/Research/Reports/2010/11/State-Medicaid-Reform-After-Obamacare.
“The Case Against Obamacare: A Health Care Policy Series for the 112thCongress,” at http://www.heritage.org/research/projects/the-case-against-obamacare .
Ernest Istook, “How to Limit the Damage from Obamacare—Pulling It Out Weed by Weed,” Heritage Foundation Backgrounder No. 2512, January 27, 2011, at http://www.heritage.org/Research/Reports/2011/01/How-to-Limit-the-Damage-from-Obamacare-Pulling-It-Out-Weed-by-Weed.
Katherine Bradley and Robert Rector, “Confronting the Unsustainable Growth of Welfare Entitlements: Principles of Reform and the Next Steps,” Heritage Foundation Backgrounder No. 2427, June 24, 2010, at http://www.heritage.org/Research/Reports/2010/06/Confronting-the-Unsustainable-Growth-of-Welfare-Entitlements-Principles-of-Reform-and-the-Next-Steps.
Stuart M. Butler, “Why Asset Sales Are Good Public Policy,” Heritage Foundation Lecture, February 15, 1988, at http://www.heritage.org/Research/Lecture/Why-Asset-Sales-Are-Good-Public-Policy.
Curtis S. Dubay, “Obama Tax Hikes: Bad for All Americans,” Heritage Foundation Backgrounder No. 2473, September 23, 2010, at http://www.heritage.org/Research/Reports/2010/09/Obama-Tax-Hikes-Bad-for-All-Americans.
Curtis S. Dubay, “Corporate Tax Reform Should Focus on Rate Reduction,” Heritage Foundation WebMemo No. 3146, February 11, 2011, at http://www.heritage.org/Research/Reports/2011/02/Corporate-Tax-Reform-Should-Focus-on-Rate-Reduction.
Stuart M. Butler, “How to Design a Tax Cap in Health Care Reform,” Heritage Foundation WebMemo No. 2517, July 1, 2009, at http://www.heritage.org/Research/Reports/2009/07/How-to-Design-a-Tax-Cap-in-Health-Care-Reform.