Item Details

False Alarm: Why the Greatest Threat to Social Security and Medicare Is the Campaign to "Save" Them

Joseph White
Format
Book
Published
Baltimore : Johns Hopkins University Press, c2001.
Language
English
ISBN
0801866650
Contents
  • 1 Introduction: Saving What, from What? 1
  • "Entitlement Monsters" 2
  • Two Sets of Fears 4
  • Financing Challenge 8
  • Part I Stakes: What Social Security and Medicare Do
  • 2 Why Americans Trust Social Insurance and Distrust Entitlements 17
  • Origins and Rationale of Social Security 18
  • How Entitlements Became an Issue 26
  • Social Insurance and Entitlement Perspectives on Future Burdens 29
  • Medicaid and Values 34
  • 3 Social Security 39
  • Benefit Rules and Principles 40
  • Adequate Protection 42
  • Trust Funds 43
  • Financing Social Security's Future Shortfalls 49
  • 4 Medicare's Structure, Benefits, and Financing 53
  • Medicare's Origins and Their Consequences 53
  • Eligibility and Benefits 56
  • Finances 60
  • Medicare's Other Purposes 62
  • Covering the Gaps 63
  • A Flawed but Vital Program 69
  • Part II Challenges That Are Not Crises
  • 5 Why All the Fuss? The Story behind the Savings Crusade 73
  • How Fiscal Policy Became Savings Policy 75
  • Return on Savings 79
  • Savings and "Saving" Social Security (and Medicare) 81
  • Doomsday Scenarios 84
  • An Embarrassment of Riches: Budget Surpluses 88
  • 6 Can Americans Afford to Grow Old and Sick? 99
  • Estimating Medicare's Spending Far into the Future 100
  • Demographic Factors 102
  • Spending per Enrollee 106
  • Projecting versus Planning 110
  • Medicare and the Wider American Health Finance System 113
  • 7 Exploiting Our Grandchildren? 117
  • Two Demographic Issues 118
  • Cohorts and Generations 119
  • A Balanced View of Life Chances 120
  • Fairness of Benefits 125
  • Prospects for the Future and Intragenerational Equity 134
  • Part III Reforms That Would Not Be Improvements
  • 8 Privatizing Security? 143
  • Types of Privatization Proposals 144
  • Rate of Return on Investments 144
  • Privatization, Risk, and Inequality 149
  • Effects on the Federal Budget and the Economy 154
  • Implementation Issues 157
  • Projections of Outcomes from Privatization 159
  • Diversification Alternative 161
  • Risks, Opportunities, and the Purpose of Social Security 167
  • 9 Medicare Vouchers: Not Ready for Prime Time 170
  • Why Switch to Vouchers? 171
  • Cost-Control Performance and Methods 171
  • Learning from the Balanced Budget Act of 1997 177
  • Not Yet, and Maybe Never? 188
  • 10 Too Young or Too Rich for Social Insurance? 190
  • Raising the Age(s) of Eligibility 191
  • Means-Testing 197
  • Reducing COLAs 205
  • Part IV Responsible Reform
  • 11 Moderate, Though Hardly Modest, Reforms 213
  • Incremental Reforms to Social Security 214
  • Improving the Options on Medicare 218
  • Collecting More Money 224
  • Diversifying the Social Security Trust Funds 228
  • Other Options 229
  • 12 Real Responsibility 232
  • Two Views of Planning for the Future 234
  • A Schedule for Reform 237
  • Budgetary Prospects with Responsible Reform 240
  • Uncertainty and Responsibility 245.
Description
xxv, 311 p. ; 24 cm.
Notes
  • "A Century Foundation book."
  • Includes bibliographical references (p. [275]-299) and index.
Technical Details
  • Access in Virgo Classic

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    g| 1 t| Introduction: Saving What, from What? g| 1 -- t| "Entitlement Monsters" g| 2 -- t| Two Sets of Fears g| 4 -- t| Financing Challenge g| 8 -- g| Part I t| Stakes: What Social Security and Medicare Do -- g| 2 t| Why Americans Trust Social Insurance and Distrust Entitlements g| 17 -- t| Origins and Rationale of Social Security g| 18 -- t| How Entitlements Became an Issue g| 26 -- t| Social Insurance and Entitlement Perspectives on Future Burdens g| 29 -- t| Medicaid and Values g| 34 -- g| 3 t| Social Security g| 39 -- t| Benefit Rules and Principles g| 40 -- t| Adequate Protection g| 42 -- t| Trust Funds g| 43 -- t| Financing Social Security's Future Shortfalls g| 49 -- g| 4 t| Medicare's Structure, Benefits, and Financing g| 53 -- t| Medicare's Origins and Their Consequences g| 53 -- t| Eligibility and Benefits g| 56 -- t| Finances g| 60 -- t| Medicare's Other Purposes g| 62 -- t| Covering the Gaps g| 63 -- t| A Flawed but Vital Program g| 69 -- g| Part II t| Challenges That Are Not Crises -- g| 5 t| Why All the Fuss? The Story behind the Savings Crusade g| 73 -- t| How Fiscal Policy Became Savings Policy g| 75 -- t| Return on Savings g| 79 -- t| Savings and "Saving" Social Security (and Medicare) g| 81 -- t| Doomsday Scenarios g| 84 -- t| An Embarrassment of Riches: Budget Surpluses g| 88 -- g| 6 t| Can Americans Afford to Grow Old and Sick? g| 99 -- t| Estimating Medicare's Spending Far into the Future g| 100 -- t| Demographic Factors g| 102 -- t| Spending per Enrollee g| 106 -- t| Projecting versus Planning g| 110 -- t| Medicare and the Wider American Health Finance System g| 113 -- g| 7 t| Exploiting Our Grandchildren? g| 117 -- t| Two Demographic Issues g| 118 -- t| Cohorts and Generations g| 119 -- t| A Balanced View of Life Chances g| 120 -- t| Fairness of Benefits g| 125 -- t| Prospects for the Future and Intragenerational Equity g| 134 -- g| Part III t| Reforms That Would Not Be Improvements -- g| 8 t| Privatizing Security? g| 143 -- t| Types of Privatization Proposals g| 144 -- t| Rate of Return on Investments g| 144 -- t| Privatization, Risk, and Inequality g| 149 -- t| Effects on the Federal Budget and the Economy g| 154 -- t| Implementation Issues g| 157 -- t| Projections of Outcomes from Privatization g| 159 -- t| Diversification Alternative g| 161 -- t| Risks, Opportunities, and the Purpose of Social Security g| 167 -- g| 9 t| Medicare Vouchers: Not Ready for Prime Time g| 170 -- t| Why Switch to Vouchers? g| 171 -- t| Cost-Control Performance and Methods g| 171 -- t| Learning from the Balanced Budget Act of 1997 g| 177 -- t| Not Yet, and Maybe Never? g| 188 -- g| 10 t| Too Young or Too Rich for Social Insurance? g| 190 -- t| Raising the Age(s) of Eligibility g| 191 -- t| Means-Testing g| 197 -- t| Reducing COLAs g| 205 -- g| Part IV t| Responsible Reform -- g| 11 t| Moderate, Though Hardly Modest, Reforms g| 213 -- t| Incremental Reforms to Social Security g| 214 -- t| Improving the Options on Medicare g| 218 -- t| Collecting More Money g| 224 -- t| Diversifying the Social Security Trust Funds g| 228 -- t| Other Options g| 229 -- g| 12 t| Real Responsibility g| 232 -- t| Two Views of Planning for the Future g| 234 -- t| A Schedule for Reform g| 237 -- t| Budgetary Prospects with Responsible Reform g| 240 -- t| Uncertainty and Responsibility g| 245.
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    a| HD7125 .W473 2001 w| LC i| X004526673 l| BY-REQUEST m| IVY t| BOOK

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