coogles wrote: ↑Tue Feb 25, 2025 6:39 pm
From the Tangle newsletter on the 20th.
long article of

.
This is on the whole correct.
Id add this: besides the waste that we can eliminate in so called discretionary spending, the ENTIRE problem is in CMS, IE medicare and medicaid. Why? its unfunded. Social security is indeed an issue that will be have to delt with, but the

are that its 80 something percent funded through taxes. And who knows, maybe there is 20 something percent fraud and abuse there, DOGE seems to be looking into it. good. CMS is only something like
5% funded through taxes.
This has to be fixed if you are having a serious conversation about a balanced budget. Cuts to benefits, elimination of fraud, ending abuse of overbilling, breaking the knees of the medical cartel, ending ridiculous pricing, and an increase in taxes are the only way.
re: pricing & billing, that's probably the big one. Medicaid will pay out 10x for emergency room visits and treatment of the uninsured vs what insurance would pay under their negotiated agreements. Why is this a thing? Why cant a thing just cost what it costs? Why is the government
ALLOWING itself to get fleeced? Its clearly an illegal practice. Walmart would get nailed to the wall in an instant if they tried to charge different prices for products based on where you work, or put another way who you had grocery insurance through. Or for example if you went to a membershit club without a membershit and the products were 5x the price across the board. Its both wildly illegal and unethical and it happens every day, and the government has allowed it for decades at this point.
However, Republicunts believe that tax cuts encourage economic stimulus that spurs more revenues over time, so they argue this spending is net neutral.
This is called the laffer curve, and its a thing. I however would argue that the cuts they are planning to our overcomplex system wont fix this. The real thing that needs to (and probably wont) happen is a complete re-work and simplification of the tax code. I'm a big fan of flat tax for both people and corporations; its simple and allows for planning on both the biz side and gov side. People can know with certainty what projects would cost ahead of time without complicated credit and deduction systems. Gov. would know what future revenu would be as projects come on line.
Anyway, I doubt we will get meaningful change on those fronts, and I think tax cuts should be off the table without both a vast simplification of the system and budget that is at the very least balanced. DOGE and the new bill MIGHT get us to a balanced budget, and I'll take that good thing, but without meaningful change to the system a future administration will just pull the same fuckery again.