Robert Samuelson visits a topic I’ve discussed before:
Everyone knows that the resulting “entitlements” dominate government spending and squeeze education, research, defense and almost everything else. In fiscal 2008 -- the last “normal” year before the economic crisis -- Social Security, Medicare and Medicaid (programs wholly or primarily dedicated to the elderly) totaled $1.3 trillion, 43 percent of federal spending and more than twice military spending. Because workers, not retirees, are the primary taxpayers, this spending involves huge transfers to the old.
Now comes the House-passed health-care “reform” bill that, amazingly, would extract more subsidies from the young. It mandates that health insurance premiums for older Americans be no more than twice the level of that for younger Americans. That’s much less than the actual health spending gap between young and old. Spending for those age 60 to 64 is four to five times greater than those 18 to 24. So, the young would overpay for insurance that -- under the House bill -- people must buy: Twenty- and thirtysomethings would subsidize premiums for fifty-and sixtysomethings. (Those 65 and over receive Medicare.)
Not surprisingly, the 40-million-member AARP, the major lobby for Americans over 50, was a big force behind this provision. AARP’s cynicism is breathtaking. On one hand, it sponsors a high-minded campaign called “Divided We Fail” and runs sentimental TV ads featuring children pleading for a better tomorrow. “Join us in championing your future and the future of every generation,” ended one ad.
Meanwhile, AARP lobbyists scramble to shift their members’ costs onto younger generations. For example, the House health legislation improves Medicare’s drug benefit. That would help the half of AARP members who are over 65. The other half, those between 50 and 64, could benefit from the skewed insurance premiums.
Although premium changes would apply mainly to people using insurance “exchanges,” the differences would be substantial. A single person 55 to 64 might save $3,490, estimates an Urban Institute study. By contrast, single people in their 20s and early 30s might pay about $600 to $1,100 more. For the young, the extra cost might be larger, says economist Diana Furchtgott-Roth of the Hudson Institute, because the House bill would require them to purchase fairly generous insurance plans rather than cheaper catastrophic coverage that might better suit their needs.
