StanCollender'sCapitalGainsandGames Washington, Wall Street and Everything in Between



Ben Bernanke on the Budget and Health Care

16 Jun 2008
Posted by Pete Davis

This morning, Fed Chair Ben Bernanke spoke on health care at the Senate Finance Committee Health Reform Summit.  His prepared remarks cited the extraordinary growth of health care spending as unsustainable, but he cautioned against harming innovation amidst the efforts to curtail health care costs.

It's always noteworthy when a Fed Chair steps outside the confines of monetary policy.  The Fed Chair invariably sees straying afield as necessary to curtail policies that could harm the economy and put too much pressure on monetary policy as the last resort to save the economy.  Only two months ago, Mr. Bernanke justified the first Fed bailout of an investment bank, Bear Stearns, since the Depression.  He drew harsh criticism from former Fed Chair Paul Volcker.  Seven years ago, Fed Chair Alan Greenspan, famously concerned about what Uncle Sam was going to do with all those budget surpluses, endorsed tax cuts.  Funny thing, large deficits materialized almost overnight.

Rather than opining to save health care innovation, Mr. Bernanke's formal remarks would have had much more policy impact if they focused on the implications for fiscal and monetary policy of unchecked health care spending. Leaving it to the Q&A, as noted by Stan Collender below, is better than nothing, but it doesn't cut it.

Health care reform vs. individual responsibility

In 1984 I was a single mother of three working as a C.N.A. in a small nursing home. I made about $4.25 an hour. Some how I managed to keep a roof over our heads,pay my bills, buy food and Health care for myself & my 3 sons. The premium was $60 every 2 weeks . This was taken out of my paycheck. My rent was $250.00 monthly. So I did not have much left over. I bought clothing at the thrift store, and guess what, it worked. I did not have cable TV or any of the other so called essentials that people in this same situation have today (cell phone, video games, casino night). It was my responsibility to provide for my boys' needs, nobody else but me. I did not apply for Medicaid or welfare. It seems to me that today, applying for welfare is the first step, instead of the last when times get a bit rough. I guess my values * individual responsibility has gone the way of the dinosaurs.


Omaha Becky

So you were making $640 a month (pre-tax), and $120 went to health care premiums and $250 to rent. That leaves $270 (assuming you paid zero in taxes) for utilities, gas and maintaining a car, food for 4 people, day care / after school care for 3 kids, clothing, insurance, phone bill. And you are saying you took no public assistance, yet I'll bet your kids qualified for free hot lunch, free or reduced daycare/after school care, and you qualified for heating assistance. You should have also qualified for food stamps.

You don't mention these programs, but unless you had family taking care of the kids for free and bringing in groceries, you almost certainly had to use these resources.

I made $6 an hour back in 1984 and also paid $250 a month in rent. I lived an extremely frugal lifestyle -- didn't even use a car -- and there's absolutely no way I could have supported 3 kids on that income alone. It was all I could do to support myself with no frills -- no going out to eat, no vacations, no new clothes.





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