Thanks for posting, certainly wasn't necessary.
by krudler (2024-03-04 21:29:47)

In reply to: A note to krudler  posted by Barney68


I think in concept we agree on a lot more of this than we disagree. I will say a lot of what is below can be bi-partisan, and not restricted to old school GOP or conservative. I'm not sure which of these are traditionally conservative, unless your argument is that liberals don't care about debt, deficits, or peace through strength. I wouldn't put #9 in either camp to be honest.

I think the only ones with which I take some issue are 5 and 7. On 5, our tax code is needlessly complicated, and the potential for a foot fault is quite easy. Biden's proposal on adding all of the extra agents was pitched saying it would not tax earners below $400k, which turned out to be false.
I think in this perfect world we're creating with a semi-balanced budget, real adjustments to entitlements, de-emphasizing nation building, and peace through strength, we can focus on a more simplified tax code that won't require such a large budget and need for audits. For now though, I'd be totally fine just funding the IRS to upgrade all their antiquated systems and help lines.

That thought on smaller government ties closely to point 7. I think there's more of a middle ground than what we currently have regarding the size of our government. I agree technology and other advancements have totally changed things, but if your position is that we can't meaningfully shrink the size of our government today while focusing on efficiencies we just have a fundamental disagreement. The volume of waste, fraud, and inefficiency in our government currently is legion. There are significant examples everywhere of government waste. And frankly when an organization reaches this size, inefficiencies, waste, and fraud are inevitably a by-product.

Anyway, like I said, we probably have more agreements than disagreements, and I appreciate your thoughtful reply. Have a good evening.


The problem with the "waste, fraud, and abuse trope is ...
by Barney68  (2024-03-05 08:51:03)     cannot delete  |  Edit  |  Return to Board  |  Ignore Poster   |   Highlight Poster  |   Cannot reply

that while it's real and the numbers look impressive, it's an illusion. Imagine WF&A amounts to 1% of spending, and I suspect that's high. In a $2 trillion budget, the maximum savings would be $20 billion. Since perfection is impossible, say you net $10 billion. A help, yes. A solution, no.

Note that Social Security is a very low overhead passthrough. Not much available there.

Medicare is a different story. The problem is that the complexity of modern medicine creates a lot of opportunity for poor cost control.

DoD is huge and a significant chunk of that budget's value is in the eye of the beholder. Guessing what will be valuable in future conflicts is very tricky as is being demonstrated in Ukraine.


On the Medicare problem I am far from a health care expert
by wpkirish  (2024-03-05 10:16:46)     cannot delete  |  Edit  |  Return to Board  |  Ignore Poster   |   Highlight Poster  |   Cannot reply

The "problem" is easy the solutions are difficult. I know this a gross oversimplification but at the core health care costs consist of health insurance payments, payments to providers (hospitals and doctors) and payments to drug manufacturers.

That means to control health care costs you have a few options.

1. Limit how much health insurance companies can charge.
2. Limit the amount providers can charge.
3. Limit how much Pharma can charge.
4. Limit how many times a person can make use of services.

AsI said this is not my area of expertise but at its core that is the problem. No one wants to tell companies what they can charge and no one wants to tell people that cant go to the doctor as much as they want. I know there are a host of solutions but at the end of the day I think they are all debates about how to best solve one leg of this equation.



typing with one hand, so please pardon caps, etc.
by Barney68  (2024-03-05 14:55:32)     cannot delete  |  Edit  |  Return to Board  |  Ignore Poster   |   Highlight Poster  |   Cannot reply

2. is already in the system.
5. is already in the system; paying for some excess stuff myself despite medicare.

3. is huge. let medicare negotiate pricing. limit advertising for hugely overpriced drugs. increase so-pays for optional stuff.

add 5., better policing for wf&a. simplify the billing system. my daughter does medical coding.