这两个福利现在是有盈余,将来不够可以通过很多方法解决,比如这2.9%的税率并不是固定的,福利也可以减少,或者将来medicare的收入只能满足80-90%的话,也可以用联邦的钱补助,因为现在medicare多余的钱都被联邦政府用掉了,那么将来不够时由政府补贴也是理所应当的。
Medicare Part A的税收和福利都经过一个称为HI Trust的特别基金管理。但这个基金只是起到记账的作用,真正的钱还是联邦财政经手的,也计入当年联邦收支总数中。更重要的是,法律并无规定当这个基金入不敷出时会怎么办,而是由国会到那时再决定。根据基金管理方的预计,HI Trust将在2016年用光储蓄而进入入不敷出的状态。但这不等于Medicare的破产,而只影响到Part A的运作。而即使是Part A,在最坏情况下,政府不提供额外资助,HI Trust只靠当年收入来支付福利的话,尚可维持75%到80%的福利。而政治上说,更可能的情况是政府提供补助而维持目前的福利水平。
引用第20楼游客于2012-10-06 08:50发表的 :
Here is some facts about Medicare, according to this CNN article, "Analysts at the Urban Institute calculate that lifetime Medicare benefits will be worth over $500,000 for a mid-career couple today" (http://money.cnn.com/2012/10/02/ ... ml?iid=HP_Highlight). Now assume a couple earns $200,000/year (that's very high for most people) and worked for 40 years. at 2.9% Medicare tax rate, that would be $232,000, Less than half of the expected payout. For a low income family, the gap would be even bigger! Anyone who has a financial sense would agree that this is unsustainable. Can you just do it by cutting doctors and hospital payment? No. if you cut the payment in half, I am sure most doctors will not see any Medicare patient since the payment will be below their cost. So the other way is to cut benefit which is not popular. Obama is exploiting this without telling the truth about the future cost!
The only reason both SS and Medicare had surplus before is because the baby boomers.  Their large number of poeple are supporting a much smaller retirees.  Now, the baby boomers are starting to retire, the funding gap is going to show and will get worse each year.  Any responsible person and any person who cares about the country's future, cares about our future generation will have to take this issue seriously.  We can't continue to rob our future generation for the confort of ourselves.  The best solution I can see is the sacrifice from everyone of us.  We just can't afford these program as it is.  We need to reduce the benefit to half or double everyone's contribution.  As Lao Qian put it, "就是把富豪都抢了,分了,仍然解决不了这个问题。"  Even you tax the rich at 100%, you still will not solve this problem.  it is because the country doesn't have that many rich people to be taxed.  On the other hand, if you do tax rich too much, they either stop working/invest (they have eoungh asset and don't need to work/invest anyway) or they will put the money in other country.
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