By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Debt Ceiling Negotiations on Health Care are Mere Cost Shifting
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > Debt Ceiling Negotiations on Health Care are Mere Cost Shifting
Health Reform

Debt Ceiling Negotiations on Health Care are Mere Cost Shifting

DavidEWilliams
DavidEWilliams
Share
3 Min Read
SHARE

The US definitely seems to have weakened itself in the international sphere over the past decade. One could argue that the real damage to the US from the September 11 terrorist attacks was caused by the US overextending itself into Iraq and Afghanistan and getting paranoid about security and immigration on the home front. But those decisions were generally popular among Democrats and Republicans, and it’s still hard to say exactly what the right moves were.

The US definitely seems to have weakened itself in the international sphere over the past decade. One could argue that the real damage to the US from the September 11 terrorist attacks was caused by the US overextending itself into Iraq and Afghanistan and getting paranoid about security and immigration on the home front. But those decisions were generally popular among Democrats and Republicans, and it’s still hard to say exactly what the right moves were.

The current debt ceiling debate is another matter entirely. We are at serious risk of applying a self-inflicted wound that will be difficult to recover from. I remember in finance class being taught about the “risk free” rate, which was the foundation for all assumptions and calculations related to other assets and derivatives. That rate of course, was what was paid on US government securities. By even contemplating not raising the debt ceiling Congress –and the Tea Party caucus in particular– are in danger of erasing that assumption, driving up long-term borrowing costs, and undermining the role of the US dollar in the international system. Looking back a couple years from now I can’t imagine anyone in Congress who will be happy about causing that kind of damage, yet many appear to be in denial today.

There’s talk of $1.5 or $1.7 trillion in spending cuts over 10 years, of which $300 billion or so is from Medicare and Medicaid. These cuts are pretty much a yawn, since they are not about structural reform, but rather just shifting costs around. I am in favor of cost shifts to wealthy individuals in Medicare, but that doesn’t do much to address the underlying drivers of costs. And by cutting Medicaid as well as Medicare, the cuts don’t do much if anything to improve inter-generational equity.

More Read

The Big Free-Market Impact of the Affordable Care Act
Engaging Specialty Practices in the Patient Centered Medical Neighborhood
The Affordable Care Act: The Good, the Bad, and the Ugly
Health Benefits of a Clean Office
Abstinence-only education has failed; let’s embrace what works instead

I hope we can get through this debt ceiling crisis relatively unscathed and then move on to a real debate about health care cost control before Medicare swallows us up.


TAGGED:debt ceilingMedicaidMedicare
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5KFollowersLike
4.5KFollowersFollow
2.8KFollowersPin
136KSubscribersSubscribe

Latest News

Nursing shortage
Does Educational Rigor Negatively Impact the Talent Pool for Nursing?
Career Nursing
March 9, 2026
How Bottleless Office Water Coolers Support Corporate Sustainability Goals
eHealth Fitness Health lifestyle
March 9, 2026
public health housing
Structural Integrity in Homes and Its Impact on Public Health
Public Health
March 5, 2026
health and wellness
Redefining Self-Care: Health and Wellness Beyond the Trends 
Health Uncategorized
February 28, 2026

You Might also Like

Dr Paul Rosen
Health ReformHospital Administration

What Would Empathy-Based Healthcare Look Like?

January 23, 2015

Merging Modern and Alternative Methods for Complete Healing

February 10, 2013
MiraMed webinar
FinanceHealth Reform

Top at Risk DRG’s in the Post ICD-10 Era & How to Proactively Address Coding Challenges

September 28, 2015

Florida’s Problem: Cutting Medicaid May Cost the State More

December 15, 2011
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?