We use cookies, including third-party cookies from Google to serve personalized ads through AdSense, to operate this site and understand how it is used. By continuing to browse, you accept this use. See our Privacy Policy and Terms of Use for details, including how to opt out of personalized advertising.
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: If Social Security is a Ponzi Scheme, What is the Medicare Part D Drug Benefit?
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 > If Social Security is a Ponzi Scheme, What is the Medicare Part D Drug Benefit?
Policy & Law

If Social Security is a Ponzi Scheme, What is the Medicare Part D Drug Benefit?

DavidEWilliams
DavidEWilliams
Share
4 Min Read
SHARE

The wild attacks on Social Security by Republican presidential candidates including Rick Perry’s famous characterization of the program as “a Ponzi scheme” are amusing, but are a serious distraction from the real fiscal issues facing the country.

The wild attacks on Social Security by Republican presidential candidates including Rick Perry’s famous characterization of the program as “a Ponzi scheme” are amusing, but are a serious distraction from the real fiscal issues facing the country. Rather than attacking a fundamentally sound 75 year old program with a specified revenue stream, it would be a lot more honest to admit that a Republican Congress and President were responsible for a much more recent and reckless expansion of Federal spending in the form of the Medicare Part D drug benefit.

As explained by the North American Securities Administrators Association:

“The Ponzi scam amounts to little more than robbing an army of Peters to pay a handful of Pauls. As the number of initial investors (the Pauls) grows and the supply of potential new investors (the Peters) dwindles, the Ponzi bubble bursts under the pressure of meeting the promised returns.  While some initial payments are made to drum up new recruits, the vast majority of investors in a Ponzi scheme end up losing all or most of their money.  As in the case of simple pyramid recruitment frauds, a point is inevitably reached where the con man simply cannot keep up with the required payments.”

More Read

Doctors on Google: Manhattan Research Survey 2012
Health of Americans Ranks Worst Among High-Income Countries
Possibly the Best #Health Advice You Could Get!
Collaborative Care for Living Well with Chronic Disease
Revolution in Medical Publishing- The Article of the Future

So Social Security is not a Ponzi scheme at all. It doesn’t promise amazing, rapidly compounding returns on investment. It doesn’t depend on drumming up new investors. Instead, it’s a pay as you go system that mainly taxes today’s workers to pay today’s retirees (that’s where 82 percent of funding comes from). If nothing’s done to rejigger the system, Social Security can still pay out 75 percent of what’s expected even once the so-called “trust fund” is extinguished. Modest adjustments have been made in the past and can be done again: some combination of raising the retirement age, increasing the maximum income on which Social Security taxes are levied, and adjusting benefit levels are enough to keep the program solvent essentially forever. Becoming more open to immigration would also improve the prospects for Social Security by bringing in younger workers. But trying telling that to the Republican candidates!

What about the Medicare Part D drug benefit? Unlike Social Security, there is no dedicated funding stream at all for this $62 billion per year program. And when it was passed there was no provision to make it revenue neutral; the cost went straight to the deficit. Today 83 percent of Part D is funded through “general revenues,” 11 percent through beneficiary premiums and six percent through state payments. Part D is not a Ponzi scheme, but it’s a redistribution of wealth from taxpayers as a whole to senior citizens and pharmaceutical companies.

I’d like to hear the candidates explain why Part D should stay and Social Security should go. Personally, I can’t see the logic of it.


TAGGED:Medicare Part Dpharmaceuticals
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5KFollowersLike
4.5KFollowersFollow
2.8KFollowersPin
136KSubscribersSubscribe

Latest News

Flat editorial illustration: Healthcare editorial illustration about accurate patient intake connecting registration, clinical re
The Role of Patient Data Accuracy in Healthcare Operations
Global Healthcare Policy & Law
November 11, 2026
Flat editorial illustration: Healthcare ethics-and-law training, shown through a coached clinical role-play where structured disc
Medical Ethics and the Law: The Training Behind Professionals Who Resolve Healthcare Disputes
Uncategorized
November 6, 2026
Flat editorial illustration: The article connects routine occupational health screening with early exposure detection and better
What Routine Workplace Health Monitoring in Medical Environments Actually Prevents
Uncategorized
November 6, 2026
Flat editorial illustration: The article contrasts structured prelicensure education with ongoing, practice-focused development f
Academic vs. Clinical Education: How Teaching Settings Shape Nursing Learners and Outcomes
Uncategorized
November 6, 2026

You Might also Like

World Health Needs [infographic]

September 17, 2013
medications-cure-tablets-pharmacy-56612.jpeg
Health careNewsPolicy & LawPublic Health

What The CVS Healthcare Expansion Means For Medical Practices

June 26, 2019

(Some) Docs Launch War on Overutilization

February 19, 2012

How Australia’s Universal Health Care System Measures Up Internationally

October 25, 2012
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2026 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?