Discussion about this post

User's avatar
Mark Fabian's avatar

This is a great primer for anyone who wants to understand how federal finance actually works and how to use that knowledge to understand the class war being waged against the majority of citizens.

Expand full comment
Klassik's avatar

Good stuff, Steve, but I’d be careful in suggesting that proper healthcare reform in the US will be deflationary and will require a reduction in taxation. I’m also not necessarily saying that there will need to be an increase in taxes, but we need to consider both the deflationary and inflationary aspects of healthcare reform.

You’ve mentioned the deflationary aspect. On the inflationary end of things, proper healthcare reform should be designed to expand healthcare access and quality of healthcare. As things are, there are shortages of healthcare workers and facilities in many areas, especially lower-population and lower-income areas, and so the healthcare workforce will need to expand and there will be expenses involved with building/maintaining (hopefully) public healthcare facilities. Proper reform will need to pay healthcare workers fairly. Since we’re talking about public healthcare and not private healthcare, a focus should be on quality and actually treating/preventing problems rather than dealing with them in an austerity-focused manner as is often the case today.

Furthermore, since there will be a significant reduction in out-of-pocket medical expenses incurred by the public, the buying-power of the public should be increased and possibly by a large amount. It is hard to say how inflationary this increased buying-power will be without further research (surely capital which once went to private healthcare will be redirected towards taking advantage of the increased buying power of the public). And, indeed, we do need further research on this subject. There will also have to be policy discussions about employer-provided healthcare. If employer health insurance is eliminated, salaries for those workers might increase through the change in compensation and that would also potentially be inflationary and perhaps even unfair to workers who do not get healthcare through their employers today.

I’m not necessarily saying that taxes will need to be increased for the sake of clearing fiscal space, but without further research, it might be hard to make any claims about taxation other than what you say that this reform will not be funded through taxation. In the end, the public is probably more interested in their out-of-pocket healthcare expenses being cut and the quality/access of healthcare being improved and so that should always be the focus of the healthcare reform narratives.

As far as the topic of the podcast in general, I certainly do agree with your assessment about progressives, and the population, being ignorant about economics. With progressives especially, there is a certain level of willful ignorance as it pertains to economics. It is as if they feel that economics is some kind of capitalist conspiracy and that it should never be discussed or studied. Also, many progressives just want to rant and rave. They do not put in the energy to discuss and formulate policy, as we are here, that we should be presenting to politicians and candidates.

Expand full comment
3 more comments...

No posts