Marc Goldwein on the US Government Budget: Structure, Challenges, and Reform Strategies
Oct 9, 2023
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Marc Goldwein, Senior Vice President and Senior Policy Director for the Committee for a Responsible Federal Budget, discusses the challenges and structures of the US government budget. Topics include government shutdowns, inflationary episodes, and reform strategies for Medicare and Social Security.
Addressing the challenges of the U.S. government budget requires tackling the aging population, rising healthcare costs, and growing interest rates.
Excessive fiscal and monetary policies during the pandemic have contributed to high inflation and large budget deficits, emphasizing the need for long-term sustainability of programs like Social Security and Medicare.
Finding bipartisan solutions and adjusting both revenue and benefits are crucial in addressing the structural deficit and reforming programs like Medicare and Social Security.
Deep dives
The Need for Long-Term Budget Solutions
The podcast discusses the importance of finding long-term solutions for the U.S. government budget. It emphasizes the challenges and trajectories of the budget, highlighting the need to address the aging population, rising healthcare costs, and growing interest rates.
Implications of Excessive Fiscal and Monetary Policy
The podcast explores how the excessive fiscal and monetary policies implemented during the COVID-19 pandemic have contributed to high inflation and large budget deficits. It discusses the consequences of overstimulation and the potential risks of not addressing the long-term sustainability of programs like Social Security and Medicare.
Government Shutdown and Future Budget Challenges
The podcast delves into the possibility of a government shutdown and its implications for the budget. It highlights the need to address the structural deficit and the importance of finding bipartisan solutions that involve both revenue and benefit adjustments. The episode also touches on the political economy of reforming Medicare and Social Security, considering the voting power of older generations.
Key Areas for Medicare Reform
The podcast focuses on potential areas for Medicare reform, such as site-neutral payments, Medicare Advantage, and Medigap plans. It highlights the need for efficiency and cost-saving measures within the program, without significantly reducing benefits or access to care.
Long-Term Budget Solutions and Generational Imbalances
The podcast suggests a combination approach to solving the long-term budget challenges by addressing both revenue and benefit adjustments. It stresses the importance of appealing to greater angels and considering the economic impact on future generations. It also discusses the need to increase labor force participation among older workers for both economic growth and individual well-being.
Marc Goldwein is the Senior Vice President and Senior Policy Director for the Committee for a Responsible Federal Budget (CRFB), where he guides and conducts research on a wide array of topics related to fiscal policy and the federal budget. Marc joins Macro Musings to talk about the US government budget, its structure, its challenges, and its long-term trajectories. David and Marc also discuss the basics of government shutdowns and the budgetary process, how the most recent inflationary episode unfolded, how to fix the US budget over the long run, and a lot more.