Okay, let’s narrow this down a bit, because the prescription drug benefit was mentioned above, and that’s the program that got me thinking about this in the first place.
To me, this program seems like a natural for means testing. First, it’s not an entitlement. It’s a new benefit, and no one has paid into it. Second, Seniors as a group are among the wealthiest members of society, so it seems to me that a huge chunk of the prescription drug benefit is going to go to people who are wealthier than those who were taxed to pay for it.
So, should this program be means tested? The tricky part of this when dealing with seniors is that they often have a large net worth that may or may not be liquid, but they may have quite a small income. A typical situation might be a senior who owns a $500,000 home, has a private pension that pays $1000 a month, and SS benefits of maybe another $1000/mo. Now, this person has an ‘income’ of only 24,000 per year, but that’s $24,000 of after-tax money, and with a very nice home owned free and clear.
Is this person impoverished? Should this person have his or her prescription drugs paid for by, say, a young family with two children, a big mortgage, but an income of $35,000? Such a family is probably living paycheck to paycheck, yet they are ‘middle class’.
Can we at least agree that the rich old guy with a million dollar home, $500,000 in investments generating $50K a year, a $5,000/mo corporate pension, and a social security check should not also be given free prescription drugs just because he happened to turn a magic age?
This prescription drug benefit thing really baffles me, to be honest. It wasn’t even on the radar screen a couple of years ago. No one cared. Now suddenly, we’re all acting like the world will collapse if the poor seniors don’t get their prescription drugs. And this program is EXPENSIVE. The Democrats plan is something like 700 billion dollars over, I think, six or seven years, and even the Republican’s plan is 300 billion over the same period. That’ll make it one of the biggest entitlements around.
It’s double concerning because of the demographic bubble that is putting an ever-greater percentage of the population in the ‘senior’ territory, and less and less people in the workforce to pay for their benefits.
It seems to me that now is the time to be taking a hard look at the CURRENT benefits seniors get, because I’m not sure we’ll be able to continue paying for the current ones 10 years from now. People are worried about Social Security and Medicare going bust. So why the sudden need to pile on another 700 billion in seniors benefits?
If it were up to me, I would offer a compromise package - You can have prescription drugs for seniors on a means-tested basis, but the money for it will be paid by means-testing Medicare. Rich people can pay for their own health care.