I found Peter Tanous’s piece at The Hill advocating a value-added tax (VAT) frustrating for a number of reasons. The first reason is that I agree with him. We do need a VAT. Just not structured or implemented as he suggests. His argument, basically, is that if you eliminate Medicare, Medicaid, and Social Security it still doesn’t mean we won’t be running the federal government at a deficit, i.e. adding to the debt:
Start with the hardest number in Washington. Medicare costs about $1 trillion in fiscal 2026. Eliminate it entirely — as politically unthinkable as that is — and you close only about half of the current deficit. Social Security, at $1.7 trillion and rising every year, is even further off the table. Wipe out every domestic federal agency most people call “waste” — the EPA, the Department of Education, the State Department, foreign aid, all of it — and you’ve touched only 13–14 percent of the federal budget. There is no spending-cut path that closes this gap. The math forces the conversation onto revenue.
Here’s the full picture. The Congressional Budget Office’s fiscal 2026 baseline shows total federal spending of roughly $7.7 trillion. Of that, 73 percent, about $5.6 trillion, is mandatory spending set by law — no annual vote required — and covers Social Security, Medicare and Medicaid. Discretionary spending, the part Congress actually votes on each year, is roughly $2.0 trillion: about $900 billion for defense, about $1.1 trillion for everything else, “waste” categories included.
Since Mr. Tanous never defines what he means by a VAT, I will assume he means a conventional credit-invoice VAT rather than merely a federal retail sales tax collected at the point of final sale.
Although Mr. Tanous mentions some exemptions he fails to mention what are extremely likely to be exempt: medical service fees. Legal services are also an obvious candidate for exemption. Lawyers would have an extraordinary degree of influence over the drafting of the legislation not least because Congress itself contains so many lawyers and the historical record gives little reason to expect Congress to resist demands for preferential tax treatment from politically influential professions. That changes his mathematics considerably, I would argue to the point that it no longer solves the problem he claims it will. I would add that I find exemptions objectionable. That’s picking winners and losers which increases the incentives for lobbying to exempt your own sector from the tax. That’s a slippery slope whose endpoint is no VAT.
At present many state and local governments are highly dependent on sales taxes. According to the Tax Foundation, 35 states receive 25% or more of their revenues from sales taxes. Increasing prices by adding a VAT will decrease consumption which will in turn reduce state and local revenues. And, as I’ve mentioned before, reducing household consumption in an economy as dependent on ours will have a deleterious effect on the economy at least in the short term. History suggests that the Congress will respond to such effects either by spending more which will reduce or eliminate the effect of the tax or by eliminating the tax.






