Biden’s Proposal

I suppose I ought to react to Joe Biden’s proposal, published in Medium. Reading around the persiflage, he proposes two things. First

I have directed my team to develop a plan to lower the Medicare eligibility age to 60.

Costs for the expansion are to be paid from general revenues. And

I’ve also directed my team to develop a plan to forgive federal student debt relating to the cost of tuition currently held by low-income and middle-class people for undergraduate public colleges and universities, as well as private Historically Black Colleges and Universities (HBCUs) and private, underfunded Minority-Serving Institution (MSIs).

Since these are the keystones of what he has proposed for some time, they are hardly surprising. I find continuing to paddle your canoe during a crisis ghoulish but on the positive side, these proposals aren’t as ghoulish as some responses to what is clearly being perceived as a “good crisis”. He also proposes grants to states to pay for “educators and health care workers and first responders”:

In addition to funds to keep workers on payroll, the next recovery package will need to provide significant funds to states, to make sure that educators and health care workers and first responders can keep getting paid. It will have to provide hazard pay to frontline workers putting themselves at risk. It will have to provide health care coverage for millions who lose their insurance, by allowing them to stay on their health care plans and covering the cost, as well as reopening enrollment for Obamacare and creating the public option I’ve been calling for. It will have to extend unemployment benefits, and provide further direct cash relief, and take care of the people left out of the CARES Act, through an immediate cancellation of a minimum of $10,000 of student debt per person, as proposed by Senator Warren, and Social Security boosts. And so much more.

as well as proposing that the federal government shoulder the costs for all testing for the “novel coronavirus” and all care for COVID-19:

And we must — must — make sure not only that every American can be tested for coronavirus free of cost, but also make sure every American can be treated for coronavirus free of cost. Period.

While I support a federal plan for epidemiological testing, I think that testing “every American” is a step too far. Not only do I think it would be much more expensive than its proponents anticipate (no less than $1 trillion), it’s a logistical nightmare. Would it actually tell us more than sampling would? To the contrary I suspect it would be the world’s largest and most expensive game of Whac-A-Mole. If you came back and retested a week later, you’d get different results. It would also take limited resources away from more urgent uses. As to paying for all of the care for COVID-19, under existing law the federal government will probably already pay for most of the costs.

Demanding that all care be paid for by the federal government is exactly why I opposed payouts to the victims of 9/11. We had not made such payouts to victims of war in the past and it set a precedent of which VP Biden’s proposal is an example. Benign as it may sound it’s unclear to me why the federal government should pay the health care costs of people who have private health care insurance.

I know I’m the dog in the manger on this subject but why provide grants to pay health care workers and not grocery store clerks? Health care workers who believe that they did not sign on to be around sick people, a complaint I’ve been hearing recently, really should reconsider their chosen careers. It’s exactly what they signed on for. It is not, in fact, what grocery clerks signed on for and they are keeping people alive as surely as health care workers are.

I note that there is no consideration as to how all of the spending will be paid for. I would presume that it will be paid in the same way that our budget has been paid during nearly the entire 40 years during which Vice President Biden has held political office—it will be borrowed. I think that should be reconsidered.

For 2019 the federal budget was about $4.5 trillion. Interest on the debt comprised 8% of that. At the end of 2019 the federal debt stood at about $22.7 trillion. The recently-passed CARES act will add $2 trillion to that. That will sharply increase interest payments which are already one of the largest line items in the federal budget. As I see it there are several different strategies for handling the spending:

  1. We can handle it the way that Keynes proposed: we can reduce spending and/or increase taxation during an expansion subsequent to the sharp contraction that practically everybody presently envisions. We have never done that in the past and I believe there would be strong opposition to doing so now. Most Keynesians including economists who should know better are content with what I’ve called “folk Keynesianism” under which more spending is always good.
  2. We can merely extend ourselves credit without actually borrowing it. No interest would be due. If there has ever been a good time for an experiment with Modern Monetary Theory, this is probably it. We could use a little inflation about now and I say that as a saver who stands to lose by inflation. The challenge will be in controlling the inflation.
  3. We can increase taxes on corporations and individuals immediately to make up the difference. From an economic standpoint that’s probably the worst alternative but I suspect it’s the one that the class warriors who are wielding so much influence on the Democratic Party these days will seize on.
13 comments… add one
  • steve Link

    Agree that sampling is much better, with the ability to do more extensive testing in areas you are concerned about. This may be a hard sell. This is something that “experts” would suggest. Some people dont trust “experts”. They only trust their preferred ideological leader.

    I think that health care workers who have the skills to work around Covid pts are mostly working. There are a lot who do not. I am not sure why they should be excluded if you are paying other workers.

    “We can handle it the way that Keynes proposed: we can reduce spending and/or increase taxation during an expansion subsequent to the sharp contraction that practically everybody presently envisions. We have never done that in the past ”

    Didnt we increase taxes in the Clinton expansion? Otherwise I agree. The Trump tax cuts gave us pretty minimal growth but increased debt. Would have been nice if we had skipped those cuts. We could have relied upon all those cuts in regulations to boost our economy. (LOL)

    Steve

  • CuriousOnlooker Link

    As far as I can tell — sampling has been suggested for weeks but the national strategy has defaulted to “let’s just try to test everyone”; it’s really one small group of experts going up with another group of experts.

    On debt forgiveness – I think debt forgiveness for 30% of Americans who went to Universities is going to trigger a row similar to bailing out homeowners who got underwater; and the 30% are generally more well off then the 70%.

    In some ways it does not matter. Carville is predicting Nov will be 2008 redux. Biden could be medically diagnosed as senile and he will win.

    Everyone will get the pleasure of finding out what those Democratic supermajorities actually enact.

  • TarsTarkas Link

    So Joe Biden is basically promoting taxing not just everybody behind the tree but their unborn children as well, into perpetuity. And supporting government workers and NGO workers preferentially over for-profit workers, cuz they’re more likely to be Democratic voters. Why doesn’t he just say I’m going to confiscate the assets of the upper two income cohorts (minus the liberal set) so I can bribe the other 60% into voting for me? That would be more honest.

    Alternately his handlers believe in MMT and propose to keep that shell game solvent via rationing, price controls, and forced labor production. Kinda what what AOC’s former campaign manager was proposing.

    Curious: We already know what Democratic supermajorities enact. See California, the formerly Golden State. Illinois and New York ain’t far behind.

    Steve: What’s happening on the COVID-19 front with you? I’m not trusting the happy talk I’m getting on a lot of the sites I frequent nor the Black Death is still coming hysteria from the other side. Obviously from you posting here you sound healthy, which is good. Has the ICU load lightened any?

  • CuriousOnlooker Link

    By the way, here is an example of sampling (only 500 people)

    https://www.technologyreview.com/2020/04/09/999015/blood-tests-show-15-of-people-are-now-immune-to-covid-19-in-one-town-in-germany

    Interesting to note — they calculate the fatality rate at 0.4%. It is interesting to project that figure out to hotspots like New York.

  • Curious: We already know what Democratic supermajorities enact. See California, the formerly Golden State. Illinois and New York ain’t far behind.

    I predict that there will be a major push for the federal government to dig state and local governments out of the holes which they have been digging for themselves over the last 25 years which will use COVID-19 as a pretext.

  • I’d read that one, CuriousOnlooker. Although I did not see it mentioned in the MIT Review article that town had an early cluster of cases and they tested 10% of the population. It sort of highlights what I have been proposing: use sampling to identify hot spots and then more intensive sampling within the hotspots to measure contagion and virulence.

  • Andy Link

    Curious,

    They tested 500 out of a population of about 12,000 or about 4% of the population. Scaling that to the United States will require about 13 million tests.

    Meanwhile, the number of tests conducted daily in public health labs has been no more than 12k per day so far and is usually much less.

    https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/testing-in-us.html

    So at that rate, it will only take 3 years to sample 4% of the population.

    I keep harping on about testing and this is one illustration why. Even if we are going to only do sampling to feed models our current capacity is woefully inadequate to do even that.

  • Fortunately, public health labs are not the only resource for testing. That among other reasons is the value of testing using ID Now and its competitors. Tens of thousands of those have been installed, each capable of testing for SARS-CoV-2. The federal government recently shipped nearly a thousand more to the states.

    The limiting factor will not be testing facilities. It will be the reagents used by the tests.

    However, your example illustrates why I think the notion of testing everybody is so fatuous and, farther, demanding that is actually damaging. It’s a logistical nightmare. However, with the number of machines available (and assuming enough tests) we could be processing 2 million tests a day.

  • CuriousOnlooker Link

    Andy – I would point out the Germans are not testing 4% of Germany either. Or 4% of the EU; which is the right comparable.

    Sampling in specific communities and sub populations will give a lot of info on where things are at the big picture level.

    We have far more then enough testing capacity for that already.

    I keep reminding; San Francisco only needed 180 tests to make a decision to issue a shelter in place order.

    The US is doing 150000 / day. That’s roughly 800 cities that could do the same style of testing as San Francisco to guide decision making. There are approximately 3000 counties in the US. Every county in the US could a similar survey in 4 days.

  • GreyShambler Link

    I think it’s time for a comprehensive debt jubilee for payday borrowers, mortgage holders, student borrowers, and short sellers alike. I doubt the economy can survive the orgy going on now between investment banks and “sophisticated investors” posing as small businessmen. So, give everybody a fair shake and a fresh start. Time for MMT, guaranteed income, and what the hell, free love. Hand sanitizer today, corpse tomorrow.

  • steve Link

    Tars- We are holding steady. Total number of hospitalized pts is flat. ICU pts down a bit. We are cautiously optimistic. However, it is starting to hit the nursing homes. NY and NJ look to be slowing which is important to us since we are just next door.

    Steve

  • TarsTarkas Link

    Steve: Thanks for the reply. Glad you’re not being overwhelmed. Hopefully it ramps down soon. And hopefully there won’t be a repeat performance in the fall. And if there is you’ll be better prepared for it than you were for the first wave.

    When you say the ‘nursing homes’ are you talking NYC Metro or Philly Metro or both? Personal concern as I have a 94 YO mother at a high end retirement community west of Philly. She said one Kung Flu case in her complex a couple of weeks ago but no more. She’s extremely healthy, still on her feet no walker, but on multiple meds.

  • steve Link

    The nursing homes I am most aware of having major issues are the ones spreading from NYC and through New Jersey. Several nursing homes on the PA/NJ border are full of Covid. More locally every nursing home has reported at least one case but they are not swamped yet. We are having problems with staff a those places not showing up. We would have to ask the critical care guys down at Penn what they are hearing about nursing homes there if they know anything about west of the city but those pts might be going to Lankenau or elsewhere so they might not be very aware. We have the best data for the areas that might affect us. Good luck with your mother. Nag her about washing her hands, but at 94 she will probably do what she wants anyway.

    Steve

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