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24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of...

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24 April 2013 D E B T AND THE D O C T O R
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Page 1: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

24 April 2013

D E B T AND THE D O C T O R

Page 2: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

BEFORE WE BEGIN . . .

• I’m not trying to convince you of anything.

• The context is American . . .

• . . . but the implications are much broader than that.

• I am not an expert!

• Am I biased? You bet I am!

Page 3: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

HOW DEBT WORKS

Need Now Money Later

Personal Debt

Me Now Me Later

Page 4: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

HOW DEBT WORKS

Need Now Money Later

Public Debt

Us Now Them Later

Page 5: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

“Government is the great fiction by which everybody endeavours to live at the expense of everybody else.”

DEBT AND JUSTICE

Page 6: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

“Government is the great fiction by which everybody endeavours to live at the expense of everybody else.”

DEBT AND JUSTICE

Page 7: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

It’s not right to use government to put your burden on someone else.

Fair Shares at a Point in Time

DEBT AND JUSTICE

Page 8: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

Fair Shares Over Time

Public Debt Now Taxes Later

Fair Shares at a Point in Time

It’s not right to use government to put your burden on someone else.

DEBT AND JUSTICE

Us Now Them Later

Page 9: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

Public Debt Now Taxes Later

DEBT AND JUSTICE

Will future persons be able to pay, and at what cost?

Is it fair to ask future persons to pay?

Are we, and they, getting good value?

Us Now Them Later

Page 10: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

THE PLAN

1. What is the Debt?

2. Why Worry About Debt?

3. What Causes Debt to Grow?

4. How Can Debt Be Controlled?

5. Discussion

Page 11: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

Where Does Public Debt Come From?

Revenue (smaller) Revenue (bigger) Revenue (equal)

- Spending (bigger) - Spending (smaller) - Spending (equal)

= Deficit = Surplus = Balanced Budget

Page 12: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

Where Does Public Debt Come From?

Last year This year Next year

Revenue (smaller) Revenue (smaller) Revenue (smaller)

- Spending (bigger) - Spending (bigger) - Spending (bigger)

= Deficit = Deficit = Deficit

DEBT

Page 13: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

What Gets Counted as “The Debt”?

As of 15 April 2013:

GROSS DEBT $16.8 trillion

INTRAGOVERNMENTAL DEBT $ 4.8 trillion

PUBLIC DEBT $ 12 trillion

UNFUNDED OBLIGATIONS?

Better treated under the topic of spending

Source: US Dept. of the Treasuryhttp://www.treasurydirect.gov/NP/NPGateway

Page 14: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

What Gets Counted as “The Debt”?

As of 15 April 2013:

GROSS DEBT $16.8 trillion

INTRAGOVERNMENTAL DEBT $ 4.8 trillion

PUBLIC DEBT $ 12 trillion

Borrowed money to be paid back with taxes later

Source: US Dept. of the Treasuryhttp://www.treasurydirect.gov/NP/NPGateway

Page 15: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

What Gets Counted as “The Debt”?

By end of 2018 (est.):

GROSS DEBT $21.7 trillion

INTRAGOVERNMENTAL DEBT $ 5.7 trillion

PUBLIC DEBT $ 16 trillion

Borrowed money to be paid back with taxes later

Source: White House Office of Management and Budgethttp://www.whitehouse.gov/omb/budget/Historicals, table 7.1

Page 16: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

Is This a Lot of Debt?

Page 17: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1. WHAT IS THE DEBT?

Is This a Lot of Debt?

It is high enough to be historically very significant:

“Debt has exceeded 70 percent of GDP during only one other period in U.S. history: from 1943 through 1951, when it spiked (peaking at 109 percent of GDP) because of a surge in federal spending during World War II.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

Page 18: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1940

1942

1944

1946

1948

1950

1952

1954

1956

1958

1960

1962

1964

1966

1968

1970

1972

1974

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

estim

ate

2014

estim

ate

2016

estim

ate0.0

20.0

40.0

60.0

80.0

100.0

120.0

World War II 2013US PUBLIC DEBT AS % GDP

1940 - 2017

AustraliaSource: http://www.whitehouse.gov/omb/budget/Historicals, table 7.1http://www.oecd-ilibrary.org/economics/government-debt_gov-debt-table-en (Australia)

Page 19: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.
Page 20: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

World War II 2013US DEFICITS AS % GDP

1940 - 2017

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.2

1940

1942

1944

1946

1948

1950

1952

1954

1956

1958

1960

1962

1964

1966

1968

1970

1972

1974

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

estim

ate

2016

estim

ate

2018

estim

ate

-10

-5

0

5

10

15

20

25

30

35

Page 21: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

US DEFICITS IN 2005 DOLLARS1940 - 2018

1940

1942

1944

1946

1948

1950

1952

1954

1956

1958

1960

1962

1964

1966

1968

1970

1972

1974

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

2016

2018

-400

-200

0

200

400

600

800

1000

1200

1400

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3

World War II 2013

Page 22: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

THE PLAN

1. What is the Debt?

2. Why Worry About Debt?

3. What Causes Debt to Grow?

4. How Can Debt Be Controlled?

5. Discussion

Page 23: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

5 Trade-offs of Debt

Caveats:

These are net effects

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

2. WHY WORRY ABOUT DEBT?

Page 24: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Caveats:

These effects are not time-equal

“Generations born after about 2015 would be worse off if action to stabilize the debt-to-GDP ratio was postponed from 2015 to 2025. People born before 1990, however, would be better off if action was delayed, largely because they would partly or wholly avoid the policy changes needed to stabilize the debt.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

Page 25: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Caveats:

These effects are not time-equal

“Generations born after about 2015 would be worse off if action to stabilize the debt-to-GDP ratio was postponed from 2015 to 2025. People born before 1990, however, would be better off if action was delayed, largely because they would partly or wholly avoid the policy changes needed to stabilize the debt.”

Dealing with it Now

Dealing with it Later

Page 26: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Money invested in deficits isn’t invested elsewhere

“Increased government borrowing generally draws money away from (crowds out) private investment in productive capital, leading to a smaller stock of capital and lower output in the long run than would otherwise be the case.

Deficits generally have that effect on private investment because the portion of people’s savings used to buy government securities is not available to finance private investment.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

I

Page 27: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Money invested in deficits isn’t invested elsewhere

“Increased government borrowing generally draws money away from (crowds out) private investment in productive capital, leading to a smaller stock of capital and lower output in the long run than would otherwise be the case.

Deficits generally have that effect on private investment because the portion of people’s savings used to buy government securities is not available to finance private investment.”

I

More Debt Lower Output. . . Less Wealth

Page 28: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Raising taxes to reduce debt weakens incentives to work and save

“A lower marginal tax rate on capital income increases the after-tax rate of return on saving, strengthening the incentive to save; more saving implies more investment, a larger capital stock, and greater output and income. … A higher marginal tax rate on capital income has the opposite effect.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

II

Page 29: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Raising taxes to reduce debt weakens incentives to work and save

“A lower marginal tax rate on capital income increases the after-tax rate of return on saving, strengthening the incentive to save; more saving implies more investment, a larger capital stock, and greater output and income. … A higher marginal tax rate on capital income has the opposite effect.”

II

More DebtHigher Capital Gains Tax

. . . Less Wealth

Page 30: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Raising taxes to reduce debt weakens incentives to work and save

“Similarly, a lower marginal tax rate on labor income increases the incentive to work, raising the number of hours people work and therefore the amount of output and income. … A higher marginal tax rate on labor income has the opposite effect.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

II

Page 31: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Raising taxes to reduce debt weakens incentives to work and save

“Similarly, a lower marginal tax rate on labor income increases the incentive to work, raising the number of hours people work and therefore the amount of output and income. … A higher marginal tax rate on labor income has the opposite effect.”

II

More DebtHigher Income Taxes

. . . Less Wealth

Page 32: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Cutting spending to reduce debt means fewer public services

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

III

More Debt Fewer Services

Page 33: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

More debt means a less flexible government

“Having a relatively small amount of outstanding debt gives policymakers the ability to borrow to address significant unexpected events such as recessions, financial crises, and wars. In contrast, a large amount of debt leaves less flexibility for government actions to address financial and economic crises, which in many countries have been very costly for the governments as well as for citizens.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

IV

Page 34: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

More debt means a less flexible government

“Having a relatively small amount of outstanding debt gives policymakers the ability to borrow to address significant unexpected events such as recessions, financial crises, and wars. In contrast, a large amount of debt leaves less flexibility for government actions to address financial and economic crises, which in many countries have been very costly for the governments as well as for citizens.”

IV

More Debt Less Flexibility

Page 35: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Increased risk of major fiscal crisis

“A rising level of government debt would have another significant negative consequence: Combined with an unfavorable long-term budget outlook, it would increase the probability of a fiscal crisis for the United States. In such a crisis, investors become unwilling to finance all of a government’s borrowing needs unless they are compensated with very high interest rates; as a result, the interest rates on government debt rise suddenly and sharply relative to rates of return on other assets.

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

V

Page 36: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Increased risk of major fiscal crisis

“That increase in interest rates would reduce the market value of outstanding government bonds, inflicting losses on investors who hold them. Such a decline could precipitate a broader financial crisis by causing losses for mutual funds, pension funds, insurance companies, banks, and other holders of federal debt—losses that might be large enough to cause some financial institutions to fail.

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

V

Page 37: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Increased risk of major fiscal crisis

“Unfortunately, there is no way to predict with any confidence whether and when such a fiscal crisis might occur in the United States. In particular, there is no identifiable tipping point of debt relative to GDP that indicates a crisis is likely or imminent. All else being equal, however, the larger the debt, the greater the risk of a fiscal crisis.”

Source: Congressional Budget Office, The 2012 Long-Term Budget Outlook, chapter 2http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

V

Page 38: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

5 Trade-offs of Debt

Increased risk of major fiscal crisis

“Unfortunately, there is no way to predict with any confidence whether and when such a fiscal crisis might occur in the United States. In particular, there is no identifiable tipping point of debt relative to GDP that indicates a crisis is likely or imminent. All else being equal, however, the larger the debt, the greater the risk of a fiscal crisis.”

V

More Debt More Risk

Page 39: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

More Debt

Higher TaxesFewer ServicesLess FlexibilityMore Risk

Page 40: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

More Debt Less Wealth

Page 41: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

What about Interest?

2012:

Public Debt: $ 12 trillion

Interest Payment: $220 billion

Approximate Rate: 1.8 %

More than 6% of all spending, and about 9% of all revenue

Almost 1/3 of all national defense spending in 2012

More than Education, Training, Social Services, Employment, & VA combined

Source : http://www.whitehouse.gov/omb/budget/Historicals, table 6.1 (interest payment & total outlay), table 7.1 (debt), table 1.1 (revenue), table 3.1 (breakdown of outlay)

Page 42: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

What about Interest?

2012:

Public Debt: $ 12 trillion

Interest Payment: $220 billion

Approximate Rate: 1.8 %

Rates of interest on public debt have been extremely low.

For instance, it was about 6.12% in 1993.

At a similar rate in 2012, interest would have been over $734 billion.

Source : http://www.whitehouse.gov/omb/budget/Historicals, table 6.1 (interest payment), table 7.1 (debt)

Page 43: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

20.00

Interest rateInterest as % GDPInterest as % revenue

INTEREST ON PUBLIC DEBT1992 - 2011

Source : http://www.whitehouse.gov/omb/budget/Historicals, table 6.1 (interest payment), table 1.3 (revenue); http://www.bea.gov/national/xls/gdplev.xls (debt)

Page 44: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

What about Interest?

2012:

Public Debt: $ 12 trillion

Interest Payment: $220 billion

Approximate Rate: 1.8 %

At the moment, rates are fairly steady.

But rates change. With a large debt, what do such changes look like?

Source : http://www.whitehouse.gov/omb/budget/Historicals, table 6.1 (interest payment), table 7.1 (debt)

Page 45: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

What Difference Would Higher Interest Rates Make?

2012: 2012 +1 point:

Public Debt: $ 12 trillion $ 12 trillion

Interest Payment: $220 billion $336 billion

Approximate Rate: 1.8 % 2.8 %

An extra $116 billion in interest would have been paid.

A 53% increase in paid interest, and more than was spent on Education, Training, Employment, & Social Services combined – just in extra interest.

Source : http://www.whitehouse.gov/omb/budget/Historicals, table 6.1 (interest payment), table 7.1 (debt), table 3.1 (breakdown of outlay)

Page 46: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

Extra payment as % GDP

Extra payment as % revenue

EFFECT ON INTEREST PAYMENTSOF EACH PERCENTAGE POINT

1992 - 2011

Sources : http://www.whitehouse.gov/omb/budget/Historicals, table 7.1 (debt), table 3.1 (breakdown of outlay), table 1.1 (revenue); http://www.bea.gov/national/xls/gdplev.xls (GDP).

Page 47: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

When Interest Rates Return to Historically More Normal Levels:

“Throughout the 2013–2023 period, debt held by the public is projected to be significantly greater relative to GDP than at any time since just after World War II … If the amount of debt held by the public remains so large, federal spending on interest payments will increase substantially when interest rates rise to more normal levels.”

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 48: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

2. WHY WORRY ABOUT DEBT?

When Interest Rates Return to Historically More Normal Levels:

“Throughout the 2013–2023 period, debt held by the public is projected to be significantly greater relative to GDP than at any time since just after World War II … If the amount of debt held by the public remains so large, federal spending on interest payments will increase substantially when interest rates rise to more normal levels.”

Sustained or Increased Debt

Rising Debt Service Costs

Page 49: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

THE PLAN

1. What is Debt?

2. Why Worry About Debt?

3. What Causes Debt to Grow?

4. How Can Debt Be Controlled?

5. Discussion

Page 50: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

What Do We Mean, “Causes”?

We might mean: How did deficits come to be so large?

Public debt went from 40% of GDP in 2008 to 54% in 2009 & climbing

“Perfect Storm”

Less Revenue More Spending

Decline in GDP General increase

Smaller share of GDP Wars

Stimulus bill

Page 51: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

What Do We Mean, “Causes”?

We might mean: How did deficits come to be so large?

We might mean: Why are deficits still so hard to manage?

Page 52: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

What Do We Mean, “Causes”?

We might mean: How did deficits come to be so large? “Altitude”

We might mean: Why are deficits still so hard to manage? “Attitude”

Page 53: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

What Do We Mean, “Causes”?

We might mean: How did deficits come to be so large? “Altitude”

We might mean: Why are deficits still so hard to manage? “Attitude”

Page 54: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Revenue Revenue Revenue

- Spending - Spending - Spending

= Deficit = Deficit = Deficit

DEBT

There are only 3 possibilities:

Revenue is too small

Spending is too big

Some combination of the two

See also http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf, p. 4

Page 55: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

I think this is the answer, and clearly so.

There are only 3 possibilities:

Revenue is too small

Spending is too big

Some combination of the two

Page 56: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

I think this is the answer, and clearly so.

But that still leaves a question:

Is this chiefly a revenue problem

or chiefly a spending problem?

There are only 3 possibilities:

Revenue is too small

Spending is too big

Some combination of the two

Page 57: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

This is where things get very controversial.

Remember, I’m not here to convince you of anything!

But obviously, I do have a view.

Is this chiefly a revenue problem

or chiefly a spending problem?

There are only 3 possibilities:

Revenue is too small

Spending is too big

Some combination of the two

Page 58: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Because this is considered a political issue, the CBO doesn’t make a verdict.

However, they do controlled thought experiments—called “projections”—that can be used to determine what sorts of policy approaches are sustainable.

Their 2012 projection was particularly revealing ...

Page 59: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The CBO focused on the 4 main areas that bear on the budget:

Page 60: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The CBO focused on the 4 main areas that bear on the budget:

MANDATORY SPENDING

Spending that Congress can alter only if they change

the law

Page 61: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The CBO focused on the 4 main areas that bear on the budget:

MANDATORY SPENDING

DISCRETIONARY SPENDING

Spending that Congress can alter in preparing a budget,

without having to change any laws

Page 62: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The CBO focused on the 4 main areas that bear on the budget:

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE

Taxes etc.

Historically 18% of GDP

Page 63: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The CBO focused on the 4 main areas that bear on the budget:

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Unexpected disasters, financial

crises, military conflicts, etc. etc.

Page 64: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Then they made some assumptions:

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher

Rising GDPRising share of GDP

Stable

Page 65: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Then they made some assumptions:

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher Stable

Best-Case Scenario forMandatory Spending

Page 66: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

A PROJECTION IS NOT A PREDICTION!

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher Stable

Best-Case Scenario forMandatory Spending

Page 67: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Why focus on mandatory spending?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher Stable

Best-Case Scenario forMandatory Spending

Page 68: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Why focus on mandatory spending?

(1) It is, after all, mandatory.

So the first question is whether the problem is in the law or just in the budget.

(2) It is the majority of all spending.

Page 69: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

Mandatory spending $2.256

Discretionary spending $1.347

MANDATORY & DISCRETIONARY SPENDING, 2012Trillions of 2012 Dollars

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 8.5 (mandatory), table 8.7 (discretionary)

Page 70: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

Why focus on mandatory spending?

(1) It is, after all, mandatory.

So the first question is whether the problem is in the law or just in the budget.

(2) It is the majority of all spending.

(3) It is the part of spending that is growing.

Page 71: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

19621963

19641965

19661967

19681969

19701971

19721973

19741975

19761977

19781979

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20102011

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

GROWTH IN MANDATORY & DISCRETIONARY SPENDING AS % GDP, 1962 - 2011

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue), table 8.5 (mandatory), table 8.7 (discretionary);http://www.bea.gov/national/xls/gdplev.xls (GDP).

Page 72: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

So, what was their projection in 2012?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher Stable

Best-Case Scenario forMandatory Spending

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_Budget_Outlook_2.pdf

Page 73: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

Historically high debt

Page 74: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

How probable are these assumptions?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant

Includes scheduledMedicare cuts

that are not actuallyexpected to occur

Lower

… as % GDPthan sincethe 1930s

Higher

21%-24% of GDP,new historic high(70-year high: 21%)

Assumes no impacton GDP growth

Stable

Obvious

Page 75: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower

As low as 5.5% GDP,vs. the 40-year avg.

of 8.5%

Higher

About 19% of GDPover the next decade

Assumes no impacton GDP growth

Stable

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 76: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 77: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“If the current laws that govern federal taxes and spending do not change, the budget deficit will shrink this year to $845 billion, or 5.3 percent of gross domestic product (GDP), its smallest size since 2008. In CBO’s baseline projections, deficits continue to shrink over the next few years, falling to 2.4 percent of GDP by 2015.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 78: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“Deficits are projected to increase later in the coming decade, however, because of the pressures of an aging population, rising health care costs, an expansion of federal subsidies for health insurance, and growing interest payments on federal debt.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 79: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“Deficits are projected to increase later in the coming decade, however, because of the pressures of an aging population, rising health care costs, an expansion of federal subsidies for health insurance, and growing interest payments on federal debt.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 80: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“Deficits are projected to increase later in the coming decade, however, because of the pressures of an aging population, rising health care costs, an expansion of federal subsidies for health insurance, and growing interest payments on federal debt.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 81: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“Deficits are projected to increase later in the coming decade, however, because of the pressures of an aging population, rising health care costs, an expansion of federal subsidies for health insurance, and growing interest payments on federal debt.

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 82: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

The most recent update (February 2013):

“As a result, federal debt held by the public is projected to remain historically high relative to the size of the economy for the next decade. By 2023, if current laws remain in place, debt will equal 77 percent of GDP and be on an upward path, CBO projects.”

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907-BudgetOutlook.pdf

Page 83: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

There is clearly a problem with mandatory spending.

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Constant Lower Higher Stable

Even under implausibly favorable conditions everywhere else, there would still be historically high levels of debt

Page 84: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

What other problems might there be?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Page 85: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

What other problems might there be?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

2009

0

10

20

30

40

50

60

70

80

Top Marginal Tax Rate

Revenue as % GDP

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue); http://www.taxpolicycenter.org/taxfacts/displayafact.cfm?Docid=213 (marginal rates)

Page 86: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

SPENDING VS. REVENUE2011 - 2012

18% GDP

18% GDP

2011 spending 2011 revenue 2012 spending 2012 revenue$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

DiscretionaryMandatory

15.4% GDP

15.8% GDP

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue), table 8.5 (mandatory), table 8.7 (discretionary)

Page 87: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

SPENDING VS. REVENUE2011 - 2012

18% GDP

18% GDP

2011 spending 2011 revenue 2012 spending 2012 revenue$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

DiscretionaryMandatory

18% GDP

18% GDP

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue), table 8.5 (mandatory), table 8.7 (discretionary)

Page 88: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

What other problems might there be?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Discretionary spending, 2011 (millions of 2011 dollars)

National defense $699,463 Education & social services $116,377

Transportation $90,951 Income security $71,087

Health $62,742 Veterans benefits $56,710

International affairs $48,769 Natural resources $43,595

Science & space $30,753 Community development $23,878

General $19,780 Energy $14,163

Agriculture $6,394 Social Security $5,888

Medicare $5,730

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 8.7 (discretionary)

Page 89: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

19621963

19641965

19661967

19681969

19701971

19721973

19741975

19761977

19781979

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20102011

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

GROWTH IN MANDATORY & DISCRETIONARY SPENDING AS % GDP, 1962 - 2011

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue), table 8.5 (mandatory), table 8.7 (discretionary);http://www.bea.gov/national/xls/gdplev.xls (GDP).

Page 90: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

3. WHAT CAUSES DEBT TO GROW?

Is it a Revenue Problem or a Spending Problem?

MANDATORY SPENDING

DISCRETIONARY SPENDING

REVENUE EVERYTHING ELSE

Page 91: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

THE PLAN

1. What is Debt?

2. Why Worry About Debt?

3. What Causes Debt to Grow?

4. How Can Debt Be Controlled?

5. Discussion

Page 92: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

There are Only 3 Possibilities:

Systemic Overhaul of Revenue

Systemic Overhaul of Spending

Both

Why “systemic”?

Page 93: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 1: Systemic Overhaul of Revenue

Historically, the US has collected about 18% of GDP in revenue.

In 2009 – 2012, spending averaged about 24% of GDP.

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue, spending, & deficit), http://www.cbo.gov/sites/default/files/cbofiles/attachments/43373-06-11-HouseholdIncomeandFedTaxes.pdf, table 2 (tax),"Growing Unequal? Income Distribution and Poverty in OECD Countries," OECD 2008 (progressivity).

Page 94: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 1: Systemic Overhaul of Revenue

Historically, the US has collected about 18% of GDP in revenue.

In 2009 – 2012, spending averaged about 24% of GDP.

The US has the most progressive taxes of the OECD-24.

Generally, more progressive systems collect a smaller share of GDP.

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue, spending, & deficit), http://www.cbo.gov/sites/default/files/cbofiles/attachments/43373-06-11-HouseholdIncomeandFedTaxes.pdf, table 2 (tax),"Growing Unequal? Income Distribution and Poverty in OECD Countries," OECD 2008 (progressivity).

Page 95: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

"Growing Unequal? Income Distribution and Poverty in OECD Countries”

Organisation for Economic Cooperation and Development, 2008

Austra

liaAus

tria

Belgium

Canad

a

Czech

Repub

lic

Denmark

Finland

France

German

y

Icelan

dIre

land

ItalyJa

panKore

a

Luxe

mbourg

Netherl

ands

New Zea

land

Norway

Poland

Slovak

Repub

lic

Sweden

Switzerla

nd

United

Kingdo

m

United

States

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

Progressive Tax Rating

Ratio of tax share among the wealthiest 10% to their share of market income

Page 96: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 1: Systemic Overhaul of Revenue

Historically, the US has collected about 18% of GDP in revenue.

In 2009 – 2012, spending averaged about 24% of GDP.

The US has the most progressive taxes of the OECD-24.

Generally, more progressive systems collect a smaller share of GDP.

In 2009, the deficit was $1.412 trillion.

In 2009, the top 20% paid $1.429 trillion in taxes.

Source: http://www.whitehouse.gov/omb/budget/Historicals, table 1.3 (revenue, spending, & deficit), http://www.cbo.gov/sites/default/files/cbofiles/attachments/43373-06-11-HouseholdIncomeandFedTaxes.pdf, table 2 (tax),"Growing Unequal? Income Distribution and Poverty in OECD Countries," OECD 2008 (progressivity).

Page 97: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 1: Systemic Overhaul of Revenue

So if the debt is to be handled via revenue, then either:

Radically more progressive taxes

Even after adjusting for income distribution, only the top 20% saw their share of total taxes rise since 1979.

Share of 2009 taxes, top 20%: 68%

If they had eliminated the deficit: 81%

Source: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43373-06-11-HouseholdIncomeandFedTaxes.pdf, table 2.

Page 98: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 1: Systemic Overhaul of Revenue

So if the debt is to be handled via revenue, then either:

Radically more progressive taxes, or

Radically less progressive taxes

(like Denmark, for example)

Page 99: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 2: Systemic Overhaul of Spending

Most of mandatory spending is for healthcare and pensions

These are growing

The trustees of these programs report they are not sustainable, even with the cost-containment measures already provided for in the law

So if the debt is to be handled via spending, we must fundamentally change how people receive these services

Page 100: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

4. HOW CAN DEBT BE CONTROLLED?

Option 2: Systemic Overhaul of Spending

Most of mandatory spending is for healthcare and pensions

These are growing

The trustees of these programs report they are not sustainable, even with the cost-containment measures already provided for in the law

So if the debt is to be handled via spending, we must fundamentally change how people receive these services

Page 101: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

THE PLAN

1. What is Debt?

2. Why Worry About Debt?

3. What Causes Debt to Grow?

4. How Can Debt Be Controlled?

5. Discussion

Page 102: 24 April 2013 D E B T AND THE D O C T O R. BEFORE WE BEGIN... I’m not trying to convince you of anything. The context is American...... but the implications.

24 April 2013

D E B T AND THE D O C T O R

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