Saturday, March 10, 2018

A "Social" disease?


        I frequently play golf with a friend (a real and good friend) who is rather more politically conservative than I. We agree on some issues and disagree on others, which has no effect on our friendship or the civility of our discussions.

        Recently, as we were just chatting about current events, the subject of Social Security came up and I expressed some concern that people like Paul Ryan, himself, a SS beneficiary as a teen aged survivor, seems hostile toward the system. My friend then offered the opinion that Social Security is un(or less)necessary now because of access to things like 401Ks and medical spending accounts. It struck me at that point that there is a significant portion of our society who are simply unable to  understand or grasp the concept that there are those among our citizens who, even though they may work two minimum or low wage jobs, cannot even comprehend the idea of a 401K, IRA, or other retirement vehicle because there isn’t any money left over.

       The person with the 130 IQ and a university degree who has parlayed that into a hefty retirement from a major corporation and has spent 40 or more years in the workplace with annual disposable income far, or even moderately, in excess of that needed for sustenance essentials such as food, shelter, clothing, etc. cannot, in far too many cases,  fathom that it’s simply not that way for everyone.

        There are had working, good persons in our midst who will do their level best to provide for themselves and their children and still, unless it comes “off the top” like Social Security and FITW, won’t have significant “disposable income.” Social Security wasn’t incepted as a sole source of retirement income, but for many - too many - of our citizens, that’s what it has become. Why? The decline in meaningful pension plans other than savings is one reason, the cost of drugs in an aging and longer-lived population is another. The same Congressmen who bemoan the state of Social Security fear to even discuss the shameful drug industry stranglehold on drug costs legislated into existence by Medicare part D. For those whose incomes after retirement are marginalized, it is a travesty. One example with which I am personally familiar is an individual with a $600 monthly bill for medications essential to sustaining quality of life.

         This is because even the copays are portions of the full price which Medicare is forced to pay. This individual is one of a couple, both medically disabled (really, not through the machinations of a slick attorney!) and getting by on around $30,000 annually, all Social Security. The drug costs would be far higher if it were not for the VA covering the spouse. By the way, the VA does negotiate drug costs and copays are far lower. To express this in the general tone of this essay, this couple pays more than ¼ of their annual income for essential medications! Without Social Security….?

       But, those like Ryan (and in a far more civil tone, my golf buddy) simply see it as another “expense” to cut because of its cost. There is a logical explanation for that (increased cost), too. When the Social Security Act was incepted (1935) it wasn’t really about immediate Great Depression aid, since those elderly (over 65) and retired who were already unable to work received no benefits, nor did agricultural or domestic workers, regardless of age. The act also allowed the eligibility age to be raised from 65 to 70 any time prior to 1940, which never happened. 

       So, why the concern now? Two really simple reasons, actually. The first, in 1935 the average life expectancy of a US citizen (collectively) was 61. This meant that on average at the time of the legislation, many “average” Americans wouldn’t receive benefits, being deceased, even though their contributions had been paid into the system! Today, that figure is 78.7 years of age, meaning that far more of us are living far longer and receiving benefits. As an aside, even though we rave about our health care systems, this number is only 26th in the world, and about 3 years lower than the 36 nation Organization for Economic Cooperation and Development (OECD) average. Why? Ask your Congressman in the pockets of the health care and pharma industries.

        The second reason and just as easy to grasp is that the system is now dealing with the 76.4 million baby boomers born after WII. In the early-to-mid 1950s, the US was experiencing about 120 births per thousand women of childbearing age. By   about 1965, that rate was hovering where it is today at about 63 births per thousand. Again, for the math challenged, the birthrate is again relatively flat at only 52% of Baby Boom peak figures!        Since 1946 and onward, the this “bulge” in population has generated ripples in every sector of American life where age is a factor, be it obstetrics, insurance, TV preferences, music tastes, numbers of drivers, college admissions, you name it. It will obviously impact and in fact is already impacting, SS.  I’m 75 and on Social Security, born in 1942.

       What can be done is simple, but painful to many. Increase eligibility age to reflect longer lived and healthier people. Had the age for full eligibility been raised one year per decade from 1960 on, until the age reached 70, there would be no discussion now. Obviously, that would have involved “grandfathering” those close to retirement (say within ten years) and would have been relatively painless. Clearly, the issue now is that any such change will be delayed ten years in showing the desired effect.

        That said, it (incrementally raising eligibility age) should still be done, explaining that it is essential to the continued operation of the system. Secondarily, simply acknowledge that we “Boomers” will not be here forever, and if we do nothing but gradually raise retirement age, as of, say, ten (or eight or five years from now) there will still come a time when the number of citizens achieving eligibility will begin to decrease and he system will have “healed itself.”  Of course, all this requires   backbone on the part of our governmental leaders.  I am not overly optimistic.     

No comments:

Post a Comment