关于控制联邦开支的一些思考

John Garen
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引用次数: 0

摘要

本文概述了控制联邦开支的思想。首先,我要指出我的担忧,即联邦支出过高,不利于良好的激励、生产力和增长。我回顾了以市场为导向的经济学家关于政府适当角色的观点,并指出许多政府活动远远超出了它们的范围。“做点什么”是有问题的,因为特殊利益集团和依赖政府项目的政治困难。据此,我将讨论四个具体问题。关于社会保障,我建议将其进一步发展为针对低收入老年人的计划,并允许年轻人有其他选择。对于医疗保险,我建议转向保费支持,并限制政府支付的保费的实际美元价值。这应与鼓励老年人和护理保险计划的竞争性定价相结合。这避免了“成本控制”通过价格控制和政府护理限制带来的严酷影响。随着经济的强劲增长,经济状况调查项目应该会减少,尽管更好的针对性和有效性可以减轻它们的负担。最后,我希望出台财政规则(如债务刹车、税基结算佣金)来帮助减少支出。
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Some Thoughts on Controlling Federal Spending
This paper is an overview of thoughts about controlling federal spending. At the outset, I note my concern that federal spending is too high and comes at the detriment of good incentives, productivity, and growth. I review the market-oriented economist’s view of the proper role of government and note that many government activities go well beyond them. “Doing something” about it is problematic due to the difficult politics of special interests and of reliance on government programs. In this light, I discuss four specifics. Regarding Social Security, I suggest moving it further toward a program for low-income seniors and allowing younger people outside options. For Medicare, I suggest moving to premium support and capping the real dollar value of government-paid premiums. This should be combined with encouraging competitive pricing of insurance plans for seniors well as for care. This avoids the harsh effects of “cost controls” through price controls and government care restrictions. Mean-tested programs should diminish with strong economic growth, though better targeting and effectiveness can reduce their burden. Finally, I offer hope that fiscal rules (e.g., debt brakes, base closing commissions) may arise to help reduce spending.
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