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Does anyone have anything to say about the OBBB being passed? I was genuinely surprised to see that no one was posting about it at all in this thread.
I'm broadly against the bill but don't have much of an opinion of the specific provisions. I understand that it's meant to neuter the political power of my ingroup and neargroup and it seems like it's going to be effective at that, so I know I'm going to dislike it regardless of whether it has any actual non-partisan merit. I guess if I had to single out few things in particular, I'm selfishly in favor of renewing the R&D tax writeoffs, but also singularly terrified of the massive increase to the ICE budget... It definitely looks like trump is making a military force loyal to him personally because he doesn't trust the loyalty of the existing forces. There are... historical parallels. I'm (among other things) brazilian, and I can't help but remember the first republic's antipathy towards and neglect of the navy due to their royalist tendencies.
Broadly, it's bad fiscal policy in a way that fiscal policy has been bad in an escalating fashion for the last 10-25 years (Any self-described Republican fiscal hawks need to account for Hastert before we get to Ryan/McCarthy/Johnson.).
What I find interesting in the argument over Medicaid cuts is the fact that Medicaid spending somehow increased by 40% in the last five years? How?! I could see 25% given inflation, and a temporary covid bump makes sense, but we've allegedly had a strong working-class labor market for years.
Is a healthcare system that's rapidly approaching 20% of GDP even reformable?
I know a little bit about medical billing and data standards since I work in the industry and more and more. i'm pulled toward the idea that heallthcare is so irreducably complex the only way to cut the red knot is either with completely privatized and unregulated healthcare mixed with trustbusting to break local emergency room monipolies, or by creating a single payer system empowered to ruthlessly negotiate for its own interests. Trying to have a system where a government pays for only the statistically sickest individuals (the poor and old) is just the worst of all possible worlds. (My preference is for single payer, but I have a certain sympathy for the idea of completely obliterating the pharmaceutical patent system, making EVERYTHING legal OTC, and letting God sort it out.)
I do occasionally wonder if you could get to a decent place via:
That's going to create some winners and losers, providers will be upset that people are on Medicare, but shifting people from Medicaid to commercial reimbursement rates should help out with that. The amount of bureaucratic nonsense saved by getting rid of Medicaid should be huge.
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