by Mitch Kokai
Senior Political Analyst, John Locke Foundation
There are no permanent victories in politics, however, and the deficit is expected to creep up this year, and then to rise steeply in the future if the major entitlements are left unreformed and allowed to become supercharged drivers of deficit spending.
Which brings us to the criminal — and I do not use the word figuratively — administration of Medicaid by the Obama administration.
In September, the Department of Health and Human Services sent out a warning that improper payments under Medicaid have become so common that they will account this year for almost 12 percent of total Medicaid spending — just shy of $140 billion. (Total improper payments across federal programs will come to about $139 billion this year, according to estimates that have proved too generous in the past, and almost all of that is Medicaid-driven.) That rate has doubled in only a few years, driven mostly by the so-called Affordable Care Act’s liberalization of Medicaid-eligibility rules. …
… Some perspective: We’re spending more than seven times as much on improper, illegal federal payments as we do on NASA. We’re spending nearly 20 times as much on improper, illegal federal payments as we do on the National Science Foundation. We could build 13 Ford-class aircraft carriers every year for what we are spending on improper and illegal payments driven by Obamacare. We’re spending twice as much on improper and illegal payments as it would cost to pay all the tuition costs of every American college student. (Not that having Uncle Stupid do that is a good idea.) If improper and illegal federal payments were an economy of their own, that economy would be bigger than Hungary’s and and more than twice the size of Guatemala’s.