viewerfromnihil
Vein-Marbled Tower
Well I would qualify your statement about irremediability with the point that they aren't realistically remediable. I don't know what "broad-based policy reform" means. A monetary policy change? A tax policy change? Price Controls? Program changes? Healthcare tech/drug approval changes? Etc.? All of the above? Any one of these points have democratic headwinds, special interest headwinds, and economic reality headwinds to move against. Buzzwords aren't magic, and neither are policies.
They're realistically remediable when you're not coming from a perspective that says, "It will just fail anyways, and, if not, it will be a waste of money that ultimately disincentivizes implementing the real solution of personal responsibility, which then will just cause it to fail at a later date." In the end, all of these recipients will die, yes.
I said "broad-based policy reform" because I was on my way to work and didn't have time to get into the weeds, and probably wouldn't have felt like it if I did have the time. Regarding both, yes, a tax policy change, namely one which eliminates the maximum taxable income. Regarding SS, dropping the facade of it being some sort of personal benefits account by eliminating the differentiation of out-payments based upon life-long contribution to something more standard relating to geographical cost of living. I see what you're getting at by monetary policy change, but I don't see that as a realistic option, considering the fact that our economic system is and always has been one driven by debt, not capital. Regarding Medicare, I'm not really interested in spelling out all of the possible options for potential new health care systems, and although I do support something along the lines of Medicare-for-all, I'm also not against the idea of a federal option, similar to the health care system in Germany. Yes, yes, I know, waiting lists. Make it easier for immigrants to come to the US to study medicine, make it easier for them to stay and gain citizenship when they complete their studies, and lower tuition costs at our universities (yes, more taxes) while offering stipends to students on the path to studying medicine. And price controls? Yes, but with something that actually takes into account costs, profits, and reinvestment. There's plenty of big pharma firms in the EU who survive comparable regulations and taxation.
I said broad-based policy reform in part because the factors contributing to these programs extend far beyond policies specifically related to the programs, our education system at the secondary and particularly the primary level being a glaring one.
Pie in the sky, I know it.