Lawrence Kotlikoff is out with an angry
column at Yahoo. The premise is that Paul Krugman and others are spreading "dangerous fiscal fables" and that the American debt situation is absolutely dire. At one point he claims that our policies amount to "fiscal child abuse plain and simple".
Kotlikoff's main argument is that the way we measure the debt is wrong, and that instead of just looking at what we owe on our government bonds, we should consider the entire "fiscal gap"--all of our future fiscal commitments based on current law--as the relevant measure. According to Kotlikoff, the U.S. fiscal gap is $222 trillion.
This strikes me as a silly way to think about policy. Kotlikoff says there is no difference between the short run and the long run in terms of budget policy, but this is clearly wrong. Budget projections are based on underlying assumptions about what the future will look like. When the CBO creates their fiscal projections they make a bunch of assumptions about things like economic growth, health care costs, etc. They also assume no relevant policy changes. These assumptions are less likely to be accurate the further into the future you project, for obvious reasons. A hypothetical 75 year CBO budget projection from 1800 would have missed the Louisiana Purchase, the War of 1812, The Civil War, the end of slavery, and the industrial revolution in America. The CBO projection from 1900 would have missed the Great Depression,two world wars, and the cold war. The CBO projection from 1960 would have missed the entrance of women into the workplace, the end of the cold war, globalization, and the great recession. As time passes, a bunch of important stuff happens that isn't foreseeable 50 years in advance.
Kotlikoff feels like we should aim to balance the budget on the infinite horizon. But the preceding paragraph should reveal the ridiculousness of this exercise. Things change. Maybe the
coming cyber war with China will require us to divert most of resources to computer hacking. Maybe the
singularity will arrive. Maybe economic growth will
stop entirely. Maybe we will have
cures for diseases and less people will be sick. Maybe we will reform our immigration policy to allow more young people to move here. Who knows? The point being that what really matters isn't how much money we say our government is going to transfer from working people to retired people in 2080, but whether the above things--or a bunch of things that we haven't even thought of--will happen.
The crazy thing is that from a certain perspective Krugman and Kotlikoff basically agree. Kotlikoff is essentially arguing that the current budget deficit is pretty trivial and what really matters is paying for health care for seniors in 2030. When you argue that the relevant fiscal number is $222 trillion, you are basically saying that the
$845 billion deficit for fiscal year 2013 isn't really that important in the grand scheme of things. This is what Krugman thinks! Which is why he endorses a temporary fiscal stimulus to boost output and get us back to full employment.
The question of future health care costs is important, and is something we will need to address, but thinking of it purely in terms of budgets totally misses the issue. Raising the medicare age just moves the costs from the government to private citizens, and effectively raises them, because as Steve Brill's epic health-care piece in
Time magazine demonstrated, health care is a lot cheaper when the government uses monopsony power to bargain it down. The health care challenge is to figure out how to reduce these costs even further. According to the CBO, health care inflation is
slowing. What else can we do to reduce costs? Give visas to doctors from other countries who are willing to treat the elderly on the cheap? Increase the scope of practice authority for
nurse practitioners?
Death Panels?
The point is that health care policy, and budget policy generally, aren't about making CBO lines match up, but about economic growth, reducing costs, and moral questions about how we distribute resources within a society.
Kotlikoff also claims that hyperinflation is on the way. This is something he has been saying for a
the last few years despite inflation continuing to come in at below the Fed's 2% target. But if he is really concerned about "fiscal child abuse" than he should favor inflation because it redistributes money from creditors/savers (mostly the elderly) to debtors (mostly young people). He doesn't seem to see it this way, though.