Tag: affordability
Affordability Agenda: Would New Tax Cuts Proposed By Democratic Senators Help?

Affordability Agenda: Would New Tax Cuts Proposed By Democratic Senators Help?

Three Democratic Senators have recently proposed big new tax plans.

—Sen. Bernie Sanders (I-VT) (along with California Rep. Ro Khanna) proposed the Make Billionaires Pay Their Fair Share Act, which would set a five percent tax on the wealth of the “938 billionaires in America — who are now collectively worth $8.2 trillion.” They score the tax to raise $4.4 trillion over 10 years (this score has been critiqued as optimistic), some of which would be redistributed to people in households with incomes below $150,000.

—Sen. Chris Van Hollen (D-MD) and Sen. Cory Booker (D-NJ) have each proposed different tax cuts. The core of both proposals is a significant increase in the standard deduction, though important differences exist between the two.

It is these two on which I’d like to focus today (I’ll get back to Sanders/Khanna; I’m sympathetic to the need to tax wealth, which largely goes untaxed; the Constitution, however, is a bit of a hurdle in this regard).

Bottom Line Up Front: I get their motivation, but, with one big exception (tariffs), I don’t think Democrats should engage in big federal tax cuts. For one, because of the way they’re structured, these cuts tend to go pretty far up the income scale, spending scarce resources on folks who arguably don’t need yet another tax cut. For another, we need more, not less revenues if we’re going to implement affordability, anti-poverty, and upward mobility agendas that are more likely to lastingly help struggling families.

The great Chuck Marr posted helpful Twitter threads on each of the two tax cut proposals (Van Hollen, Booker) and the Yale Budget Lab has their typically infomative scores of each (Van Hollen, Booker). The broad strategy in both proposals is to increase the standard deduction enough so that more families would face zero or lower federal tax liabilities (the current standard deduction is ~$16K and ~$32K for individuals and married couples, respectively). Van Hollen sets the no-tax line at $46,000 for individuals and $92,000 for couples, leading to something like half of households paying no federal income tax, vs. around 40 percent now (of course, earners would still pay federal payroll taxes).

Booker more than doubles the current standard deduction and boosts refundable credits for lower-income families, including the child tax credit and the earned-income tax credit. Importantly, Van Hollen phases out his tax break; Booker does not, making his a lot more expensive. The Budget Lab scores Booker’s plan at $5.3 trillion, including his high-end tax increases. They score Van Hollen's cuts as costing $1.6 trillion, but that amount is fully offset by a surcharge on millionaires, ranging from 5 to 12 percent.

Chuck makes a few other points:

Van Hollen:

—Ppl w/ larger affordability challenges will likely get less (or nothing): For example, a low paid worker making well below the $46,000 affordability threshold will get far less than the person w/ income at the threshold (who faces less challenging affordability issues). [JB: Budget Lab has change in after-tax inc flat for bottom fifth (up 0.2%).]
—The tax cut is paid for w/ an excellent revenue-raiser: a surtax on millionaires, who got huge Bush/Trump tax cuts, that raises $1.5T over 10 yrs. A key issue here is opportunity cost - is this the best use of revenue from this offset? [I'll come back to that.]

Booker:

—Despite its high cost, the standard deduction expansion would provide little or nothing to many low-income people and much more to higher-income people who face far fewer challenges affording basic needs and don’t need another tax cut.
—A few examples – assume all married couples with no kids:
- Household w/30k in earnings does not benefit.
- Household w/$50k in earnings gains $1,780.
- Household w/$300k in income gains $10,272.

That last number is really something. The Budget Lab has after-tax income for the fourth income quintile going up a robust five percent and the top fifth gets (yet another) cut of one percent, though that’s all for the 80-90th percentile (the Lab’s 90th percentile is ~$217,000); the top 10 percent gets hit by Booker’s progressive pay-fors. Still, at that point in the income scale, you’re really just adding more after-tax income to those who just got a boost from the Trump tax cuts.

Booker’s plan significantly lifts the after-tax incomes of the bottom fifth through the refundable credit expansions noted above. The Lab has their income up percent, the most of any quintile, on the back of child tax credit/earned income tax credit expansions.

It’s early in the electoral season, and good for them and their staffs for putting out new ideas. I know beyond a doubt that both of these senators are acting in good faith to try to help reconnect economic growth and the living standards of a lot of folks who’ve been left behind.

In fact, whenever I talk about affordability, which is often, I try to remind listeners that yes, affordability is a price issue, but it’s also very much an income issue, and these senators are of course correct that more after-tax income means a greater ability to make ends meet.

And sure, if the only way to help people was to cut their taxes, I’d think differently about this. I’d still worry about deficit financing a tax cut—I like both Senators’ pay-fors—but history is clear that Congress is way more comfortable cutting than raising taxes, so there’s a non-zero chance we get the cuts and not the offsets. As long-term readers know, I used to be a lot more fiscally dovish about such spending but with both sides giving up on anything resembling fiscal rectitude, debt at 100 percent of GDP and climbing quickly, and most concerning of all, interest rates tracking higher, I’m considerably less chill.

But—and this is my key concern about these proposals—I don’t believe that tax cuts are the only way to help people. This is Chuck’s “opportunity cost” point. A dollar spent on a tax cut is not available for what I view as one of the Ds most important contributions to economic policy: identifying and taking action against market flaws and failures.

The affordability agenda is the latest e.g., and it is a good one. It’s also costly, but it’s worth it. A national program that makes childcare affordable, that helps to build affordable housing, that subsidizes health coverage and restores the Rs recent Medicaid cuts, that reduces poverty through refundable tax credits that go to people whose income is too low to incur a federal liability (folks who aren’t helped by raising the standard deduction, though, as noted, Booker's plan extends such credits), that boosts upward mobility through educational support—all of those are policies that good, hardworking Democrats (including Van Hollen and Booker) have long fought for, even if such progress has been stymied in the age of Trump.

To spend trillions on tax cuts, even if they’re better targeted than the Republicans' version, risks hugely underfunding this agenda. I worry that to lead with tax cuts of this magnitude is to implicitly give up on trying to lastingly improve the structure of our economy from the perspective of working families for whom macroeconomic growth has too often been a spectator sport. And if you fail to alter the foundational unfairness in the structure of the economy, you’ll have no other option than to come back to the tax-cut well every few years.

And after reading all that, if you still want to cut a tax, absolutely be my guest: cut the damn tariffs and call it a day, and a very good day at that.

Jared Bernstein is a former chair of the White House Council of Economic Advisers under President Joe Biden. He is a senior fellow at the Council on Budget and Policy Priorities. Please consider subscribing to his Substack.

Reprinted with permission from Econjared.

Virginia's First Female Governor Inaugurates Her 'Affordability Agenda'

Virginia's First Female Governor Inaugurates Her 'Affordability Agenda'

Abigail Spanberger, inaugurated on January 17 as the 75th governor of Virginia, began to implement her agenda centered around her campaign pledges to make the state more affordable, improve education, and address gun violence almost immediately after taking office.

Minutes after taking her oath of office, Spanberger signed 10 executive orders. The first order, called the Statewide Affordability Directive, ordered all Cabinet secretaries and executive branch heads to report to her within the next 90 days “identifying immediate, actionable budgetary, regulatory, or policy changes that would reduce costs for Virginians” addressing cost savings in housing, health care, energy, education, child care, and living expenses.

Other orders created an Interagency Health Financing Task Force to strengthen Virginia’s health care system, ordered a multi-agency Housing Development Regulation Review to increase the supply of housing, directed the Department of Education to strengthen literacy, math, school accountability, and assessment in the commonwealth’s public education systems.

“Today, we are responding to the moment. We are setting the tone for what Virginians can expect over the next four years: pragmatic leadership focused on lowering costs and delivering results,” Spanberger said in a press release. “My administration is getting to work on Day One to address the top-of-mind challenges facing families by lowering costs for Virginians in every community, building a stronger economy for every worker, and making sure that every student in the Commonwealth receives a high-quality education that sets them up for success. These executive orders represent the first steps in our work to create a stronger, safer, and — critically — more affordable future for our Commonwealth.”

On the campaign trail, she promised to address rising housing, health care, and energy costs and touted an eight-page plan detailing how she would do so.

Spanberger laid out her policy agenda in an address to the General Assembly on January 19, which is centered around the Affordable Virginia Agenda she and Democratic leaders in the House of Delegates and Senate are proposing in order to lower those costs.

Among her proposals was legislation to limit the profits of pharmacy benefit managers, provide targeted assistance to Virginians at risk of losing health insurance coverage due to the expiration of federal subsidies, boost energy storage, help Virginians make their homes more energy efficient, help renters avoid eviction, and build more affordable housing.

“These are not hyperpartisan proposals; they are commonsense solutions,” Spanberger told lawmakers. “And I believe they deserve support from every member of this body, Democrats and Republicans.”

Spanberger urged legislators to create a statewide paid family and medical leave program, increase subsidized child care, raise the hourly minimum wage to $15, and increase pay for teachers. She promised to sign bills, vetoed last year by then-Republican Gov. Glenn Youngkin, aimed at curbing gun violence, such as a ban on ghost guns, a law blocking convicted domestic abusers from accessing firearms, and an expansion of Virginia’s red-flag law temporarily disarming those judged to be an imminent danger to themselves or others.

Finally, Spanberger expressed her support for three constitutional amendments to be voted on by Virginians in November that would guarantee reproductive rights, automatically restore the right to vote for individuals convicted of a felony after they have completed their sentences, and codify the rights of two adults to marry.

She defended a fourth proposed constitutional amendment to temporarily change the way Virginia draws its congressional maps, likely to be considered by voters in April, saying: “Virginia’s proposed redistricting amendment is a response to what we’re seeing in other states that have taken extreme measures to undermine democratic norms. This approach is short-term, highly targeted, and completely dependent on what other states decide to do themselves.”

Giving the Republican response, Republican state Sen. Glenn Sturtevant criticized Democrats for advancing the redistricting amendment, saying it would not lower costs, according to a Cardinal News transcript. “We also need to be honest about what Democrats are proposing, because it will make life more expensive,” Sturtevant said, “Their tax-and-spend agenda would cost Virginia families billions each year, adding thousands of dollars in new burdens for the typical household.”

Reprinted with permission from the Virginia Independent

'Great Healthcare': White House Delivers Trump's Concept Of A Non-Plan

'Great Healthcare': White House Delivers Trump's Concept Of A Non-Plan

One year into his second term, President Donald Trump on Thursday called on Congress to pass a health care plan that would do next to nothing to lower employer-based insurance costs or reduce out-of-pocket expenses for individuals and families.

The 20-paragraph “fact sheet” on the administration’s plan contained few specifics; no new ideas; had only one estimate of projected savings or costs. Its insurance reforms included either provisions already on the books or previously rejected Republican proposals that would make things worse and force more people into the ranks of the uninsured.

The stock market took notice. Insurance stock prices (IHF) rose almost 2% on the news.

Its lead provision called on Congress to enact a law forcing drug companies to set prices at international levels. Given the pharmaceutical industry’s widespread support on Capitol Hill (most of the GOP and a hefty share of Democrats have routinely opposed so-called international reference pricing), passage of such a law is highly unlikely.

Moreover, the administration could do this on its own if it really wanted to. The first Trump administration in its waning days proposed a far-reaching rule for international reference pricing, which was rejected by the Biden administration in favor of pursuing price negotiations with manufacturers. Last month, it proposed two pilot projects that would apply international reference pricing to only 25% of Medicare patients, and then for only five years. The plan unveiled today made no mention of either effort.

Nor has the administration moved to expand rules over the drug prices it already has some say over — those for Medicare. The Medicare drug price negotiations law affected only a handful of high-priced drugs. The plan makes no mention of expanding that authority.

Financial markets took notice. Drug company prices (XPH) fell by less than 1% after the announcement.

The health care trade press was duly skeptical about the plan, calling it “a hodgepodge of health care policies that would create new price-control power over pharmaceutical companies, but that otherwise wouldn’t fundamentally overhaul America’s existing system,” as StatNews report opined.

Here’s what one investment advisory firm told its clients: “We view this new document as a largely political exercise. We think it is intended to demonstrate that the White House is doing ‘something’ about affordability and healthcare prices, but we believe the policies either stand little chance of being enacted by the current Congress or will have a minimal impact if enacted.”

The ‘details’

For drugs:

Beyond asking Congress to codify international reference pricing, the plan calls for making more drugs available as cheap over-the-counter medications. While this could limit sales of a few prescription anti-acids and pain relievers, for which there are already plenty of cheap over-the-counter alternatives, it would have no impact on the high prices of biotech specialty drugs, which are the major drivers of escalating pharmaceutical spending.

Nor would it affect the slow progress in bringing biosimilars to market, or their pricing. Most biotech drugs are either injected or infused in clinical settings, which makes them inappropriate for over-the-counter sales.

The plan also calls for Congress to end the kickbacks pharmacy benefit managers receive from large drug companies for including their products on preferred drug lists. The CBO estimated the GOP bill that passed the House in December with this reform would save drug insurance plans about $15 billion a year, a tiny fraction of the more than $300 billion that patients and their insurers spend at retail pharmacies each year.

For health insurance premiums:

The plan calls for scrapping the existing subsidy system for Obamacare plans and replacing it with a voucher that allows people “to buy the health insurance of their choice.” This refers to the GOP-backed Lower Health Care Premiums for All Americans Act (H.R. 6703), which would expand association plans that don’t meet basic Obamacare requirements like providing essential benefits or setting limits on out-of-pocket expenses.

The White House fact sheet touts the Congressional Budget Office estimating the association plan proposal would save $36 billion for the federal government. It didn’t mention the CBO’s conclusion it would cause 100,000 people to drop existing coverage each year over the next decade while adding just 700,000 newly insured through inferior association plans.

The White House plan also calls on insurance companies to publish the percentage of their revenues paid out in claims versus overhead and profit costs. The Affordable Care Act of 2010 already limits insurers, both on the exchanges and in the private market, to paying out at least 85% of the revenue in medical costs for large company plans and 80% for small businesses.

If there’s a problem, it’s in enforcement, not the standard. Indeed, I would like to see a 90% medical loss ratio as the best way to limit insurance industry marketing spending.

For providers:

The plan includes nothing about limiting hospital pricing; enforcing antitrust rules in every health care sector; or rectifying pay inequities between primary care physicians and specialists. Instead, its sole approach to addressing provider sector pricing is greater price transparency, which is already required by a rule adopted by the Centers for Medicare and Medicaid Services in 2019.

That has been a bust for two reasons. First, hospitals post those prices on websites or in places where consumers can’t find them or in such complicated tables that the average person has no idea what they mean.

But more importantly, even if prices were published in an easy-to-read format and posted on a wall, as the plan proposes, what would mean to most people? An analysis by the Health Care Cost Institute of the 70 most shoppable services (routine procedures like colonoscopies or cataract surgeries, for instance) accounted for just 12% of health care spending.

To sum up: When it comes to health care, affordability is most Americans’ number one concern. The plan the Trump administration announced Thursday does almost nothing to address that problem.

Merrill Goozner, the former editor of Modern Healthcare, writes about health care and politics at GoozNews.substack.com, where this column first appeared. Please consider subscribing to support his work.

Reprinted with permission from Gooz News

Sorry Mr. President, But The Affordability Crisis Isn't A 'Hoax'

Sorry Mr. President, But The Affordability Crisis Isn't A 'Hoax'

It was yet another performance that left us wondering about President Donald Trump’s failing mental faculties. Speaking to supporters at a rally in Mount Pocono, Pennsylvania last week, Trump was typically unhinged.

And we have two price charts. Do you remember the last time I pointed to a chart? I don't care what these charts say. My all-time favorite chart was the chart I had in Butler. I said, "Let's look at the chart." I don't care how good that chart looks, it's shit by comparison to the one in… It's nothing. I like the Butler chart. Remember that was on how great employment was and all this, but I like it for other reasons. Look at that chart. It's good. But now that I talk about the Butler chart, I don't even want to look at it, doesn't mean anything. But look, Biden price increases and Trump price increases. Look at Biden. Up 37, 24%, 22, 21, 30.7, 30.7 again, 10.4%, 49%. Trump, the price is down 5.1, 4.2, 0.5, down 4%, 2.9. Look at that. Our prices are coming down. Their prices, it's a hoax. They're just … Remember they said the Inflation Reduction Act, remember that? Billions and billions, hundreds of billions of dollars, the inflation, and after they got it approved, because we had a few Republicans that went along with that whole hoax.

If there was a coherent thought buried in all that gibberish, he later tried to summarize it this way: “Prices are coming down very substantially. But they have a new word. They always have a hoax. The new word is affordability.”

He can call it a hoax all he wants, but Trump and his team know affordability is a real problem. That’s why he’s suddenly trying to co-opt the term, like a cringe Truth Social post declaring himself “THE AFFORDABILITY PRESIDENT.” It’s also why his team has sent him out on what it’s calling an “affordability tour,” which is how he ended up in Mount Pocono at the Mount Airy Casino Resort. The largest ballroom there holds about 1,200 people—a telling choice by a campaign clearly afraid of empty seats at a sizable venue.

What should worry Republicans is not just the optics, but the substance. A rally supposedly designed to counter Democratic attacks on affordability instead showcased Trump creating an entire alternate reality.

“We’re getting inflation,” he said. “We’re crushing it, and you’re getting much higher wages. I mean, the only thing that’s really going up big, it’s called the stock market and your 401(k)s that’s going up.”

That line should sound familiar, because Democrats already tried it—and paid the price. President Joe Biden and Vice President Kamala Harris spent much of the 2024 campaign insisting the economy was strong, that inflation was cooling, that wages were up, and that voters simply didn’t understand how good things really were.

Voters didn’t buy it. Telling people they’re wrong about their own financial stress is a losing message, no matter which party delivers it.

Trump is now making the exact same mistake, only he’s louder and more detached from the lives of the people he claims to be fighting for. Instead of acknowledging the pain people are actually feeling, he reached for a familiar crutch: bragging about the stock market, as if that is supposed to mean something to an audience in Appalachia or to anyone struggling to pay rent or buy groceries.

And he couldn’t stop.

“The stock market has set 51, this is in less than 10 months,” Trump said. “The stock market has set 51 all-time record highs. There’s never been anything like that. Bum, bum, bum, bum, bum, bum.” He repeated the claim again for good measure.

Then came a reprise of the “let them eat cake” routine he’s been workshopping for a while. After bizarrely claiming that without his tariffs “you would have no steel,” Trump explained that Americans should simply do without other consumer goods.

“You can give up certain products. You can give up pencils because under the China policy, every child can get 37 pencils. They only need one or two,” he said. “You don’t need 37 dolls for your daughter. Two or three is nice, but you don’t need 37 dolls.”

It’s remarkable watching so many cultish conservatives swing from “Don’t tread on me” to “Please daddy Trump, tell me how many dolls my daughter can have.” For the broader electorate, though, this message is political poison.

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