From the point of view of a defender of liberty, ObamaCare is the most magnificent welfare state program of our generation.
Premium expenses are going up for most people. Deductibles are going up for most people. Cancellation letters are going out to millions of people. The number of people signing up is less than the number of people who have received policy-cancellation letters. In short, the costs are being front-loaded, and the benefits are being back-loaded.
Always before, welfare state politics has been based on a specific strategy: “Benefits first. Costs later.” This is called front-loading and back-loading. The best examples of this process are Social Security and Medicare. The costs are now coming due for these two programs. According to Prof. Lawrence Kotlikoff, the back-loaded cost of the two programs is now in the range of $200 trillion, present value. But no one really cares. Those costs will be imposed in the future. Politicians care only about the immediate future, namely, the next election.
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