In America's Ticking Bankruptcy Bomb, Peter Ferrara provides a comprehensive overview of the debt crisis that threatens economic security, individual freedom and collective prosperity of the United States. More importantly, however, Ferrara offers critically important policy solutions to steer America back on course. Reforming Social Security and Medicare into personal account systems, Ferrara argues, would allow for the savings, investment, and growth that are currently impossible for these unsustainable, hemorrhaging entitlement programs. Repealing Obamacare would prevent a further explosion of suffocating taxes, spending, and regulation. Ferrara makes the case for a modern, 21st century healthcare safety net that would empower individuals, providing them with both the most advanced medical services and the incentive to control costs. He lays out a plan for the 185 federal welfare programs be block granted to the states, using the 1996 reforms to AFDC as a template. Regarding tax reform, Ferrara outlines his novel "15% solution," which seeks to simplify the tax code, lower the rates, broaden the base, and kick-start a long-term economic boom that will generate enough revenues to eventually balance the federal budget.
The book begins by spelling out the problem: severe overspending causing unprecedented deficits and debt, which has led to unfunded liabilities of the nation's ever-expanding entitlement programs. Ferrara notes that in one term of office, Barack Obama's administration has racked up more national debt than all prior presidents combined. The George W. Bush administration does not escape criticism, either, most notably for its bungling of the housing crisis, but also for 8 years of its own reckless spending. Increased taxation is not a viable solution, according to Ferrara, who points to Hauser's Law as evidence that raising tax rates will not lead to increased government revenue. In other words, the United States cannot realistically tax itself into fiscal order. Without serious changes, Ferrara forecasts economic stagnation similar to the 1970s, or worse yet, the 1930s. Double-digit unemployment, double-digit, inflation, and double-digit interest rates are knocking on America's door.
Social Security is on the verge of bankruptcy. In fact, in 2010, the program ran a net cash deficit. Ferrara rightly blasts the "pay-as-you-go" financing system which does not allow for future savings or investment. While Social Security did run surpluses in the early years of its existence, the federal government quickly raided the trust fund in order to finance other projects. As a solution, Ferrara proposes that the payroll tax be replaced by personal accounts, in which funds are set aside --invested in a diversified portfolio of stocks and bonds- to purchase private life and disability insurance. This system would be modeled off the Chilean reforms of the 1980s, where workers were given the option to contribute 10% of their monthly wages into personal accounts in lieu of payroll taxes. Chileans who opted for personal accounts were free to choose between twenty investment funds that were approved and regulated by the government. Ferrara holds up Chile as a textbook example of an effective shift from an unfunded entitlement program to a prosperous system of savings and investment.
Ferrara correctly identifies the most important underlying cause of skyrocketing healthcare costs: third-party payment. In the United States, there is almost always a third-party responsible for paying health-care bills, be it an HMO, insurance company, or government program. American consumers, argues Ferrara, need to take ownership of healthcare costs so there will be strong incentive to control those costs. Unfortunately, Obamacare heaps on a bevy of new taxes and entitlements to an already unsustainable system. By expanding eligibility for Medicaid to those families who earn up to 138% of the poverty line, there will be over 24 million new Medicaid beneficiaries by 2015. Ferrara proposes a "patient-power" solution, which emphasizes health savings accounts, creates permanent high-risk pools at the state level for the uninsured, and offers a consumer choice tax credit to purchase private insurance. These sensible, pro-market reforms will encourage personal ownership and spur economic growth. In Ferrara's ideal scenario, the government would not "decide" what percent of federal spending is devoted to healthcare. This, he would say, is nothing more than arbitrary central planning. Instead, consumers should be free to make this choice in the open marketplace: "The people may effectively decide by their choices in the market that 17% is too much [to spend on healthcare]. Or over time, as the nation gets richer and richer, and technology makes desirable results more and more possible, they may decide they want to spend a lot more on healthcare."
Ferrara is unrelenting in his critique of the American welfare state -- comprising over 185 federal programs that incentivize immoral, destructive behavior and encourage perpetual poverty. In 2010 alone, entitlement and welfare spending accounted for 50% of the entire budget. Ferrara argues that the "war on poverty" was an unmitigated disaster. Work, marriage, legitimacy, crime, and drug abuse have all worsened after the 1960s. Misguided government policies have provided incentive for unmarried couples to have children, since they correctly view this is as a gateway to a generous package of benefits. Ferrara seeks to end this dependence on government through broad welfare reforms that mimic the 1996 AFDC overhaul. This would involve block granting federal funds back to the states and letting them decide how to best structure their own welfare programs. In a short amount of time, this approach would lead to substantial administrative savings, since each state would have the flexibility to create welfare programs that are best suited for their own needs.