Tag: health care

  • Gen X Retirement

    Half of Gen X Doesn’t Expect to Retire

    Boomers who are frustrated that they can’t afford to retire may turn out to be lucky compared to their kids. A new survey shows that more than two-thirds of Generation X don’t think they’ll be able to retire at all.

    “They are earning money and paying into Social Security and yet they fear they may never see the payback,” said Moloney. “They feel they deserve it, but it looks like a financial black hole to them right now.”

    The government certainly is failing to pay for future obligations today instead choosing to raise taxes on the future. But Social Security itself is actually in better shape than most think. We really do need to move out the benefit payment date (when it began projected life expectancy was almost the same as the date payments would start – which would mean moving the retirement date more than 15 years later, I believe). Going that far is not needed but it should be moved back. But really social security is in good shape for 30 years or more. First, it isn’t going to go from good shape to failed in a day. And second, they will make adjustments as they have in the past to make it work (the adjustment they made in the last 15 years helped a great deal so now they can just add some additional delays in when it starts paying out… and extend the good condition of Social Security without too much trouble).

    Medicare is the huge problem. The country either needs to stop paying an extra 50-80% for health care than other countries do (and thus reduce the cost of Medicare liabilities) or massively cut benefits or massively increase taxes. Likely a combination of all 3.
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  • International Health Care System Performance

    Data from the Commonwealth fund report, Toward Higher-Performance Health Systems: Adults’ Health Care Experiences in Seven Countries, 2007:

    Australia Canada Germany Netherlands New Zealand UK USA
    National health spending – Percent of GDP 9.5% 9.8% 10.7% 9.2% 9.0% 8.3% 16.0%
    Percent uninsured 0 0 <1 <2 0 0 16
    Last time you were sick or needed care, how quickly could you get an appointment to see a doctor?
        Same day 42 22 55 49 53 41 30
        Next day 20 14 10 21 22 17 19
        2-5 days 26 26 10 17 17 26 25
        6 or more days 10 30 20 5 4 12 20
    Overall health system views
        Only minor changes needed, system works well 24 26 20 42 26 26 16
        Fundamental changes needed 55 60 51 49 56 57 48
        Rebuild completely 18 12 28 9 17 15 34

    Related: Measuring the Health of NationsUSA Paying More for Health CareTraveling for Health Careresources for improvement health system performance