“Spending” is Not Our Problem, Healthcare Is

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What’s the problem with the federal budget? CBPP has the answer: demographics. As the chart on the right shows, over the past 50 years spending on Social Security and Medicare has gone up steadily, while everything else has gone down steadily. Basically, “everything else” is in good shape. We should direct our attention a little bit toward Social Security and a lot toward healthcare costs, and stop obsessing about the rest.

In fairness, I’d break this down a bit further. Assuming I did my sums properly, federal spending on “everything else” — that is, everything except Social Security, Medicare, and interest on the debt — has indeed gone down from 15.2% of GDP in 1962 to a projected 11.3% of GDP in 2017. (That’s from Table 3.1 here.) However, the national defense piece of that has declined from 9.2% to 2.9%, while the nondefense piece has increased from 6.0% to 8.4%. There are some arguments to be had about whether the defense piece of the budget is calculated correctly (it doesn’t include veterans benefits, for example), and it’s worth noting that healthcare costs are part of the nondefense picture too (mostly due to rising Medicaid expenditures). Still, the basic shape of the river doesn’t change much. Most of the downward slope in spending is due to lower defense spending. Domestic nondefense spending hasn’t gone up a lot, but it has gone up.

This doesn’t really change CBPP’s point, it just amplifies it a little. Outside of Social Security and Medicare, domestic spending rose during the 70s and then fell, but it’s been pretty flat ever since then — until the Great Recession walloped us, anyway. We should, as always, keep an eye on it, but overall it’s simply not a major problem, no matter how many times Republicans insist otherwise.

Bottom line: Social Security needs a little bit of tweaking and healthcare needs a huge amount of concentrated attention. Everything else is small beer. When it comes to federal spending, anyone who spends more than 10% of their time rabble-rousing about anything other than healthcare costs really shouldn’t be taken seriously.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

If you can, please support the reporting you get from Mother Jones—that exists to make a difference, not a profit—with a donation of any amount today. We need more donations than normal to come in from this specific blurb to help close our funding gap before it gets any bigger.

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