But since we have a huge deficit, then the GOP argument seems right: entitlements are in drastic need of overhauling.
But the distribution of the tax burden has become less progressive.
The argument then seems to suggest that for most of us, taxes have gone down. But since we have a huge deficit, then the GOP argument seems right: entitlements are in drastic need of overhauling. Or can mhy friends on the Left point out where I am off base (again).
Another important adjustment involved high-income households. Because the census survey did not disclose income above a certain level (to protect the privacy of wealthy individuals), The Times estimated top incomes based on the research of Thomas Piketty and Emmanuel Saez, economists known for their studies of wealth in the United States, and on published I.R.S. tables that show the overall distribution of income.
The Times also used I.R.S. tables for all taxpayers in the sample to allocate dividend income, interest income and capital gains income, and to allocate tax deductions.
Postroad: The argument then seems to suggest that for most of us, taxes have gone down. But since we have a huge deficit, then the GOP argument seems right: entitlements are in drastic need of overhauling. Or can mhy friends on the Left point out where I am off base (again).
Wasteful medicine costs the health care system an estimated $700 billion each year, and each unnecessary procedure comes with its own set of health risks.
Today, the nine speciality groups that represent more than 375,000 physicians unveiled their recommendations: 45 procedures that, given certain circumstances, doctors should not perform. The American Academy of Family Physicians says its members should not do scans for lower back pain unless certain red flags are present. The radiologists came out against imaging for uncomplicated headaches. The cardiologists want to stop cardiac imaging for low-risk patients.
The goal, now, is to get patients and doctors comfortable with following the new set of recommendations. Cassel hopes to allay both the political and personal concerns that often arise in discussions of changing how medical treatment works.
Healthcare spending at end of life:
The federal government estimates that 70 percent of health-care expenditures are spent on the elderly, 80 percent of that in the last month of life -- and often for aggressive, life-sustaining care that is futile. Think what America could do if it invested that $140 billion a year in other arenas. By comparison, the 2012 budget request for the National Institutes of Health, the largest supporter of biomedical research in the world, is $31 billion.
According to a newly peer-reviewed study out of Cornell University, 20.6 percent of the health care costs in the U.S. is caused by obesity. That turns out to be $190.2 billion, in 2005 dollars...
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