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▲ mulderc 2 hours ago

Targeting "entitlements" as a universal fix ignores both the fiscal math and the human costs. Healthcare makes up the lion's share of that spending; cutting it just shifts uncompensated care burdens onto hospitals and inflates private premiums. Cutting programs like SNAP and WIC means pulling food support from children, which causes long-term economic damage.

If the goal is deficit reduction through spending cuts, policy needs to evaluate actual economic ROI. Programs like nutritional and income supports have positive fiscal multipliers, which is why blunt austerity measures trigger negative feedback loops and contract growth.

Spending cuts have a place, but treating entitlements as a slush fund without accounting for the economic return or impact on people isn’t a productive policy proposal.

▲ffaccount2 2 hours ago | parent [-]

>Healthcare makes up the lion's share of that spending;

I heard US healthcare, rather famously, spends more per capita than any country in the world, despite still being rather terrible. Maybe the solution is actually reforming it in an European way (including universal free healthcare)? Your other points are very interesting to me, especially negative feedback loops of austerity - I never thought about that before.

▲mulderc 34 minutes ago | parent | next [-]

Yes the US could save a ton with a more efficient healthcare system. Additionally we have shockingly high costs for basic infrastructure as compared to other developed nations which could also provide savings if we could streamline that.

For the economic impact of austerity there has been a lot of good scholarship about this recently. Check out Austerity in Crisis?: A Narrative Review of Its Economic, Social, and Political Effects in Times of Crisis https://arxiv.org/abs/2510.10449

▲talon8635 21 minutes ago | parent | prev [-]

Yup. It’s full of waste, inefficiency, and pocket lining.

Fixing the healthcare system might be harder than fixing the budget at this point

▲mulderc 13 minutes ago | parent [-]

It isn’t as hopeless as it looks. Places like Oregon have been long experimenting with things like coordinated care organizations to better manage healthcare. Also health system like Kaiser Permanente compare more favorably to national healthcare systems than you might think.

▲burnt-resistor a few seconds ago | parent [-]

Kaiser sucks unless you're healthy.