If policy makers are truly interested in fixing the Entitlement Crisis™, they need to look at the factors that are pushing the federal budget along an unsustainable path. As we've noted before, Social Security has minor financing issues, but its full-benefit operation does not pose a threat to long-term fiscal fitness. Medicare, however, does. And while it is tempting to indict the aging of the Baby Boom generation for fueling rapid increases in health care costs, policy makers would be wrong to set out to simply reduce benefits and/or increase Medicare premiums as a fix. Instead, they should focus their efforts on the supply side of health care, rather than increased demand resulting from the aging of the population.

Health Care -- Bipartisan Support for Blocking Bush Medicaid Rule: CQ reports ($) that a House bill that would block the president's Medicaid rule changes is gaining support among Republicans. The proposed rule changes would shift about $17.8 billion (over five years) in Medicaid costs to states. The bill, H.R. 5613, will be marked up today in the Committee on Energy and Commerce Health Subcommittee.

War Spending -- Iraq Supplemental May Have Additional Stimulus Spending: After last week's deterioration of employment data released by the government, Sen. Majority Leader Harry Reid (D-NV) and Sen. Debbie Stabenow (D-MI), along with Democratic House leaders, are calling for adding extension of unemployment benefits to the upcoming Iraq war spending bill. House Republicans have vowed to oppose additional stimulus spending. CongressDaily ($)

Inequality -- CBPP/EPI: Income Inequality Continues to Rise: The Center on Budget and Policy Priorities and the Economic Policy Institute have released a lengthy report analyzing state-by-state data on income trends. The report concludes that "The gap between the richest and poorest families...grew significantly in most states over the past two decades...In fact, the nation's longstanding trend of growing inequality accelerated since the late 1990s as incomes fell for poor families in a number of states." CBPP/EPI Report Executive Summary

Taxes -- "Extenders" Package Could Move Before End of May: Sen. Finance Committee Chairman Max Baucus (D-MT) hopes to introduce, mark up and bring the extenders package of tax cuts to the Senate floor before the start of the Memorial Day Recess in May. The legislation would be fully offset, cover two years (2008 and 2009), and cost about $50 billion. Baucus would not pin down a date for introducing the measure, but stressed the need to get work done early: "We've got to do as much as we can during this work period." BNA ($)

The Washington Post wrote their lead editorial yesterday on the future of entitlement programs. The editorial once again lumps Social Security, a relatively healthy program, with Medicare and Medicaid, which face more serious funding issues not because they are entitlement programs, but because of the rapidly growing cost of health care in both the public and private sectors.

We have written a good deal on why Social Security should be kept separate from Medicare and Medicaid when discussing long-term fiscal issues and that the Social Security situation is actually not that bad and certainly not even close to a "crisis." (See here, here and here. Also, see our coverage of Congressional Budget Office Director Peter Orszag making the same point to Congress ).

Yet the Washington Post still does not understand the differences between two different causes they cite in the editorial (retirement of baby boomers, rising health care costs) and effects those causes will have. The main problem that must be addressed has always been and continues to be health care costs, not the retirement of the baby boomers. In fact, just last week, the Center on Budget and Policy Priorities released an excellent report that showed the repeal of the Bush tax cuts for just the top one percent of Americans would generate enough revenue to close the entire funding shortage for Social Security.

While the main point of the editorial is well made (that politicians need to be forced to deal with these problems), the Post continues to follow other news outlets, policy makers, and even some budget experts in lumping the three programs together. This does not help move us toward a solution to the problems we face to keep the promises that have been made. We have to develop a clear understand of what we are up against before we attempt to fix it.