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Jun 24, 2026

Health Care Will Be a New Entitlement : And the only private source left for financing of these reforms is pension funds.

By PAUL CRAIG ROBERTS Sept. 26, 1993 12 AM PT
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Paul Craig Roberts, former assistant treasury secretary, is chairman of the Institute for Political Economy in Washington.

The first central fact of President Clinton’s health-care proposal is that it comprises a massive new entitlement program with no visible signs of financing at a time of swollen budget deficits.

This is true even if we pretend, along with Clinton, that bureaucratizing health care will reduce paperwork and generate huge savings. There is no way to transfer these savings from where they might occur--for example, lower insurance premiums or hospital administrative costs--to where they are needed, such as to pay the cost of government health subsidies to small businesses and low-income workers and coverage for the unemployed.

The second central fact is that once the plan passes, there will be no going back. The institutions of health-care delivery would be fundamentally altered. Moreover, some people would have coverage for the first time, and that coverage will be as permanent as food stamps and rent subsidies.

The third central fact is that when the reality of the enormous cost of the new entitlement becomes clear, financing will have to be immediately found or the budget deficit will explode. There is only one source of private wealth left that could be tapped to pay for the health entitlement: private pension funds.

If Clinton’s health proposal becomes law, it will mean the end of the tax deductibility of pension contributions and the tax deferral of pension fund earnings. Americans should understand that the cost of Clinton’s health plan is a substantial reduction in their pension-fund assets and retirement income.

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