Debt

 Paul Krugman and Jared Bernstein have a long discussion about the exploding national debt. Basically, the important thing is the ratio of debt to GDP and Trump's massive explosion of the debt has knocked us into an unhealthy place economically. The absolute number - $40 trillion - is eye-grabbing, but it's the ratio that's key and that is bad. Because economic growth is stagnating and possibly the start of stagflation that means the debt is growing up while much of the economy is a bit moribund. Take data centers out of the equation and things get really grim, really fast.

The obvious question then is: What is to be done? Both Bernstein and Krugman are pretty liberal, so neither one wants to embrace Austrian austerity. Ideally there are ways to get more revenue by taxing the rich and increasing enforcement of existing tax laws. There are likely a lot more ways to tax capital gains progressively, too.

However, one thing I've never seen anyone mention about trying - in 2029 - to increase social programs AND reduce the debt is the role that health care plays in everything. It's considered politically toxic to raise taxes on the bulk of the middle class, because they are struggling. Taxing them would work counter to the affordability issue that many see as Democrat's best lever. (I still think that corruption is lever number one, but affordability is right behind it.)

However, if we offered a public option in Medicare/Medicaid. that both individuals and corporations could access, we could shift what we currently spend on private insurance to the public programs without raising "taxes." People buying the public option would be replacing their Aetna premiums with Medicaid premiums. Most likely this system would be a hybrid, with most basic care being administered through tiered Medicaid/Medicare but then private insurers would allow for more boutique care and things like vision and dental. This is pretty common in countries with "universal" coverage. The same could be true here.

Ideally, the public option could raise revenue for the single most expensive part of the budget - healthcare - without being a "tax." 

Unless I'm missing something, which I wouldn't know, because I'm missing something.