Can America achieve fiscal solvency in 50 years?
We need to get all Government employees into 401k programs and private insurance. Seek early retirement for those on pensions and Government health insurance. In the long run this change alone would save one hundred billion dollars/year.
You cannot isolate Obamacare from the rest of government; you must include all the players.
Anyone who shows up at an emergency room without insurance will be put in a data base; insurance agents will then contact them with a goal of getting them insured. If they refuse to get insurance, they will be penalized under Obamacare.
Put $10 billion into finding cures for the autism spectrum immediately.
Enact tort reform especially for OBGYN's; parents think they are entitled to "perfect" babies; they are not.
Have top software experts use Watson to “smell” tax cheats by writing computer code to insure everyone's tax return is audited every year. This will bring billions of dollars/year into the treasury. Reward agents who successfully spot exceptional tax payer abuse by giving them 1 % of the monies they recover.
Restrict food stamps to only healthy foods i.e. no processed foods and set aside aisles where all foods are allowed and aisles where all foods are prohibited. Punish those who trade or sell food stamps and grocers who sell prohibited foods. Provide free clinics on how to cook with acceptable ingredients.
Provide wellness bonuses. Your health should be measured thoroughly every five years including colonoscopies, stress tests, yearly physicals, mammograms, etc. If you and your doctor set goals for BMI, blood pressure, cholesterol, etc., and, after 5 years you achieve these goals, you will get a rebate on your health insurance for five years.
On a sliding scale increase withholding for Social Security and Medicare to make them solvent for at least 50 years.
Charge a blue ribbon panel of members of the private sector, especially economists, with the goal of how much of big government can be privatized.