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Gov. Otter completes College of Western Idaho welding class this weekBy DAN POPKEY — dpopkey@idahostatesman.com
Posted: 12:00am on Apr 7, 2012
“I couldn’t get a job,” said Gov. Butch Otter.
But he does now have confidence he won’t be ruining any more horse trailers.
Otter already knew how to weld steel but wanted to learn the tougher art of aluminum welding.
He decided to take the two-day-a-week class after a mishap with his horse trailer.
“I started out with a little hole, trying to patch it one day, and when I ended up, the horse could walk through.”
The College of Western Idaho class, taught by Brett Van Buskirk, was on the Boise State University campus. It finished Thursday.
Otter said he’s proud to have passed the “destructive test.”
“After you weld something together, they put it in a vise and then they get a linebacker-looking guy to come in with a big sledgehammer,” Otter said. “I haven’t had a weld tear now for about three weeks.”
Otter showed off several welds to reporters in his office last week, saying, “Look at those beads!”
Read more here: http://www.idahostatesman.com/2012/04/07/2066490/butch-the-welder.html#storylink=cpy
Read more here: http://www.idahostatesman.com/2012/04/07/2066490/butch-the-welder.html#storylink=cpy
Why your waiter has an M.D.Anthony Youn, M.D., is a plastic surgeon in Metro Detroit. He is the author of “In Stitches,” a humorous memoir about his Match Day and becoming a doctor.
I met Sam* in the OR a few years ago. A polite surgical technician in his early 30s, we’d often chat after work.
Sam obtained his medical degree from a school in Eastern Europe prior to immigrating to the United States. Now he spends his days cleaning surgical instruments and his nights working in a restaurant.
“Someday I’ll be a surgeon, just like you,” he says to me.
How did this happen? Sam had a bad Match Day.
Medical training in the U.S. involves four years of medical school followed by 3 to 6 years of residency training. International graduates must also attend residency in the U.S. if they wish to practice here.
On Match Day, graduating medical students learn which residency program they’ll be joining. Residency determines a physician’s field of medicine. For a young doctor to become a pediatrician, for example, he or she must complete a pediatric residency.
This year Match Day occurs today, March 16.
The National Resident Matching Program (NRMP) couples prospective applicants with residency programs, sort of like a medical version of eHarmony. Each applicant makes a list ranking the residency programs in their order of desirability. The residency programs do the same with the applicants, and the NRMP matches them up.
Not all graduating medical students get matched.
According to the NRMP, last year 971 graduates of U.S. medical schools were shut out, accounting for 5.9% of U.S. grads. Graduates of international medical schools fared even worse – less than 50% of them obtained a residency.
That means more than 7,000 doctors were left with a diploma that said “M.D.” but no guarantee they would be able to use it.
Just like Sam.
So what are all of these doctors doing?
The majority of unmatched grads obtain a temporary one-year residency spot with no guarantee of future training. They then reapply the following year with hopes of landing a permanent, multi-year residency position.
Others wind up performing research in labs prior to re-entering the Match. Still others abandon their dreams of becoming a practicing physician and exit the medical field altogether.
This situation is only going to worsen. Due to the pending doctor shortage, the Association of American Medical Colleges (AAMC) has called for a 30% increase in medical school enrollment, or 5,000 more doctors each year. College universities have responded to this demand, with 18 new medical schools currently in the process of opening.
The increase in the number of medical students would lead to an increase in residency positions as well, right?
Wrong.
Since 2001, the number of first year residency positions has increased by 3,000, compared to a whopping increase of 6,500 applicants. The slow growth in residency positions is likely due to a 15 year freeze in Medicare support. The current federal budget problems make lifting the freeze unlikely in the near future.
So what does this mean?
For an unmatched M.D. like Sam, it doesn’t bode well. After going unmatched his first year, he tried to match again the following year, but failed.
As the years pass, it’s becoming more and more likely that Sam will never be able to use the degree he earned.
I watch Sam meticulously clean and rinse the surgical instruments, his hands moving steadily and purposefully. There is not an ounce of unused motion. The fluidity and grace in his hands remind me of my surgical mentors.
Then the sad realization hits me. It doesn’t matter how much Sam wants it.
He will never be a surgeon.
*Sam’s name and identifying details have been changed to protect his privacy.
Update: The National Resident Matching Program has matched 95% of U.S. medical school seniors this year – the highest rate in 30 years, according to a press release sent out on Friday. The largest residency increases were seen in internal medicine, anesthesiology and emergency medicine. Also, 510 more international students were matched than were matched in 2011.
| Post by: Anthony Youn M.D. — plastic surgeon Filed under: Medical School |
Senators aim to amend Idaho gas-drilling bill
by Associated Press
KTVB.COM
Posted on March 10, 2012 at 1:59 PM
BOISE, Idaho — Idaho senators will consider changes to a bill governing oil and natural drilling in Idaho, to help allay concerns that it cuts local community input out of the process of deciding where wells can be located.
The vote just after noon Friday was 17-17 on a motion to amend the measure, forcing Lt. Gov. Brad Little, who presides over the chamber, to intervene and cast the deciding vote.
The bill has already passed the House.
Boise Republican Mitch Toryanski argued changes are needed, on grounds its current language includes too little consideration for the sensibilities and considerations of local communities.
The evenly split vote underscores how divided the chamber is on the issue.
Sen. John Tippets, the sponsor from Montpelier, argued there was nothing that could be added to improve the bill.
Daylight Saving Time 2012: How to Spring Forward• March 9, 2012
For most people, the missing hour Sunday means a sleepy Monday. But for some — particularly those who aren’t big on mornings to begin with — it takes a heavy toll on mood and productivity, earning blame for car accidents, workplace injuries and stock market dips.
“It’s an interesting paradox, because traveling one time zone east or west is very easy for anyone to adapt to,” said Dr. Alfred Lewy, director of Oregon Health and Science University’s Sleep and Mood Disorders Laboratory in Portland. “But in daylight saving time, the new light-dark cycle is perversely working against the body clock. We’re getting less sunlight in morning and more in the evening.”
The body clock is a cluster of neurons deep inside the brain that generates the circadian rhythm, also known as the sleep-wake cycle. The cycle spans roughly 24 hours, but it’s not precise.
“It needs a signal every day to reset it,” said Lewy.
The signal is sunlight, which shines in through the eyes and “corrects the cycle from approximately 24 hours to precisely 24 hours,” said Lewy. But when the sleep-wake and light-dark cycles don’t line up, people can feel out-of-sync, tired and grumpy.
With time, the body clock adjusts on its own. Here are a few ways to help it along.
Soak Up the Morning Light
Getting some early morning sun Saturday and Sunday can help the brain’s sleep-wake cycle line up with the new light-dark cycle. But it means getting up at dawn. Sleeping by a window won’t cut it, Lewy said. The sunlight needs to be direct.
Avoid Evening Light
Resisting the urge to linger in the late sunlight Sunday and Monday also can help the body clock adjust, Lewy said.
Try a Lose Dose of Melatonin
While light synchronizes the body clock in the morning, the hormone melatonin updates it at night. The exact function of the hormone, produced by the pea-size pineal gland in the middle of the brain, is unclear. But it can activate melatonin receptors on the neurons of the body clock, acting as a “chemical signal for darkness,” Lewy said.
Taking a low-dose (less than 0.3 mg) of melatonin late in the afternoon Friday through Monday can help sync the sleep-wake and light-dark cycles. But be careful: Although melatonin is sold as a dietary supplement, it can cause drowsiness and interfere with other drugs.
Santorum wins Kansas caucuses, CNN projects – CNN.com
Kansas City, Kansas (CNN) — Former Pennsylvania Sen. Rick Santorum, whose top two foes essentially conceded the state, will win Saturday’s GOP Kansas caucuses, CNN projects.
Mitt Romney and Newt Gingrich abandoned plans to campaign in the state and instead focused on Tuesday primaries in Mississippi and Alabama.
“We chased all the candidates out of Kansas!” Santorum said at a Wichita rally Friday evening, according to news reports.
Not exactly: Texas Rep. Ron Paul campaigned in Kansas on Friday and Saturday.
Kansas is home to many social conservatives that ideologically mesh with Santorum’s anti-abortion, anti-same-sex marriage, pro-family, pro-religious freedom stances. Those positions helped Santorum barrel to primary victory in the neighboring states of Oklahoma in this week’s Super Tuesday contests, and in Missouri on February 7.
With 85% of the Kansas vote tallied, Santorum had 53%. Romney, 17%, and Gingrich, 16%, were in a close race for second. Paul had 13% of the vote.
Because the 40 delegates at stake in Kansas’ caucuses will be awarded in proportion to the results, they will be split up among the other candidates — even those who did not campaign here.
Because of that, Romney’s campaign sees political fortune despite skipping the contest.
“We hope to continue to pick up delegates in the upcoming contests in Kansas, Guam, the Northern Mariana Islands and the Virgin Islands,” Romney spokesman Ryan Williams said. “After winning a majority of Super Tuesday states, Governor Romney has built a commanding lead in the race for delegates that will make it nearly impossible for any of our opponents to win the Republican nomination.”
Romney won the Northern Mariana Islands caucuses early Saturday, picking up nine delegates. He garnered 87% of the vote.
The Virgin Islands also was holding caucuses Saturday.
Late Friday, Romney won Guam’s nine delegates in its caucuses there.
Romney wins entire Guam delegation
“I am grateful to have won all nine delegates in Guam,” Romney said in a statement after the vote. “The people of Guam have always stood bravely for America and the values we hold dear.”
Meanwhile, with question marks hovering over Santorum’s chances in the two upcoming Southern primaries, any bragging rights he may claim from a Kansas win may be short-lived.
A fresh poll out in Mississippi showed Santorum running behind Gingrich and Romney. Alabama will be an equally important test of Santorum’s appeal in the South.
And yet, coupled with his Missouri and Oklahoma wins, Santorum will likely argue that he performs well in the Midwest — a region that will be key in the general election.
The executive director of the Kansas Republican Party predicted Santorum would do well.
He also weighed in on Romney and Gingrich’s political missing-in-action status in the state.
“I’m not going to criticize any candidate for how they decide to use their resources. Gingrich still has a very active ground game here. He just decided personally to go to Alabama and Mississippi,” Clay Barker said.
Regarding the former Massachusetts governor, Barker said: “Romney probably had a base of support here, but he didn’t energize it by having a campaign.”
Kansas’ caucuses were open only to registered Republicans.
Walmart reward cards part of phishing scamA series of late night text messages received on cellular phones throughout the region have people calling BBB to verify if they are real.
Walmart officials state the messages, which offer free Walmart gift cards to consumers are fraudulent and recipients should not click through.
BBB has received several calls already this morning from individuals who report receiving text messages in the middle of the night.
”This is a phishing scam and has no connection or affiliation to the company,” says Robb Hicken, chief storyteller for the BBB. “If you go to the website to signup for your gift card, it takes you to a site that asks for your personal information.”
In addition, BBB has had reports of request for credit card information to pay for shipping and handling fees.
BBB advises do not go to the site, click through any links or give out information.
Walmart will never initiate a phone call or text message that asks for sensitive personal data like credit card information or social security numbers.
March tornadoes: One day there was a town; the next day it was goneHenryville, Indiana (CNN) — Big news in Henryville, Indiana, had been that the coach of the high school boys’ basketball team was stepping down at the end of the season. The Hornets are the pride of this small Indiana town a few miles up Interstate 65 from Louisville.
That was before Friday when killer storms ripped through the area. One day there was a community here. The next, there was none.
“What we know is we’ve got complete destruction. We’re going to deal with it the best we can,” Sgt. Jerry Goodwin of the Indiana State Police told CNN affiliate WISH-TV.
Goodwin was sure the community would rally, come together and claw its way back to what it once knew to be normal.

Reporter: ‘This was time to take shelter’

Indiana Gov.: ‘Lucky it wasn’t worse’

Deadly tornado intensifies in Indiana

‘The baby got ripped out of her arms’
Saturday, as rescuers still scoured for survivors, the stunned people of Henryville mourned what they lost and gave thanks for what they still had.
Steve Kloepfer lives in Chelsea, just east of Henryville. Friday, he watched on television as the storms drew near.
“I saw it from the radar it was getting close, so I walked down the driveway and saw it coming through the woods,” Kloepfer told CNN affiliate WHAS.
He got in his truck and drove south about a mile to “let it blow through.”
He returned to a new, grim reality. A tornado destroyed his house and the the home shared by his aunt and uncle, Terry and Carol Jackson. They were missing along with their 4-year-old grandchild.
Later, their bodies were discovered in a field, covered in debris.
They were among the 14 who died in Indiana.
Dozens killed in waves of storms
About 2,000 people live in Henryville, known as the birthplace of Colonel Harland Sanders of Kentucky Fried Chicken fame. Many in this town know each other through the high school and elementary school, housed on one campus.
Friday afternoon, not all the students were able to leave because their parents were not at home. Elementary School Principal Glenn Riggs huddled with 40 students in the offices. And prayed.
Saturday morning, a girder jutted skyward from the wreckage of the school. Across the street, a yellow school bus that only hours ago had taken children home lay off its chassis, slammed into a building as though it were a toy tossed by a child.
Considering the damage, people at the school should have been hurt, Riggs figured.
“It’s a blessing. We praise God,” he said.
Aerial images of Henryville Saturday were devastating: the guts spilled out from buildings, debris littering open fields and trees felled like dominoes.
Indiana Gov. Mitch Daniels got up in the sky to survey the misery himself. Lucky it wasn’t worse, he thought.
“We’re not unfamiliar with Mother Nature’s wrath out here in Indiana,” he said. “But this about as serious as we’ve seen it in the years I’ve been in this job.”
People driving on Indiana Highway 60 Friday got a perfect view of the monster twister barreling through town.
Lawrence Smith, a reporter with WDRB, saw the tornado hurtling straight toward him. The video his station was able to get was incredible, he said. So was the experience.
Smith ran into a convenience store for cover as the funnel drew closer.
“We waited for it. The building shook, the lights went off. The noise was incredible,” he said. “It passed right by in front of us.”
A gas station across street was leveled, as was a nearby apartment complex.
Chad Hinton captured the tornado from his truck as he drove home to nearby Borden.
He had never quite seen anything like it. Adrenaline pulsed through his veins.
“It was a huge powerful force,” he said, recalling the thundering noise. The hail and rain bore down on his truck. He felt lucky to be what he estimated as two miles off the twister’s track. He thought about the people who were right in the middle of it.
In Salem, another town near Henryville, a little girl with blond hair and blue eyes was found alone in a field. No one knew how she had gotten there; they just knew she needed help.
The 20-month-old toddler was taken to hospital and intubated to help her breathe, said Clark County Sheriff’s Department Maj. Chuck Adams said.
She was flown about 35 miles southeast to Kosair Children’s Hospital in Louisville, Kentucky, where she was in critical condition Saturday afternoon, said Brian Rublein, a spokesman for Kosair.
Someone had called to identify the girl, after which the family was contacted. The hospital and police did not release any other details.
As uncertain as the toddler’s fate was, she was glimmer of good news amid the sorrow. Another child, a 9-year-old boy from Henryville, is missing.
Adams said that the boy’s whereabouts have been unknown since twisters hit. With power out, authorities relied on thermal radar imaging and search-and-rescue dogs to try to find him.
Others waited for loved ones at Henryville’s St. Francis Xavier Church, which became a meeting point for frantic residents looking for loved ones.
The message on the church’s answering machine summed up the community’s fears:
“Hello, this is Father Steve. I’m sorry to let you know we do not have any detailed information ourselves on people. They are consolidating information at the fire station. However, there is no way of contacting the fire department through normal channels because the phone lines are down. All I can say is pray for your friends and family.”
CDC director: We can reduce prescription drug overdosesThirty years ago, I attended medical school in New York. In the key lecture on pain management, the professor told us confidently that patients who received prescription narcotics for pain would not become addicted.
While pain management remains an essential patient right, a generation of health care professionals, patients, and families have learned the hard way how deeply misguided that assertion was. Narcotics – both illegal and legal – are dangerous drugs that can destroy lives and communities.
Millions of Americans struggle with substance abuse. Across the United States, overdoses involving opioid painkillers – a class of drugs with narcotic effects that includes hydrocodone, methadone, oxycodone – have skyrocketed in the past decade.
Today, the United States consumes most of the world’s supply of opioid painkillers. By 2010, enough opioid painkillers were prescribed to medicate every American adult around-the-clock for a month. And every year, nearly 15,000 people die from overdoses involving these drugs… more than from heroin and cocaine combined.
Studies by scientists at the Centers for Disease Control and Prevention and elsewhere show that most of these deaths are not the result of people taking small doses of opioids for a short time. Typically, problems arise when people take large amounts of painkillers or use them over a long period of time.
About 1 in 20 people in the United States age 12 or older reported using opioid painkillers for non-medical purposes in 2010. Some of these people engage in doctor shopping – getting prescriptions for commonly abused drugs from several practitioners in a short time and having the prescriptions filled at several pharmacies. In this way, people can obtain dangerous amounts of a prescription drug rapidly.
And in addition to the heavy toll this can take on lives and communities, non-medical use of prescription painkillers costs health insurers up to $72.5 billion annually in direct health care costs.
We can do more as a society to help prevent overdoses involving prescription painkillers while making sure patients who need them have access to safe, effective treatment.
Health care providers should prescribe opioid painkillers only under specific conditions, as in the treatment of chronic cancer pain when other treatments have not worked, and in limited quantities.
Providers can also screen patients for risk and history of substance abuse before prescribing opioid painkillers. Drug addiction is a disease of the brain that can be treated.
But health care providers aren’t the whole answer. Insurers and health care institutions must set up systems to identify and take action when providers or patients are using prescription drugs in dangerous ways. Some states have passed laws to rein in rogue pain clinics (“pill mills”) run solely for profit, that attract drug shoppers from other states.
Individuals can help protect themselves and others by doing the following:
– Talk with your provider about alternatives to opioid painkillers.
– Use opioid painkillers only as directed by a health care provider.
– Make sure you are the only one to use your painkillers. Not selling or sharing them with others helps prevent misuse and abuse.
– Store opioid painkillers in a secure place and dispose of them properly.
To learn more about prescription painkiller overdoses, join Dr. Frieden on Twitter @DrFriedenCDC today at 2 p.m. ET
| Post by: CDC Director Dr. Thomas Frieden — Special to CNN Filed under: CDC • Drug Safety |
Deja Vu: Dow Crumbles 635 After Economic, Debt Fears Engulf Wall StreetBy Adam Samson
Published August 08, 2011
| FOXBusiness
After closing out the worst week since 2008, Wall Street was once again pummeled on Monday after global sovereign debt and economic fears sent traders fleeing equities with few shelters in sight.
Today’s Markets
The Dow Jones Industrial Average plunged 635 points, or 5.6%, to 10,810, the S&P 500 tumbled 79.9 points, or 6.7%, to 1,119 and the Nasdaq Composite dipped 174.7 points, or 6.9%, to 2,358. The FOX 50 sank 50.7 points, or 5.9%, to 814.
Gasparino: Investors Betting BofA Needs More Capital
FBN’s Charlie Gasparino argues investors believe Bank of America needs more capital to survive.
Dick Grasso: Taken Aback by Political Spin to Downgrade
Dick Grasso on S&P downgrade, economic outlook
S&P Downgrade Creating Bargains in the Markets?
Market’s fall creating opportunities for investors?
Volatility has been extremely high in recent trading sessions. The selloff over the past two weeks has been so furious in fact that “its force now rivals almost anything we’ve seen in the post war era,” according to Daniel Greenhaus, chief global strategist at BTIG. The VIX, often referred to as a fear gauge, spiked 45% to a 52-week high.
The selloff was broad, with every major sector taking deep losses. In a sign of the depth of the selling, 98% of the volume on the New York Stock exchange was in declining shares. The Dow closed below 11,000 for the first time since October 2010, and every blue chip ended in the red.
Financial shares like Dow-component Bank of America (BAC: 6.51, -1.66, -20.32%) and Citigroup (C: 27.95, -5.49, -16.42%) took the biggest hit. The cost to insure the debt of major banking institutions skyrocketed as concerns spread that the institutions may need to seek fresh capital. Bank of America quickly spoke out against the concerns, saying it has sufficient capital, but it couldn’t stem the 19% slide its stock took.
Despite the steep retreat from equities, some market participants were optimistic that markets are in the process of bottoming out.
“We’re experiencing the market bottom right now,” Paul Dietrich, CEO and co-chief investment officer at Foxhall Capital Management, told FOX Business. He cited leading indicators like auto sales and sales tax revenues.
“I think we’ll bounce around the bottom for a while but I believe over the next quarter or two you will start seeing a movement up of consumer spending.”
For the first time in history, S&P cut America’s top-notch credit rating one notch to AA-plus from AAA after the close of trading on Friday. The ratings company also said Monday it would slice Fannie Mae and Freddie Mac’s debt rating because the mortgage companies directly rely on the U.S. government.
S&P’s move came as a result of concerns over the country’s substantial public debt burden and deep divides within Congress that almost sparked an unprecedented default on U.S. sovereign debt. Moody’s Investor Service, another ratings company, affirmed American’s AAA rating, while Fitch is still performing a review.
Many large investors noted the short-term impact of the downgrade may be muted, however, it could foreshadow deeper economic issues.
BlackRock said in a release the move by S&P “does not imply a fundamental increase in risk” and shouldn’t prompt investors to “change their behavior solely on the downgrade.” However, the company that manages $3.7 trillion in assets warned that “continued economic weakness and regulatory uncertainty … may provide a signal to some investors to reassess their risk appetite.”
A round of disappointing economic data, capped with a mixed monthly employment report has weighed heavily on sentiment in recent weeks. There are only a handful of data releases scheduled for the first half of the week, however, traders are expected to pay close attention to the Federal Reserve’s statement on Tuesday to see if the central bank signals another round of quantitative easing.
Market participants will also be watching a slew of economic data slated for release by China overnight, according to Peter Boockvar, managing director at Miller Tabak+Co. China is one of the world’s largest economies and can have a drastic impact on global markets.
Global Governments Act
Meanwhile, global governments acted on Sunday to try to stem market fears across the world. The European Central Bank said it was prepared to “actively implement” a program by which it would purchase Italian and Spanish debt. European credit markets have been rattled as debt worries have cascaded from smaller economies like Greece to more substantial ones like Italy.
The Group of 7 finance ministers also made a statement late Sunday, saying it was prepared to take whatever steps are necessary to calm global markets that were slammed last week.
Still, many market participants questioned what actions global governments would be able to take to tame tumultuous markets. The statement by G7 “sought to bolster confidence but offered only consoling words,” analysts at Barclays Capital wrote in a note to clients.
The selloff on Monday comes on the heels of the steepest retreat for Wall Street since the financial crisis in 2008. The broad S&P 500 plunged 7.2%, the Dow shed 5.8%, and the Nasdaq plunged 8.1%.
In a sign of the uneasiness on Wall Street, gold, seen as a safe haven, has continually leaped to record highs. The precious metal soared $61.40, or 3.7%, to $1,713 a troy ounce — breaking the $1,700-mark for the first time. In fact, gold prices surpasses platinum prices for the first time since 2008 on Monday.
Energy markets followed equity markets deep into the red.
Light, sweet crude dipped $5.57, or 6.4%, to a new 2011 closing low of $81.31 a barrel. Wholesale RBOB gasoline slid 11 cents, or 4.1%, to $2.69 a gallon.
The U.S. dollar gained 0.15% against a basket of world currencies, while the euro plummeted 1.2% against the greenback.
Prices at the pump moderated somewhat last week following the selloff in the futures markets. A gallon of regular costs $3.66 on average nationwide, down from $3.71 last month, but considerably more than the $2.78 drivers paid last year, according to the AAA Fuel Gauge report.
Corporate News
Berkshire Hathaway made a $3.3 billion bid for Transatlantic Holdings (TRH: 48.31, +3.07, +6.79%), topping two other takeover offers.
Foreign Markets
The English FTSE 100 slid 3.4% to 5,069, the French CAC 40 tumbled 4.7% to 3,125 and the German DAX plunged 5% 5,923.
In Asia, the Japanese Nikkei 225 plummeted 2.2% to 9,098 and the Chinese Hang Seng sank 2.2% to 20,491.
Tax Incentives on the Block as Lawmakers Eye Deficit ReductionBy Jim Angle
Published August 08, 2011 | FoxNews.com
President Obama and his Democratic allies have made clear they want additional tax revenues to be part of deficit reduction. Republicans have made clear they will not accept any increases in tax rates.
But there’s one possible strategy for both sides to get their way: cutting subsidies and deductions in the tax code.
“This is where the revenue deal is to be done,” said Donald Marron, director of the Tax Policy Center and a former economic adviser to President George W. Bush. “I don’t think there is the political will to do significant increases in tax rates. The deal to be done is to look at the tax preferences and walk them back in some intelligent way.”
Maya MacGuineas of the non-partisan Committee for a Responsible Federal Budget agrees.
“This is an elegant way to kind of thread this needle between those who don’t want to raise any revenues for the deficit and those who want to focus on more taxes,” MacGuineas said.
These tax breaks, known as “tax expenditures” or “tax preferences,” add up to about $1.3 trillion a year, more than all individual and corporate tax collections combined.
They’ve been a favorite of presidents and lawmakers for years, because they’re easier to implement than spending programs. But they make government larger than it otherwise seems.
“A lot of this that wouldn’t make sense if they were subject to a kind of scrutiny we apply to traditional spending programs,” says Len Burman, a Treasury official in the Clinton years. “They get a pass because they’re run through the tax code.”
Tax preferences were a favorite of President Clinton, Burman said.
“Every time President Clinton felt somebody’s pain, there was a proposal for a new tax credit. … They didn’t want to propose new spending programs, because then it would be ‘Bill Clinton, big-spending liberal, making government bigger,’” he said, explaining their thinking. ” But a tax credit or deduction, that’s a tax cut. That’s a good thing.”
In fact, just last week, Obama called for new tax breaks for veterans, a far easier lift than a new spending program.
The list of existing tax preferences includes some easy targets Congress has already sought to roll back, such as subsidies for ethanol.
And then, there’s one that Democrats rail about day after day, tax breaks for oil companies — though critics say it’s relatively small potatoes, $40 billion over 10 years, MacGuineas said.
“That is nothing to sneeze at, but it is not going to balance the budget,” she said, “and it’s only going to be a drop in the bucket of what we actually need.”
The biggest deductions are far more popular and used by tens of millions of regular taxpayers.
The largest is making employer-provided health insurance tax free. If taxed, that alone would bring in $282 billion a year from workers and their employers.
The home mortgage interest deduction is the second largest at $89 billion a year, followed by tax-free 401(k) savings at $63 billion. That’s followed closely by deductions for charitable contributions at $40 billion and deductions for state and local taxes at $38 billion a year.
“The benefits, the value of these subsidies as a share of income increases with income up to the very, very top,” said Berman, who called tax incentives “middle-class or upper-class entitlement programs.”
Others offer businesses tax breaks for accelerated depreciation and capital gains or profits.
But a lot of programs for the poor are also handled through the tax code.
“We chosen to run a significant portion of the safety net through the tax code,” said Marron, who points to the earned income tax credit, child credit and deductions for some child care expenses.
Though both liberals and conservatives have their favorites, both parties have a stake in the search.
“That’s a tremendous sum of money that can be used to both lower marginal tax rates … and raise revenue to help close the deficit,” MacGuineas said.
But there will be a battle over how much of any savings should be dedicated to lowering tax rates and how much should go to reducing the deficit.
Some analysts suggest using one third to reduce the deficit and two thirds to reduce tax rates, in hopes of boosting economic growth and generating jobs.
Whatever the answer to that question, Burman has a broader one.
“The point is that we should figure out what government is doing — what we can afford to pay for, and how it can be done in the best way?” he said.