[Senate Hearing 119-39]
[From the U.S. Government Publishing Office]






                                


                                                         S. Hrg. 119-39
 
                       MAKING WASHINGTON WORK FOR
                        SENIORS: FIGHTING TO END
                  INFLATION AND ACHIEVE FISCAL SANITY

=======================================================================

                                HEARING

                               BEFORE THE

                       SPECIAL COMMITTEE ON AGING

                          UNITED STATES SENATE

                    ONE HUNDRED NINETEENTH CONGRESS


                             FIRST SESSION

                               __________

                             WASHINGTON, DC

                               __________

                            JANUARY 29, 2025

                               __________

                           Serial No. 119-02

         Printed for the use of the Special Committee on Aging
         
         GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT



        Available via the World Wide Web: http://www.govinfo.gov
        
        
        
                          ______

             U.S. GOVERNMENT PUBLISHING OFFICE 
 59-988 PDF         WASHINGTON : 2025
 
  
        
        
        
                       SPECIAL COMMITTEE ON AGING

                     RICK SCOTT, Florida, Chairman

DAVE McCORMICK, Pennsylvania         KIRSTEN E. GILLIBRAND, New York
JIM JUSTICE, West Virginia           ELIZABETH WARREN, Massachusetts
TOMMY TUBERVILLE, Alabama            MARK KELLY, Arizona
RON JOHNSON, Wisconsin               RAPHAEL WARNOCK, Georgia
ASHLEY MOODY, Florida                ANDY KIM, New Jersey
JON HUSTED, Ohio                     ANGELA ALSOBROOKS, Maryland
                              ----------                              
                McKinley Lewis, Majority Staff Director
                Claire Descamps, Minority Staff Director
                         C  O  N  T  E  N  T  S

                              ----------                              

                                                                   Page

Opening Statement of Senator Rick Scott, Chairman................     1
Opening Statement of Senator Kirsten E. Gillibrand, Ranking 
  Member.........................................................     3

                           PANEL OF WITNESSES

Jeff Ferry, Chief Economist Emeritus, Coalition for a Prosperous 
  America, Alexandria, Virginia..................................     4
Alex Lawson, Executive Director Social Security Works, 
  Washington, DC.................................................     6
Tarren Bragdon, Chief Executive Officer, Foundation for 
  Government Accountability, Naples, Florida.....................

                                                                      8
E.J. Antoni, Research Fellow, Grover M. Hermann Center for the 
  Federal Budget, Washington, DC.................................     9

                                APPENDIX
                      Prepared Witness Statements

Jeff Ferry, Chief Economist Emeritus, Coalition for a Prosperous 
  America, Alexandria, Virginia..................................    36
Alex Lawson, Executive Director Social Security Works, 
  Washington, DC.................................................    38
Tarren Bragdon, Chief Executive Officer, Foundation for 
  Government Accountability, Naples, Florida.....................

                                                                     41
E.J. Antoni, Research Fellow, Grover M. Hermann Center for the 
  Federal Budget, Washington, DC.................................    46

                       Statements for the Record

Chairman Rick Scott Statements for the Record....................    60


                       MAKING WASHINGTON WORK FOR



                        SENIORS: FIGHTING TO END



                  INFLATION AND ACHIEVE FISCAL SANITY

                              ----------                              


                      Wednesday, January 29, 2025

                                        U.S. Senate
                                 Special Committee on Aging
                                                    Washington, DC.
    The Committee met, pursuant to notice, at 3:30 p.m., Room 
106, Dirksen Senate Office Building, Hon. Rick Scott, Chairman 
of the Committee, presiding.
    Present: Senator Scott, McCormick, Tuberville, Johnson, 
Moody, Husted, Gillibrand, Kelly, Warnock, Kim, and Alsobrooks.
    Also present: Senator Crapo

                 OPENING STATEMENT OF SENATOR 
                      RICK SCOTT, CHAIRMAN

    The Chairman. The Senate Special Committee on Aging will 
come to order. I want to thank everybody for being here today. 
I'd like to recognize our new committee members who are 
participating in their first hearing today. I'm thrilled to 
have my fellow Floridian, Ashley Moody, and Jon Husted here 
from the great State of Ohio join the Committee.
    Inflation, which is caused by massive government spending, 
has been a serious issue plaguing American families and their 
seniors over the past four years. In today's hearing, you will 
hear me talk about the causes and impacts of inflation also, 
why I'm very optimistic about the future and the opportunity to 
bring fiscal sanity back to Washington and solve the problems 
facing seniors.
    Let's be clear how we got here, over the past four years, 
while the U.S. population has grown just two percent, federal 
spending has increased by 53 percent, and all that spending has 
added more than eight trillion to America's national debt, 
which today is more than eight or thirty-six trillion. This 
kind of spending just isn't sustainable. If nothing changes, 
our Federal Government is on track to add a trillion dollars to 
the federal debt about every 100 days or so.
    The cost of this debt is another massive problem. Right 
now, more than one trillion of the money that hardworking 
Americans paying taxes each year goes to paying the interest on 
the federal debt. Having a trillion dollars in annual interest 
expense is not sustainable either. Every dollar we are spending 
on interest is a dollar that isn't funding an important program 
seniors rely on or going toward the Federal Government keeping 
its promises to provide a return on investment of American 
taxpayers. Just think about if that money was going into 
propping up Medicare and Social Security.
    Those numbers are massive and difficult to even wrap your 
mind around, but here's what every American, and especially 
every senior understands very well: the inflation caused by all 
this government spending is out of control and it has to be 
stopped. Any of us that went through a campaign this last cycle 
knows the impact it's had on our seniors.
    Since January 2021, overall inflation is up over 20 
percent, but when you look at the specific things that nearly 
every American spends their money on, prices are way up more 
than 20 percent. Here's just a few examples: Eggs up 160 
percent, coffee's up 41 percent, oranges up 33 percent, energy 
cost up 32 percent, new car prices up 29 percent, and household 
debt is up more than 21 percent, because our families just 
can't keep up.
    According to research done by the Joint Economic Committee, 
the average American household needs over $13,000 more per 
year, than they did four years ago just to maintain their same 
standard of living. For seniors, many of whom are on fixed 
income, skyrocketing prices are not simply an inconvenience, 
but a threat to their ability to retire, make ends meet, and 
for too many, keep food on the table. That is unacceptable. It 
should never happen in our country.
    Like a lot of us, I grew up in a family that didn't have a 
lot of money. I watched my parents struggle to find work and 
provide for our family. That's why this issue is very important 
to me, and here's why I'm optimistic about the future: I know 
that with President Donald Trump, we will all work together, 
Republicans, Democrats, and Independents, which is what it 
takes to turn this country around and get our fiscal house in 
order.
    This isn't a partisan issue. I know that every one of us 
here in the Senate has heard countless stories from folks in 
our states about the pain caused by inflation. I'm optimistic 
about getting this done because I know it can happen. I know it 
because I was able to turn around Florida when I became 
Governor back in January 2011. We had lost 800,000 jobs, we 
hadn't balanced the budget, we had growing debt, and we had a 
shrinking population.
    When I left office in 2018, we cut taxes a hundred times, 
slashed more than 5,000 burdensome regulations to make 
government more efficient, paid down over ten billion of our 
state debt and private businesses, not government, and added 
1.7 million new private sector jobs, and our revenue sky 
skyrocketed.
    When government is efficient, the economy grows, and tax 
revenues increase so we can keep our promises to seniors and 
all Americans who work hard, pay their taxes, and deserve a 
government that is accountable to them. We did in Florida; we 
can make this turnaround happen in Washington too.
    My hope in highlighting these issues is to begin a 
productive dialog with everyone in this room, and it takes 
Republicans, Democrats, and Independents to work on this, so 
that we can fix problems to promote good ideas that stop 
inflation and make Washington work for our seniors. It's also 
why I'm excited to be part of the DOGE Caucus here in the 
Senate and work with President Trump and Elon Musk to make sure 
we get back on track.
    I look forward to working with Ranking Member Gillibrand 
and all our colleagues in this Committee to discuss ways to 
make Washington work for America's seniors, which starts with 
getting our fiscal house in order so the Federal Government 
keeps their promises to elderly Americans, ensure they can 
enjoy their golden years with a peace of mind of having fiscal 
sanity and also gives us every opportunity to make sure we can 
preserve all the benefits of Medicare and also all the benefits 
of social security, which is important to everybody up here.
    I'd now like to recognize Ranking Member Gillibrand for her 
opening remarks.

                 OPENING STATEMENT OF SENATOR 
             KIRSTEN E. GILLIBRAND, RANKING MEMBER

    Senator Gillibrand. Thank you, Chairman Scott, for calling 
today's hearing. These are extremely timely topics. As the 
Aging Committee, it's our role to amplify the voices of older 
adults and seek to understand and address the problems that 
they're facing every day. As such, I think it is relevant that 
one of our first conversations on this Committee is about 
financial stability.
    Many Americans have faced increased costs over the past few 
years, from the cost of our groceries, such as eggs and meat 
and bread and milk to our cost of medicine--key lifesaving 
medicines. Older adults are not exempt from these price 
increases, and by some accounts, they're getting hit even 
harder.
    Older adults living on fixed incomes from the retirement 
accounts and social security benefits can't afford the higher 
costs they have to pay for food and for housing. The truth is, 
much of the inflation we are facing today can be traced back to 
either supply chain shocks triggered by the COVID-19 and global 
instability, or to corporate profit gouging, just wanting to 
make more money, or like we've seen with the price of eggs 
avian flu.
    The Federal Reserve accounted for all the inflation in the 
first year of the pandemic recovery where these shocks are from 
supply chain and COVID.
    However, I think this Committee should be focused on one 
thing. How do we help older adults who are struggling to afford 
those essentials today? I first must address the recent 
attempts by the Trump Administration to block federal funding. 
These freezes are very serious. The Trump Administration has 
violated the law and released an order that has put all 
Americans and especially older adults at risk.
    The order, which in a chaotic move, has now been reversed 
on paper, but not in actuality, is jeopardizing our funding 
that supports medical research, our law enforcement officers, 
our firefighters, our community health centers, our nutrition 
programs, the SNAP benefits that a lot of seniors rely on, 
including Meals on Wheels, which as you know, might be the only 
hot meal a senior might get in a day and might be the only 
visitor that week and potentially Medicaid.
    We can't have a meaningful conversation about supporting 
older adults when the Administration is doing something so 
disruptive and so harmful to our seniors.
    Social Security, as we know, is a lifeline for older adults 
across this country. Estimates show that social security keeps 
16.3 million older adults out of poverty. We need to be working 
on how to strengthen social security benefits and make sure 
that the monthly benefits are received adequately cover the 
cost of living, Medicaid, Medicare, the SNAP program, are 
critical to the survival of our seniors.
    As a committee, I'm looking forward to making sure our 
older adults have access to the food, the medicine, the medical 
care, and other financial support that they need. I'm very 
excited about our witnesses today and for this hearing to begin 
to have this discussion. Thank you, Mr. Chairman.
    The Chairman. Thank you, Ranking Member Gillibrand. Now, 
let me introduce our first witness. Mr. Ferry is the Chief 
Economist Emeritus at the Coalition for Prosperous America. He 
holds economic degrees from Harvard and the London School of 
Economics. On the course of his career, Mr. Ferry has advocated 
for strengthening the American economy and protecting American 
workers and industry. With decades of expertise in trade 
manufacturing economic policy, he's been a strong voice in how 
we can rebuild and sustain a strong competitive economy. Thank 
you for being here, Mr. Ferry.

            STATEMENT OF JEFF FERRY, CHIEF ECONOMIST

              EMERITUS, COALITION FOR A PROSPEROUS

                 AMERICA, ALEXANDRIA, VIRGINIA

    Mr. Ferry. Thank you, Senator, and thank you for the 
opportunity, Senator, and Ranking Member. The founder of Soviet 
communism, Vladimir Lenin, is said to have declared that the 
best way to destroy the capitalist system was to debauch the 
currency. By a continuing process of inflation, governments can 
confiscate, secretly and unobserved, an important part of the 
wealth of their citizens.
    By this method, they not only confiscate, but they 
confiscate arbitrarily, and while the process impoverishes 
many, it actually enriches some. Lenin was certainly right. 
There is no subtler, no surer means of overturning the existing 
basis of society than to debauch the currency. The process 
engages all the hidden forces of economic law on the side of 
destruction.
    That's a quote from the great British economist, John 
Maynard Keynes. Many people think that Keynes was pro 
inflation, but that's not true. Keynes lived through the 1920's 
and saw what hyperinflation did to Poland, Russia, Austria, and 
especially Germany, where the hyperinflation of 1923 shook the 
faith of the German people and democracy with disastrous 
results. Kane's advocated balanced government budgets except in 
times of serious recession or depression.
    The fundamental cause of inflation in an economy is an 
excessive demand over supply. Excessive demand can be caused by 
a number of things, including an excessive government budget 
deficit, too much money printing or wage push inflation, which 
is accommodated by the government.
    In the U.S., in 2021 and 2022, inflation took off reaching 
a high of nine percent in 2022, the highest rate since the 
early 1980's. The cause of this inflation was excessive demand, 
colliding with restrained supply. As we all recall, the supply 
of goods from Asia was severely restrained in 2020 by the 
worldwide COVID pandemic and then the backlog at all the major 
ports.
    On the demand side, the Federal Government enacted three 
separate measures to support people during the Covid pandemic. 
The third of those, the $1.9 trillion American rescue plan, was 
too much money at precisely the wrong time, when the country 
was going back to work and people were rushing out to use their 
savings to purchase goods. That led to a surge in the price of 
goods, everything from the food at the grocery store, to home 
appliances to new cars.
    These forces led inflation to reach nine percent in 2022. 
Could this have been prevented? Yes. On the demand side, the 
American Rescue Plan should have been much smaller. On the 
supply side, the situation is more complicated. Clearly, the 
U.S. needs more domestic sources of manufactured goods, and 
that's something I've been working hard on for several years. 
Nor was the nine percent headline rate the whole story. The 
prices of some categories of consumer goods shot up by much 
more.
    For example, in December 2022, the price of eggs was up 59 
percent year on year, the price of margarine up 44 percent, 
airfares up 28 percent, and even the humble lettuce was up 25 
percent. These high inflation rates hurt many groups, 
especially seniors.
    Many seniors live on a fixed income. The average social 
security payment in the U.S. is now $1,976 a month. According 
to a study by University of Massachusetts economists, that 
covers just 68 percent of basic living expenses for an elderly 
single person who rents their home.
    According to the National Council on Aging, 14 percent of 
people over 65 live in poverty today. They say aging with 
dignity should be a right for all of us, and I think that's 
right. Other expenses paid by the elderly continue to rise. 
Seniors still pay significant copays for prescription drugs, 
and studies have shown that a significant percentage of seniors 
are doing without these drugs because they can't make ends 
meet.
    Home healthcare services unrelated services, were up 9.5 
percent in December 2024. That's on top of the inflation of 
2021 and the and 2022, so what can be done about inflation? 
Most important, we need to get the federal budget deficit down. 
The best way to think about inflation is are we as a nation 
consuming more than we produce or are we keeping within our 
budgets?
    For over 40 years, this Nation has run trade deficits, 
meaning we borrow billions of dollars from abroad to consume 
more than we produce. For 24 consecutive years the Federal 
Government has run a large budget deficit, meaning the Federal 
Government spends billions and now trillions of dollars more 
than it takes in revenue.
    A budget deficit of seven percent of GDP is far too high. 
We need to cut government spending aggressively. I applaud 
incoming Treasury Secretary Scott Bessent's three percent 
target for the federal deficit, that will ease inflationary 
pressures and reduce interest rates.
    Supply side reforms can also make a significant difference 
and make prices less rigid and less likely to rise. We need to 
make it more economic for people to go to work so we can 
increase the supply of labor and restrain the cost of labor, 
and we can do this by fixing the tax and welfare system to 
provide more incentives.
    Finally, we import far too much. Restraining imports will 
stimulate domestic production, helping to improve the supply 
demand balance. Thank you, Mr. Chairman.
    The Chairman. Thank you, Mr. Ferry. Now I'd like to 
recognize Ranking Member Gillibrand to introduce the next 
witness.
    Senator Gillibrand. Thank you, Chairman Scott. I want to 
introduce our second witness, Mr. Alex Lawson. Mr. Lawson is 
the Executive Director of Social Security Works, where he works 
to advocate on behalf of Americans for Social Security, 
Medicare, and Medicaid. Thank you for being here.
    Mr. Lawson.

          STATEMENT OF ALEX LAWSON, EXECUTIVE DIRECTOR
             SOCIAL SECURITY WORKS, WASHINGTON, DC

    Mr. Lawson. Thank you so much. Good afternoon, chairman 
Scott, Ranking Member Gillibrand, and distinguished members of 
the Committee.
    As Executive Director of Social Security Works, I travel 
across this country and speak with legions of primarily 
seniors. Almost to a person, they are concerned with rising 
costs. These rising prices hurt older Americans endangering 
their ability to afford food, housing, prescription drugs, and 
they want Congress to take action.
    Across the country, there is bipartisan agreement on what 
people want: cracking down on corporate price gouging, 
improving social security's annual cost of living adjustments, 
and reducing the price of prescription drugs by expanding 
Medicare's power to negotiate. These are actionable policies 
that will help older Americans adjust to inflation caused by 
global supply chain shocks and greedflation--which has 
contributed to rising costs over the past few years.
    In fact, the Federal Reserve found that corporate profits 
accounted for all of the inflation in the first year of the 
pandemic recovery and 41 percent of inflation overall in the 
first two years of the post pandemic recovery.
    There is also bipartisan agreement across this country 
about what people don't want in response to rising prices. 
Republicans, Independents, Democrats, all agree that not one 
single penny should be cut from Social Security, Medicare, 
Medicaid, and other benefits. There is absolute bipartisan 
agreement among people everywhere in this country except here 
in Washington DC.
    Here you have a Republican majority who announced proposals 
to slash trillions of dollars from Medicaid, our country's 
largest provider of long-term care. Over nine million Americans 
over 65 rely on Medicaid. Cuts to Medicaid would force these 
seniors and their families to pay enormous out-of-pocket costs 
for long-term care, money they don't have.
    It would force millions of caregivers, most often women out 
of the workforce. This would make it far harder for American 
families to pay their monthly bills. In addition, these 
proposals also include cuts to SNAP benefits, which 4.8 million 
older Americans rely on to put food on the table.
    Just last week, the new Trump Administration repealed an 
executive order from President Biden that directed the Federal 
Government to find ways to lower drug prices. The Trump 
Administration is already favoring big pharma at the expense of 
seniors and working families. There have also been calls by 
Republicans to repeal the Inflation Reduction Act, which gives 
Medicare the power to negotiate lower prices on key 
prescription drugs. This could force many seniors to cut their 
life sustaining medication in half due to higher costs. Many 
others would face a terrible choice between buying food, 
filling their prescription, or paying their heating bills.
    Even social security, the most popular and effective 
program in America is not safe. Last month, a Republican 
representative who's a member of the DOGE Caucus like Chairman 
Scott, told me personally that there will be some cuts to 
Social Security and Medicare. Let me be clear, these proposed 
cuts will do nothing to lower costs for average Americans or 
older adults; these cuts are being proposed to offset the cost 
of tax handouts for billionaires and corporations, who've been 
shown to be responsible for rising costs themselves.
    This Congress should value the interest of older adults 
above the wealthiest Americans, and I hope that the Aging 
Committee will lead that charge.
    Consider this: If an older adult cannot afford their drugs 
and groceries at the average social security benefit of about 
$1,900 a month, its absolute fiscal insanity to think the 
solution is to cut their income, to take away their healthcare, 
to destroy Medicaid and force them to pay the average long-term 
care costs of around $100,000 a year. If they can't afford the 
price of eggs, it's absolute fiscal insanity to believe they 
can afford them better without SNAP benefits.
    I'm here to deliver a message to the members of this 
Committee from older Americans. Across this country they say, 
you don't lower prices by stealing people's healthcare. You 
don't lower prices by giving giant tax cuts to billionaires and 
price gouging corporations, and you absolutely don't lower 
prices by reducing the social security and other benefits that 
adults have worked their entire lives to earn. Thank you very 
much.
    The Chairman. Thank you, Mr. Lawson. Just so you know, I 
don't actually know anybody that wants, that thinks we ought to 
be cutting the benefits of Medicare Social Security. It's a big 
deal in my state.
    Next I get to hear from my home State of Florida. I'd like 
to introduce Tarren Bragdon. Mr. Bragdon is the Chief Executive 
Officer of the Foundation for Government Accountability. He 
holds a Bachelor of Science degree in Computer Science from the 
University of Maine and a Master of Science of Business from 
Husson university.
    Prior to joining FGA, Tarren served as the Chief Executive 
Officer at the Maine Heritage Policy Center, he decided it was 
way too chilly. He also served in the Maine House of 
Representatives and remains the youngest person elected to the 
Maine legislature serving from 1996 to 2000. Through his 
organization, Mr. Bragdon has been a steadfast advocate for 
common sense policies that empower individuals and families to 
achieve greater economic independence.
    Mr. Bragdon.

          STATEMENT OF TARREN BRAGDON, CHIEF EXECUTIVE

               OFFICER, FOUNDATION FOR GOVERNMENT

                ACCOUNTABILITY, NAPLES, FLORIDA

    Mr. Bragdon. Chairman Scott, Ranking Member Gillibrand and 
members of the Committee, thank you so much for this 
opportunity.
    The inflationary legacy of the Biden Administration has 
harmed all Americans, but especially seniors, and sadly, this 
inflation in part is a direct consequence of three major policy 
failures. One, massive red tape, two, increased welfare, and 
three, few work requirements in welfare. This trifecta of bad 
policy has reaped big inflation.
    Let me quickly talk about each of them. Number one, massive 
red tape. Former President Biden issued more costly regulations 
than any President in modern U.S. history, finalizing more than 
300 economically significant regulations during his first term, 
40 percent more than President Obama's first term. In contrast, 
President Trump delayed more than 1500 regulatory actions, 
finalized more than 500 deregulatory actions and lowered costs 
by more than 200 billion during his first term, so why does all 
this matter?
    Well, for every 15 percent increase in federal regulations, 
the cost of consumer goods and services increases by one 
percentage point. That's why President Trump's ten for one 
deregulation target would directly lower red tape driven 
inflation, and it's not just about the federal spending from 
increased regulations. More regulations mean more compliance 
costs by businesses which are ultimately passed along to 
consumers through price hikes. Overall, the Biden 
Administration expansion of the regulatory state added 1.7 
trillion worth of new costs to taxpayers over a decade.
    Number two, increased welfare. In 2021, the Biden 
Administration pushed through a 27 percent increase in food 
stamp benefits. After failing to receive congressional approval 
for increase in the Thrifty Food Plan, the Biden Administration 
unilaterally used guidance to increase this or to create this 
$250 billion welfare expansion, the largest in the program's 
history, so why would an increase in government welfare 
increase inflation for all Americans?
    Well as government spending on food stamp increases, 
purchases made by food stamp recipients drive up grocery prices 
through the natural laws of supply and demand. In fact, 
researchers at the World Bank reviewed more than a decade of 
retail data to measure this impact, and here's what they found. 
That food prices increase by one percent for every 12.5 percent 
increase in food stamp spending, so you have that 13 to one 
ratio in the increase in welfare spending, very similar to that 
15 to one ratio I talked about with more red tape driving 
higher inflation.
    Number three, few work requirements in welfare. The Biden 
Administration's food stamp expansion not only spiked grocery 
prices, but it also led to millions of Americans choosing 
welfare over work. In fact, an estimated 2.4 million Americans 
declined employment due to this increase. In addition, the 
Biden Administration pushed several pro welfare policies. 
Everything from rescinding Medicaid work requirements to 
gutting program integrity and anti-fraud provisions to 
expanding exemptions and waivers of food stamp work 
requirements.
    The number of able-bodied people on Medicaid and food 
stamps is higher today than it was when the unemployment rate 
was near 15 percent during the COVID lockdowns, and in fact, 
these two programs alone are expected to cost taxpayers close 
to $9 trillion over the next decade.
    More spending in Medicaid and food stamps on able-bodied 
adults who are working age means less resources available in 
the safety net for seniors and those with disabilities. In 
fact, over 60 percent of able-bodied adults on Medicaid or food 
stamps do not work at all, and as a result, our labor force 
participation rate is lower than it was before COVID.
    My written testimony outlines nine key policy solutions to 
reverse this trend. Everything from congressional oversight of 
costly regulations to increase program integrity and expanded 
work requirements. Thank you for the opportunity to testify, 
and I'm happy to answer any questions.
    The Chairman. Thank you. Finally, I'd like to introduce 
E.J. Antoni. Mr. Antoni is an economist and research fellow at 
the Heritage Foundation's Grover Hermann Center for the Federal 
Budget. His work has been featured with a variety of news 
outlets including Daily Caller, Fox News and Fox Business, Wall 
Street Journal and National Review.
    Mr. Antoni earned his master's and doctorate in economics 
from Northern Illinois and his contributions to help shape 
public discourse on economic policy and provide valuable 
insights for policymakers and the public alike. Thanks for 
being here.

           STATEMENT OF E.J. ANTONI, RESEARCH FELLOW,

                GROVER M. HERMANN CENTER FOR THE

                 FEDERAL BUDGET, WASHINGTON, DC

    Mr. Antoni. Chairman Scott, Ranking Member Gillibrand, 
members of the Committee: Thank you for the invitation to 
discuss with you today the difficulties faced by seniors 
stemming from the last four years of excessive government 
spending and its subsequent inflation. I'm a public finance 
economist, the Richard F. Aster fellow at the Heritage 
Foundation, and a senior fellow at Unleashed Prosperity.
    Under the Biden Administration, seniors in America suffered 
terribly because of failed left-wing ideology masquerading as 
public policy. Four years of Washington's prodigal spending 
drove up the national debt by $8.5 trillion while the 
treasury's cash balance was reduced another $1 trillion. That's 
a net overspending of $9.5 trillion or one quarter of the 
entire national debt in just four years.
    This runaway spending was primarily financed by the Federal 
Reserve, literally creating money for the treasury to spend. By 
flooding the economy with freshly printed dollars the Fed 
diluted the value of the currency, like pouring water into 
wine, the total volume of liquid increase, but not the amount 
of alcohol. Likewise, the total quantity of dollars increases, 
but not the value for which those dollars could be exchanged. 
We call this monetary phenomenon inflation, and it functions as 
a hidden tax, transferring wealth from savers and wage earners 
to the government.
    In just four years, the Biden Administration and its 
congressional allies managed to effectively confiscate one 
fifth of the value of all dollars in existence, a devastating 
tax on Americans, especially seniors.
    Prices on average rose more than 20 percent according to 
official government statistics, but the cost of many 
necessities rose much more. Many food staples saw prices 
increase 40 percent. The cost of home ownership doubled and it 
will cost you 30 percent more to heat your home this winter.
    The four-decade high inflation also prompted the fastest 
rise in interest rates in 40 years. This has been a deadly 
combination for seniors in two distinct ways. First, the 
stratospheric cost of living forced many Americans to fall 
behind on their bills and rely on debt to make ends meet. 
Outstanding credit card balances have exploded to $1.2 
trillion, even as the average interest rate on those credit 
cards is near a record high today.
    Now, for the first time ever, Americans are paying over 
$300 billion annually just in finance charges on credit card 
debt, which doesn't include a dime toward paying down those 
balances. Seniors have been particularly susceptible to this 
downward debt spiral because they are disproportionately on 
fixed incomes with little room in their budget for higher 
costs, but the rapid rise in both inflation and interest rates 
has also decimated seniors? retirement savings, which tend to 
be in fixed income assets.
    Under the Biden Administration's--legacy, the bond market 
had its worst three and a half year run in at least a century. 
At the same time, this asset class has significantly 
underperformed. Retirees also need 20 percent more savings than 
just four years ago to account for the current cost of living 
crisis.
    For the average American senior, who was planning on 
retiring today, he or she will have to work an additional six 
years to recoup these inflation adjusted losses. Unfortunately, 
the big spenders in Congress have plenty of apologists who will 
blame inflation on anything, but its cause, which is excess 
government spending.
    One of the politicians' favorite scapegoats was and still 
is, business. We can dispense with the parochial notion that 
inflation is caused by the boogeymen of corporate greed or 
price gouging. Did business magically become greedy precisely 
when Biden took office and went on a spending spree? Prices 
aren't higher because margins are flat, rather, prices are 
higher because the dollar has gone lower. In fact, the Biden 
Administration's own data proved this point, cost paid by 
businesses rose even faster than cost paid by consumers over 
the last four years, businesses have merely passed their cost 
increases on to consumers.
    Inflation comes from Washington DC, and whenever the 
federal budget increases, the family budget decreases, and the 
inflationary deficit isn't from a lack of revenue, tax receipts 
today are at or near a record high by any measure, whether 
percentage of GDP or inflation adjusted dollars, et cetera. We 
don't have a revenue problem; we have a spending problem. The 
current Fiscal Year is off to its worst start ever, even worse 
than the blowout spending year of the pandemic.
    Despite the hole that Biden has dug for seniors, President 
Trump is offering them a way out. By reigning in government 
spending, we can finally bring inflation to heal. Likewise, 
expanding energy production will reduce the cost of living 
while also raising additional tax revenue. Common sense 
deregulation will also produce these positive effects. 
Additionally, pro-growth policies that incentivize work will 
actually increase social security and Medicare tax receipts, 
providing much needed breathing room for these programs which 
are approaching insolvency.
    If this Congress genuinely wants to help seniors, it should 
join President Trump in shrinking the burden that the 
government places on its citizens, whether that's explicit 
taxation, the hidden tax of inflation, burdensome regulation, 
or another form of government overreach. If Congress wants 
seniors to continue suffering, then by all means keep in place 
the Biden policies that got us here. Thank you again for your 
time. I look forward to answering your questions.
    Senator Johnson. Thank you, Mr. Antoni. If Senator Kim's 
ready, you ready to go for questions? I'll defer mine. Okay. 
Senator Kim?
    Senator Kim. Yes, sure. Happy to jump on in. Mr. Lawson, I 
wanted to just kind of pick up something you had talked about, 
you know, just the challenges that seniors face when it comes 
to long-term care. You know, this is something that my family's 
been struggling with as my father's having real challenges of 
decline.
    I'll be honest with you, I've heard about this problem and 
the sheer cost of that from a lot of people in New Jersey, but 
when you go through it personally, it just was a whole other 
level just to see, you know, how much--in New Jersey, if people 
going for assisted living or other types of facilities, we're 
talking to upwards $10,000 a month or more out of pocket and, 
it's either that or, people having to basically bankrupt 
themselves until they're eligible for Medicaid.
    I guess this is something that I hope we can as a 
committee, be able to engage in and try to address, but I guess 
I just wanted to just hear from you, you know, what are the 
things that you would recommend this Committee diving in on? 
How can we use this opportunity to really not just hear those 
problems, but understand that, just the sheer trajectory of 
crisis that we're in as a country as a whole, but then just how 
devastating this is for families right now?
    Mr. Lawson. It's such an important question. Thank you for 
asking, Senator. I think the most important thing to talk about 
when it comes to long-term care is to understand that we do not 
have a long-term care system in this country. Because of that, 
people are forced to rely on Medicaid, which is not in and of 
itself a long-term care system.
    What you talked about, you know, people having to bankrupt 
themselves, they call it a spend down. That's so that they can 
qualify to have their long-term supports and services or long-
term care covered, because otherwise the families would be 
bankrupted. They would not be able to afford the average cost--
in the whole country is a hundred thousand dollars, so the 
finding in New Jersey of $10,000 a month is not at all out of 
line with what people would face.
    I say that emphatically because there are proposals that 
are written down by members of the Republicans in Congress to 
cut $2.3 trillion from Medicaid, and let me be clear of what 
that would do. It would destroy Medicaid. It wouldn't do 
anything to fight inflation. It wouldn't bring anybody's prices 
down. It would just steal people's healthcare and it would 
decimate the ability of millions of people to afford long-term 
care.
    I really urge this Committee to make that really clear, 
that when you're talking about Medicaid, you're talking about 
the largest provider of long-term care in this country.
    Senator Kim. Yes, and really you see so few other options 
that are out there besides, again, out of pocket, and so, I 
absolutely agree with you. We see this being critical when it 
comes to the role that Medicaid plays and again, I've seen that 
up close and personal.
    What other steps can we be taking if we're certainly going 
to--I'm certainly going to try to fight to make sure we're 
preserving Medicaid and I hope my colleagues are as well, but 
even that doesn't solve the problem, right? That's trying to 
prevent even further backsliding, right?
    What else should we be looking at to address? I know there 
have been proposals to try to bring long-term care into 
Medicare. There are other types of ideas that are out there, 
can you gimme a sense of just some of the other things that 
experts are talking about that we can try to consider here?
    Mr. Lawson. Absolutely. The idea of bringing long-term care 
as a benefit under Medicare as an extremely good idea. Medicare 
does an incredible job providing services and restraining 
excess cost growth. It does a much better job than the private 
alternatives in insurance and especially in long-term care.
    What we've seen is a growing rollup of the long-term care 
nursing home system by private equity, so this is by money, who 
look at a nursing home and they don't see it as a place to 
provide care in the critical end of life period for people. 
They see the end of a person's life as a time to squeeze as 
much money out of them and their family as possible, so really 
investigating the role that private equity has in profitizing 
long-term care and reversing that trend is something that I 
think is also critical.
    Senator Kim. Well, thanks so much. I yield back. Senator
    Senator Johnson: Senator McCormick
    Senator McCormick: Thank you, Senator. Seniors in 
Pennsylvania are hurting thanks to the reckless spending, 
including five trillion of new spending under President Biden. 
They've had to deal with runaway inflation. They've seen 
purchasing power of fixed income evaporate because of bad 
policy decisions here in Washington, and they've seen the value 
of their retirement accounts after inflation decreased by 
almost 10 percent in the last four years, and the cost of elder 
care, of course, just keeps going up.
    Prices are up, savings are down, and this can't continue, 
so thankfully, we're turning the corner and building an economy 
that works for all Americans, including 2.5 million seniors in 
Pennsylvania. This starts with reigning in federal spending. 
The federal deficit is now equal to seven percent of GDP, debt 
is over 120 percent of GDP. We now spend more on interest on 
the debt than we do in national defense.
    At the same time, I think everybody on this Committee 
agrees that we must protect the critical benefits seniors have 
earned, such as social security and Medicare, so we have a 
difficult question to wrestle with, how do we bring down 
spending while protecting these critical programs that 
Americans have paid for and rely on?
    With that context in mind, Mr. Ferry, I'd like to start 
with you as your testimony focused on this very question, what 
are our best options or low hanging fruit for reducing the 
federal deficit while protecting critical programs our seniors 
rely on?
    Mr. Ferry. Thank you, sir. I think there are a number of 
federal programs that don't fall in the category of essential 
spending, as you say, Medicare, Social Security, and defense, 
and I think these programs are in areas like the Department of 
Education where the federal contribution is debatable at best 
and I think we can literally cut an annual trillion dollars out 
of federal spending over the next five years.
    I'll give you another example. Senator Scott didn't mention 
it, but earlier in my career, I worked in the broadband 
technology industry, building optical networks that carry 
internet traffic. I was thrilled when the government passed the 
broadband program to bring internet to thousands of rural 
households. The four-years of the Biden Administration went by, 
and not one single household has been connected.
    Where I come from in the private sector, if you had that 
record over four years, we would just fire everybody. We'd give 
them compensation, but we would just say, you need to do 
better. I think we need to instill that spirit of performance 
and targets and metrics into the public sector, and if we do 
that, we will get five times the reward, which means, as I say, 
we can cut spending by a trillion dollars a year without 
touching Medicare, without touching social security and without 
touching defense.
    Although defense is, to be honest, an area where, for the 
$800 billion we spend, we are not getting good value for money, 
so I don't know that we need to cut it radically, what we need 
to do is to bring in smaller more aggressive, more 
entrepreneurial companies to defense to compete with some of 
the defense primes, and I think we actually could see our way 
to reducing defense, but getting better defense worldwide that 
way.
    Senator McCormick: Thank you, and I couldn't agree more on 
the accountability and focused on outcomes within our 
government, that's what President Trump, I think is leading the 
charge on, and he's got a lot of support here on this 
Committee.
    Mr. Antoni, let's discuss how the last four years have 
impacted seniors, retirement portfolios. You've been very 
critical of the Federal Reserve's response to inflation, as 
have I. Can you walk us through the impacts of federal policy 
on 401k accounts? I hear this all the time from seniors in 
Pennsylvania and pension plans in general, and how and what can 
seniors do to protect their retirement accounts from rapidly 
losing value as they have over the last four years?
    Mr. Antoni. Well, thank you, Senator. It's a pleasure to 
see a fellow Pennsylvanian, by the way. Unfortunately, what the 
Federal Reserve did to accommodate the spend thrift policies 
out of DC was again, literally just create trillions of dollars 
out of nothing, and to ease the cost of financing all of the 
borrowing from the treasury, they pushed interest rates down to 
zero.
    At the same time all of these this debt was being issued, 
it was being issued at near zero interest rates, and therefore, 
all of the securities that were being issued that were 
essentially the financial derivatives that had these low 
interest-bearing assets as their underlying asset, that meant 
that the securities also were going to have very low yields. As 
soon as interest rates began to rise, since interest rates and 
prices move inversely with bonds, the value of these securities 
have absolutely plummeted. We are literally coming off of the 
worst three and a half year run for the bond market in over a 
century.
    Well, where do seniors disproportionately put their 
savings? Into fixed income assets, and so they have taken just 
an absolute wash on their retirement accounts. The average 401k 
alone, as you pointed out, lost almost 10 percent of its 
inflation adjusted value under the Biden Administration, and 
for seniors, it has been even worse than the average because of 
that portfolio allocation.
    To answer your question in terms of how can they protect 
themselves, unfortunately, when it comes to high inflation, 
it's a hidden tax. Like any tax, there's not really a good way 
to protect yourself, aside from simply spend all your money. If 
you don't have any money, then the government can't take any of 
it away through inflation. Unfortunately, that's obviously not 
a very desirable outcome either, though.
    Really the best way to protect themselves, I would say, 
with all due respect, is to vote in politicians who will 
prevent that kind of overspending and therefore prevent the 
inflation in the first place.
    Senator McCormick: Thank you.
    The Chairman: Ranking Member Gillibrand.
    Senator Gillibrand. Thank you so much, Mr. Chairman. Mr. 
Bragdon, you argue that expansion of welfare and safety net 
programs are the main contributors of inflation and propose 
that these programs need to be cut significantly. These 
programs actually prevent millions of Americans from falling 
deeper into poverty, illness, and food insecurity.
    For example, SNAP is one of the most effective tools for 
improving health and preventing hunger, enabling nourishing 
kids to go to school and adults to go to work. When we cut 
programs like SNAP and Medicaid, we will surely head toward the 
Nation with poor health outcomes, increasing hospitalizations 
and ballooning our healthcare costs.
    What you propose we do when millions of Americans go hungry 
or fall into poverty or become ill without healthcare coverage 
because of these cuts?
    Mr. Bragdon. Senator, thank you for the question. In my 
testimony, I outlined really two key strategies in right sizing 
welfare programs, but also providing incentives for people to 
move from welfare to work and out of poverty. The only path for 
an able-bodied adult out of poverty is through work, and there 
is a broad bipartisan consensus, whether it's in mental health 
or substance abuse for individuals with disabilities, that were 
work is key to a meaningful life.
    What we talk about in the testimony is an example after 
example. An effective work requirement for able-bodied adults 
of working age is proven to get individuals out of poverty and 
into the workforce. We have more than eight million open jobs. 
Most of those don't require more training than on the job 
training, and that's the path out of poverty. The second piece 
is----
    Senator Gillibrand. Could you pause for one second, Tarren?
    Mr. Bragdon. Sure.
    Senator Gillibrand. Wasn't most of the waiver for work 
requirements because of COVID?
    Mr. Bragdon. There are still waivers even in low 
unemployment areas. The Biden Administration has allowed states 
broad authority to waive work requirements.
    Senator Gillibrand. Wasn't that due to COVID? I think the 
waivers are no longer in place. They were removed once we got 
out of COVID, but I thought most of the waivers were because of 
COVID because It was so much disruption in the economy, and 
some people weren't able to go back to work because the 
employers didn't want them to go back to work, or their 
employers weren't open, or there were so many differences and 
so many changes.
    Mr. Bragdon. They were waived for a period of time, but 
then states can also submit waivers, which they did to USDA in 
food stamps saying, we want to broadly waive work requirements 
in certain counties, gerrymandering counties together to create 
waivers where there's even low employment.
    Senator Gillibrand. Was that because of low unemployment? 
There's no jobs available.
    Mr. Bragdon. You mean high unemployment in those counties?
    Senator Gillibrand. No, low unemployment. I think the 
unemployment rate's been hovering around three percent, and 
when unemployment's that low, meaning there's just not that 
many jobs out there, all the jobs are full. There's a challenge 
of finding good jobs.
    We make the tradeoff. We'd rather people not starve, then 
require the work requirement. I think a lot of the people who 
also are considered able-bodied often have as you said, mental 
health issues or impediments to work like an elderly person at 
home who needs care, or a child at home who needs care. What 
data do you have on that?
    Mr. Bragdon. Sure. I appreciate the question, so with work 
requirements in food stamps, an individual, if a doctor says 
they're not able to work for whatever, whether it's a physical 
or mental health, a condition that they have, then they would 
be exempt from the work requirement. States don't have the 
authority to waive work requirements in low unemployment areas. 
There is the ability in high unemployment areas for states to 
waive those work requirements for certain adults with no kids 
and no disabilities, but not with low unemployment.
    In fact, there's more than eight million open jobs across 
the country, and the path out of poverty is for individuals to 
go into those open jobs. I know, for example, we have four 
teenagers, my daughter went into one of these open jobs in 
Florida. She's earning $18 an hour at Jimmy John's, and that's 
her first job moving her on the path to prosperity, and it's 
really helping every American begin their American dream.
    Senator Gillibrand. Okay. Mr. Lawson, some Republicans have 
proposed raising the full retirement age to 69 or 70 to protect 
social security solvency and avoid benefit cuts. This is 
misleading. Can you share the actual impact of raising the 
retirement age would have on social security benefits and on 
the adults who rely on them?
    Mr. Lawson. Yes, absolutely. Every year the retirement age 
is raised, it's a seven percent benefit cut across the board to 
everybody's social security benefits. It's not like a benefit 
cut, it is a benefit cut, because the retirement age really has 
nothing to do with when you retire. It is just the mathematical 
point at which you receive your full benefits, so if you raise 
it then you're cutting everyone's benefits by seven percent per 
year.
    Senator Gillibrand. Thank you. Thank you, Mr. Chairman. All 
right,
    The Chairman. Senator Tuberville
    Senator Tuberville. Thank you, Mr. Chairman. Thanks for 
being here this afternoon. Mr. Ferry, a lot of misconceptions 
are floating around by the media about tariffs and how they'll 
hurt the American economy. Can you speak to how tariffs, if 
they're done right, will boost the economy?
    Mr. Ferry. Thank you for the question, Senator. That's an 
absolutely true statement. Tariffs done right will stimulate 
our economy. I just want to say following on from what Mr. 
Lawson said, that there is no money tree. The percentage of old 
people in our economy continues to grow. I'm sitting here as a 
living, breathing example of that, and we have fewer people in 
work earning, in a sense, less real wages than 50 years ago 
when we had four working people for every retired person, now 
we're getting close to two, I think.
    We need to make this economy grow and we need to raise the 
real incomes and the value of the production of every single 
worker. Tariffs are a key way we can do that because what 
tariffs do, is they handicap imports and they allow domestic 
production to grow. We want to tariff the high value, highly 
productive high growth manufacturing sectors, which is roughly 
three quarters of the entire manufacturing sector in the United 
States.
    By doing so, we will produce more cars, more computers, 
more machinery, more machine tools, more medical equipment, and 
more steel and more aluminum and all those industries pay 
higher wages. As an example, the average large steel company is 
today paying its average steel worker over $100,000 a year. The 
average steel worker no longer works with hot molten metal. He 
works in a computer control room, and tariffs are a key way to 
stop the handicap this economy has due to an overvalued dollar 
and due to trade cheating from countries like China and 
Germany, so they're an absolutely essential tool.
    Senator Tuberville. Do you see an increase in job 
opportunities with increased tariffs?
    Mr. Ferry. Yes. I mean, mathematically, yes. We will see a 
higher labor force participation rate with increased tariffs 
because domestic production will rise, and those jobs will 
attract people to get off the sofa and go out and get those 
jobs, but most crucially, I see a transition from people 
working for places like Jimmy John's at minimum wage, into high 
value jobs, which not only pay more today, but offer them 
career opportunities to get on a rising escalator.
    Senator Tuberville. Thank you. Mr. Antoni, Americans are 
upside down in credit card debt, $1.17 trillion. Eighty-five 
percent of Americans have credit cards, 85 percent of Americans 
over 65 have a credit card. What can be done at the 
congressional level to encourage savings and keep more money in 
the pockets of Americans when it comes to credit?
    Mr. Antoni. Senator, thank you for the question. A big 
disincentive to save has historically been inflation because as 
your money is sitting there in the bank, or even if it's in 
equities, whatever the case may be, much of the growth that 
it's experiencing is simply just the dollar losing value, so 
there's not really much of an incentive there.
    If you want to get rid of inflation and you want to not 
only incentivize people to save, but disincentivize them from 
borrowing, you got to get inflation down, and I think the way 
you have to do that is by cutting government spending.
    The only other thing I would add is to help the people who 
are already in so much credit card debt who are suffering with 
the combination of high credit card debt and high interest 
rates, is you need to get the interest rates down, and the 
interest rate is simply a price, it's the price to borrow 
money.
    If you want to reduce the price of something, reduce the 
demand, so reduce the demand for borrowed money. All marginal 
spending by this Congress is by definition borrowed, so if you 
reduce that spending, you will also reduce the demand for 
borrowed money and help bring interest rates down.
    Senator Tuberville. Thank you. Mr. Bragdon, you talk a lot 
about unsustainable expansion of the federal welfare programs 
that have caused massive increase in spending, particularly 
SNAP. SNAP spending has grown by more than 73 percent since the 
last farm builds predicted we'll spend more on SNAP in the next 
10 years than we have in the last two decades. This is over the 
top, so what's your thoughts here on this massive increase in 
the TFP and what recommendation do you have to address this 
Farm Bill with, with SNAP.
    Mr. Bragdon. Senator, thank you for the question. I think 
it's really twofold. One, the authority for setting the food 
stamp program, the SNAP program, really relies on, on Congress, 
and when you look at what the Biden Administration did with the 
Thrifty Food Plan, by just through guidance, literally 
bureaucrat with a pen and a power trip, dramatically increasing 
that benefit, and then that going, as my colleague said, into 
borrowed money and increasing interest rates, you also took 
away the incentive that people have to go into the workforce 
because it pays more not to work, and as I talked about, it 
drives even higher food inflation because SNAP benefits can 
only be used for food, and as we saw with the research that I 
cited that drives increased demand and raises food prices; I 
think there's really twofold things that need to be done within 
the SNAP program.
    One is greater anti-fraud measures. If you look at the 
improper payment, that's fraud and waste within the SNAP 
program. That's primarily driven by individuals who are 
receiving benefits, who are no longer eligible, either because 
an income change, they moved or some other benefit change or 
life change.
    The second piece is really looking at how do we effectively 
use work requirements for working age able-bodied adults? We've 
seen this work well with adults with no kids and disabilities. 
We recommend that pro-work anti-poverty policy be expanded to 
more working age adults who have school aged children.
    Senator Tuberville. Thank you.
    The Chairman. Senator Warnock
    Senator Warnock. Thank you, Chairman Scott. Today's 
hearing, discussing the consequences of high prices on seniors 
could not be more timely. On Monday evening, the Trump 
Administration ordered a total illegal freeze of federal 
taxpayer funds going out to communities in Georgians. This 
illegal funding freeze includes programs that are essential to 
seniors with lower and fixed incomes.
    I'm thankful that a federal judge temporarily halted this 
illegal freeze yesterday afternoon, but these programs are 
still at risk. The Trump Administration, to be very clear, has 
rescinded the OMB memo, they have not rescinded the executive 
order. Mr. Lawson, will pause to payments for nutrition 
programs or the Older Americans Act, make food more affordable 
and accessible for seniors?
    Mr. Lawson. No, Senator, it will do the opposite.
    Senator Warnock. What they did on Monday night won't help?
    Mr. Lawson. It will hurt.
    Senator Warnock. How about a pause on payments for federal 
housing vouchers? Will that help?
    Mr. Lawson. That will not help. That will also hurt.
    Senator Warnock. What about a pause on energy assistance 
funds?
    Mr. Lawson. Same answer. This won't help at all, it will 
only hurt seniors.
    Senator Warnock. I would agree with that. Seniors, 
particularly those of modest means, rely on these funds to help 
pay for food, medicine, in-home care, rent, energy, and heating 
bills in the dead of winter and many other federal programs 
that ensure dignity throughout a person's life. This trump 
freeze will hurt Georgia Seniors, make life more expensive for 
them, including our veteran seniors who need care. Mr. Lawson, 
how can the Federal Government help bring down costs for 
seniors?
    Mr. Lawson. One of the best ways is to focus in on one of 
the key drivers. That is really the rock, in the rock and the 
hard place that seniors are in the price of prescription drugs. 
For decades, pharmaceutical corporations have been able to 
raise the prices year after year enormously above the rate of 
general inflation. They do it because they can, they do it for 
greed alone, and seniors pay the consequence of this, and 
that's too often having to cut their pills in half or forego 
their prescriptions or face the choice of, am I going to pay my 
rent or my heating bill or be able to afford my drugs this 
month. That is the reality that millions of Americans face.
    Now, President Biden and Democrats in Congress passed a 
bill that allows Medicare to negotiate prescription drug prices 
for the first time ever, and there's been a reduction or there 
will be a reduction in the prices of some specific drugs, but 
what we could do is expand that to all drugs. Why get ripped 
off on any drugs?
    Senator Warnock. Absolutely, and I'm proud that in that 
provision, which caps the cost of prescription drugs, my 
insulin bill, which caps the cost of insulin to no more than 
$35 of out-of-pocket cost per month for seniors, insulin 
shouldn't be expensive, and the fact that it is, or prior to 
our engagement in this area, speaks to the outsized influence 
of big pharma in our politics.
    On his first day in office, President Trump signed a wave 
of executive orders, and one of these executive orders rolled 
back an initiative that would empower Medicare prescription 
drugs to offer generic drugs that treat common chronic 
conditions or a flat two-dollar copay. Mr. Lawson, would 
capping the cost of medication at two dollars help with 
senior's ability to afford other essentials like groceries?
    Mr. Lawson. Absolutely. There's no doubt at all on that.
    Senator Warnock. How do high prescription drug costs affect 
seniors also dealing with inflation?
    Mr. Lawson. When a seniors forced to try to go get 
groceries and they can't afford those groceries and the $1,900 
average social security cost per month, if their drug prices 
are going up month after month 13 percent, you know, they're 
going to be even less able to afford those groceries, and we 
know that this price cap works because there is now a $2,000 
price cap on prescription drugs in the same bill that put in 
negotiation, and that has--the freedom that gives seniors from 
the anxiety of, will I be able to afford my next bag of 
groceries, is enormous.
    Senator Warnock. Absolutely. In my remaining time. One last 
question. The Affordable Care Act established a premium tax 
credit to help everyday Americans afford their healthcare 
costs. Several years ago, Democrats and Congress passed 
legislation increasing the value of the premium tax credits to 
help families better afford healthcare while dealing with 
inflation, but if Congress fails to extend these tax credits 
before the end of the year, a 60-year-old couple in Georgia 
with a household income of say, $80,000, we'll see their annual 
premium go up by $16,798. Mr. Lawson, how would extending the 
enhanced PTC support the fiscal sanity of seniors?
    Mr. Lawson. I mean, if it'd be fiscal insanity not to 
extend it and think that it'll do anything other than drive 
millions of older Americans into poverty. Because you can't 
just increase a bill $16,000 and expect that money to just come 
from nowhere.
    Senator Warnock. Thanks, thank you so much. I'm proud to 
serve on this Committee. Also, glad I'm on the Finance 
Committee, and while many of my colleagues will be focused on 
tax breaks for the wealthy, I'll be fighting for everyday 
Georgians to help them to be able to afford their healthcare. 
Thank you so much.
    The Chairman. Senator Johnson.
    Senator Johnson. Thank you, Mr. Chairman. First of all, an 
excellent hearing, and you've assembled a panel here bipartisan 
that actually agree on one thing, that inflation is really bad 
for seniors and they pay a really heavy price.
    Let me quickly put up a chart. This describes how bad it is 
because we've devalued our currency. A dollar Americans held in 
1998 is now only worth 51 cents. A dollar you held only 10 
years ago in 2014 or 12 years ago, is now worth 74 cents. A 
dollar we held before the pandemic started was, is about 80 
cents. Now where there are disagreements is what causes this. I 
think I agree with three of our witnesses that it's because of 
massive government spending, deficits of spending, printing the 
dollar too many dollars, chasing too few goods, but Mr. Lawson 
believes it's because of price gouging. Mr. Antoni, I think he 
pretty well nuked your testimony, can you explain to Mr. Lawson 
why he is so wrong?
    Mr. Antoni. I'd be happy to, Senator. If we look at the 
data published by the Biden Administration, so these aren't my 
figures, this is from the Biden Administration. We see that 
prices paid by businesses for all the things they buy actually 
rose faster than the prices paid by consumers.
    When you go to the grocery store and you grab the gallon of 
milk off the shelf, the grocer had to buy that gallon of milk 
first in order to put it on that shelf for you, and the rate of 
increase that that grocer has been paying has actually been 
higher than what consumers have been paying, and that's why 
when we look at corporate profits, they're really not up after 
adjusting for inflation.
    Senator Johnson. Businesses literally--in order to maintain 
their market share and be able to sell products shielded 
consumers from, you know, some of the inflation caused by 
massive government spending, correct?
    Mr. Antoni. Exactly, and that's why wholesale inflation 
peaked much higher than retail inflation or consumer inflation.
    Senator Johnson. Mr. Lawson, you say you travel all over, 
you're talking to seniors. Let me ask you a hypothetical 
question. If a family let's say they have a major medical 
problem, and so one year they had to borrow $50,000 to take 
care of those medical bills, but then their family member gets 
well, do families keep borrowing $50,000 and keep spending it 
at that level even when they no longer have the illness?
    Mr. Lawson. Well, what I would hope is that Congress could 
come together and----
    Senator Johnson. Mr. Lawson, what would a typical family 
do? They would lower their spending and stop borrowing, so let 
me put it in my next chart here, so American families wouldn't 
do what the Federal Government did here. In 2019 before the 
pandemic, we spent $4.4 trillion, then we went on a massive 
bipartisan spending spree, $6.6 trillion in 2020. The pandemic 
eventually wound down, okay, we were actually coming, well out 
of it by the end of 2020. We certainly didn't need the 
inflation reduction act, which sparked 40-year high inflation.
    The last five years, we've averaged $6.5 trillion. Last 
year we spent $6.9 trillion. This year, we'll probably spend 
about $7 trillion. Mr. Antoni, is there any justification for 
maintaining this level of spending now that the pandemic is 
over?
    Mr. Antoni. I suppose that depends on how much waste, fraud 
and abuse you're willing to tolerate.
    Senator Johnson. I'm willing to tolerate none.
    Mr. Antoni. Well, in that case, there is absolutely no 
justification for the figures on your chart there.
    Senator Johnson. I've given my colleagues a number of 
options to return to a pre pandemic level spending. One of them 
was, if you go back to Bill Clinton's 1998 budget, where we 
actually had a surplus, and by the way, 40 Senate Republicans 
voted for that, and they voted for the appropriation bills, but 
if you go back to there and you increase that spending level 
for population growth and inflation, and you use this year's 
Biden's, social Security, Medicare, so you hold those programs 
harmless, that they are as they are, and interest, according to 
President Biden's budget, we would have a spending level of 
$5.5 trillion, but President Biden's projecting $5.5 trillion 
of revenue, that's how close we are to a balanced budget isn't 
that reasonable? Mr. Ferry?
    Mr. Ferry. I don't think I followed all your numbers, 
Senator. You're saying that the Clinton budget of 1998 would 
lead to tax revenue of five----
    Senator Johnson. No, what I'm saying is that back then it 
was $1.7 trillion because the dollar was worth more, but if you 
inflate that $1.7 trillion by population growth and inflation, 
but for Social Security, Medicare, and interest, who used this 
year's number, we'd be spending it $5.5 trillion. We'd 
basically have a balanced budget. If you do Clinton for 2014, 
do the same thing, you'd have about $6.2 trillion. Again, that 
would be a reasonable pre pandemic level of spending to return 
to, and again, those were President Clinton's spending 
priorities.
    Again, as I lay out these numbers, I'm one of the few 
people here that I'm an accountant, I actually use numbers, I 
look at history. My colleagues are actually shocked at how 
reasonable that spending level is, so again, I'm guess, I'm 
just trying to get some comments. I mean, anybody want to 
challenge that that's not a reasonable spending level to return 
to?
    Now again, we can spend on different things, but we 
shouldn't be spending at seven trillion level over 50 percent 
higher than the start of the pandemic when population is only 
growing two percent. That was, you know, Senator Scott made 
that comparison, spending was up something like 60 percent in 
one analysis, population has only grown two percent there. 
There's no justification for that. Correct?
    Mr. Ferry. Yes, I absolutely agree with that. The, the 
Federal Government has broadened and widened its interest in 
various areas producing very little in all these areas, when 
what it should be doing is focusing on those entitlements, 
including senior citizens, and this needs to be paired back 
dramatically and radically.
    Senator Johnson. Mr. Chairman, just one quick question. In 
Mr. Antoni's testimony, you say that interest payments in 
December 2024 were $140 billion. Now, the interest expense I've 
been using in my analysis here was Biden's budget number at 
9.65. You're saying that interest is going to be 1.2 trillion, 
but even the 140 is, comes out till about $1.6-$1.7 trillion, 
so I'm sure there's a timing difference in terms of interest 
payments, but what is Biden that far off in terms of his 2025 
interest expense of 9.65? Is it going to really be 1.2 trillion 
or more?
    Mr. Antoni. Senator, I think what the Biden Administration 
was probably referencing, there was net interest, which is 
frankly kind of a made-up category. They take gross interest, 
the actual cost of servicing the debt, and then they subtract 
out a bunch of interest sources of income to the U.S. Treasury, 
and that's where we get this net interest figure, but again, 
it's not the actual cost of servicing the debt for this 
calendar year, you're looking at about one point $0.2 trillion 
just for that one expense alone.
    Senator Johnson. Again, it flows through the budget. It is 
net interest, so the 9.65 is a reasonably accurate number then?
    Mr. Antoni. For net interest.
    Senator Johnson. That's what I want to know. Thank you, Mr. 
Chairman.
    The Chairman. Senator Kelly.
    Senator Kelly. Thank you, Mr. Chairman and congratulations 
on being the chairman. Mr. Lawson, on Monday night, the Trump 
Administration announced that federal funding and grants were 
paused. This has created a chaotic situation in the State of 
Arizona.
    Yesterday, my office was fielding calls all day from folks 
trying to understand what this means and what was happening on 
all kinds of programs, asking how they could be sure that 
they'd have the money to continue to operate. Meals on Wheels 
National didn't have clarity on what the funding freeze meant 
for them. They were receiving conflicting information out of 
the Administration.
    That means that our local programs in Arizona were also 
getting mixed information, and folks who provide meals to 
seniors didn't know what the impact would be on their ability 
to continue to deliver these meals, and obviously, this means 
that seniors didn't have a guarantee of where their next meal 
would come from.
    Now, I've delivered meals to seniors in their homes, and it 
was obvious to me that if I didn't show up, they weren't going 
to have anything to eat, and then on top of that, the 
Administration then, I mean, they defended the order all day 
yesterday, and said, this was a great idea. This afternoon it 
seemed like they wanted to walk it back, but unfortunately, for 
seniors in Arizona and across the country, they just muddied 
the waters even more.
    Now, while I believe that the initial action that the 
Administration took was illegal, the past 48 hours have also 
been irresponsible, reckless, and absolutely unacceptable, so, 
Mr. Lawson, can you talk about how disruptive this kind of 
government action is and the stress that this causes to seniors 
and those community organizations that support them?
    Mr. Lawson. It's basically incalculable. The messages that 
we receive of people just in full distress because they do not 
know if they're going to have a meal to eat. They're hearing 
all sorts of information. When the press secretary for the 
White House is asked whether Medicaid is going to exist, she 
says, I'm going to have to check on that and get back to you. 
What that means for a senior in Arizona across the country is 
they don't know if they're going to have healthcare. They might 
have an upcoming appointment. Do they need to reschedule that?
    All of this uncertainty, it's chaos and it inflicts real 
harm on seniors, but the only thing worse than that sort of 
incompetent chaos are the plans to legislatively make those 
cuts permanently. Right? Which is what we've seen targeting 
Meals on Wheels, targeting Medicaid, targeting the exact 
programs that the President unconstitutionally tried to 
unilaterally stop funding.
    Your question is incredibly important, and I can't express 
strongly enough the distress that this brings to Americans 
who've worked hard all their lives, they've followed the rules, 
and then when they expect the system to be there for them, like 
an 89-year-old relying on Meals on Wheels, they're going to get 
an answer from somebody that's like, oh, well, they could go 
get a job at Jimmy John's. Right?
    We've heard that multiple times now in this Committee, that 
the problem is that not enough people are going to work. This 
is a hearing about seniors. Do you think that an 89-year-old 
can go get a job at Jimmy John's because their healthcare was 
taken away? No, they can't. Congress cannot steal people's 
benefits that they've earned because the people will stand up 
against that.
    Senator Kelly. Well, the people that I met that were 
receiving these meals, not only were they elderly, they were 
often disabled. They're not working at Jimmy John's or anywhere 
else for that matter, and they rely on this to just have some, 
I mean, it's their food. They don't have any place else to go, 
and often, in some cases, you know, what I felt and is, the 
person that shows up that day to bring them that food that 
might be the only interaction that they get with anybody, so 
it's even more, I mean the damage is even beyond, just the 
meal. It's a lack of the social interaction that they will get 
from somebody showing up at their doorstep to deliver this, and 
I don't have a lot of faith in this getting resolved quickly, 
but it needs to get resolved and in a way that brings certainty 
to the folks that I represent and seniors across the country. 
Thank you, Mr. Lawson.
    Senator Gillibrand. Senator Husted.
    Senator Husted. Thank you for the opportunity to join my 
committee members, Ranking Member and Chairman Scott. I know 
that I'm excited to work with him and the rest of the Committee 
members.
    I do have a question for Mr. Antoni that I think perhaps 
you can help from your background and research and provide some 
insight into because we're talking about the needs of senior 
citizens, and from my experience of traveling my State of Ohio 
over a lifetime, the past few years with dramatic inflation, 
has really hit seniors hard. These are folks who after a 
lifetime of work, are dependent on social security, retirement 
savings that they might have, which certainly is not seeing 
returns at the rate of inflation.
    You see, the cost of food, cost of housing, the cost of 
energy, which is built into every single consumer product that 
they buy. The punishing nature of inflation in their lives, and 
I am interested in, from your background and your research, 
what has been the impact, the real impact of inflation in the 
lives of seniors? And then what recommendations do you have on 
how we can continue to attack the insidious nature of these 
inflationary costs?
    Mr. Antoni. Well, thank you, Senator. I would say the 
impact is best described as a quality of life decrease or a 
cost-of-living increase. We have dramatically increased that 
cost of living on American seniors who are probably the least 
able to accommodate--their budgets are least able to 
accommodate those higher costs, because of exactly what you 
were just describing.
    The fixed nature of their incomes and even the portions of 
their incomes, which do have those COLAs, those cost-of-living 
increases, they tend to happen very infrequently, so you're 
stuck with an entire year of cost increases, let's say before 
that COLA actually does kick in. On top of that, you have a 
very serious worry now with things like pension funds, which 
have lost about two and a half trillion dollars in inflation 
adjusted value under the Biden Administration.
    That's a combination of both asset classes underperforming 
and also just inflation reducing the real value of those 
nominal holdings, and so, at the same time, so many of these 
seniors are having to pay more to live, they also are seeing 
the value of the moneys on which they rely go down, so it's 
really a double whammy for those folks, and they're just having 
to cut back, unfortunately, again, speaks to that lower quality 
of life, higher cost of living.
    In terms of the second part of your question, you know, 
what can we do to fix this problem? The one good piece of news 
here is the fact that all of these wounds are just self-
inflicted. In other words, if we reverse the bad policies that 
got us here, we'll reverse the bad effects, and the number one 
way to do that is to cut the excess government spending that 
has been talked about so much today.
    Now, there are some other things that are going to help. 
For example, Senator, you mentioned energy. You're absolutely 
right. The price of energy affects everything we do and 
everything we buy, so if you return to the energy policies of, 
let's say, the first Trump Administration, that would have a 
tremendous impact on boosting production.
    One of the things I mentioned in the written portion of my 
testimony is that we are drastically below trend in terms of 
the growth in energy production, so again, you increase 
production, you increase supply, that means you'll decrease 
price. That's not just the price of energy that puts downward 
pressure on prices everywhere.
    Last deregulation would have a tremendous impact. One of 
the studies cited in my testimony explains that the average 
American family faces an additional $50,000 in regulatory 
compliance costs because of the policies of the Biden 
Administration, so rolling back those burdensome regulations 
would save everyone, including seniors, a tremendous amount of 
money.
    Senator Husted. Yes, thank you. If you really look at how 
much energy prices are built into food, whether it's the cost 
of planting, the cost of the raw material, natural gas that is 
part of the fertilizing process, the harvesting, the 
transportation, there's just a huge, huge input into a lot of 
the foods we eat, and any way that we can tackle the cost of 
energy, I know affects that's just food prices.
    Not to mention the fact that you've seen housing inflation, 
the cost of things going to housing inflation. It's great when 
people see their property values rise if they're going to sell 
them, but most seniors are not selling these properties. 
They're trying to live in them, and it's why it has a 
disproportionate effect on them, so thank you very much for 
your thoughts.
    Senator Gillibrand. Thank you, Senator. Mr. Lawson, in your 
testimony you mentioned the social security cost of living 
adjustment, otherwise known as the COLA. The COLA is key 
component to keep up with rising costs. Yet we know that COLA 
often doesn't adequately capture the cost incurred by older 
adults. This is why I've supported the boosting benefits and 
COLAs Act. Can you tell me why the Kohl calculation is 
currently insufficient? And what can we do to ensure that 
Social Security benefits remain adequate during times of 
inflation?
    Mr. Lawson. The current cost of living adjustment, which 
just to be clear, is part of a benefit, we pay for our social 
security benefits, including the COLA. It's not some sort of 
gift. The idea of social security is that it will freeze your 
standard of living and increase with inflation. The benefits 
will increase with inflation so that your standard of living 
doesn't go down.
    The problem is that the COLA is calculated using the CPIW, 
which looks at the cost faced by your average worker, which are 
very different than the cost faced by your average senior or 
person with disability. Primarily this is going to be in a 
medical category, so as you know, the bill that you support and 
the efforts to switch to a better CPI for the COLA, the CPIE, 
which would more accurately reflect seniors costs.
    Senator Gillibrand. Thank you. We heard in Mr. Antoni's 
testimony today that if Congress wants to alleviate the pain 
inflicted on Americans, especially older Americans, then 
lawmakers should make drastic cuts to government spending. I 
think we can read between the lines and understand that Mr. 
Antoni really wants Congress to make drastic cuts to senior 
Social Security, Medicare, and SNAP, but maintain and expand 
tax breaks for the wealthiest in America.
    Mr. Lawson, what would happen to tens of millions of older 
adults who receive Social Security, if Republicans were to make 
these drastic cuts, to their benefits, particularly those older 
adults who don't qualify for other federal programs?
    Mr. Lawson. It's really straightforward, people would be 
harmed. People would die, people would be pushed into poverty, 
millions of people. The current poverty rate among seniors is 
around 14 percent. It's right around--it's too high, obviously, 
but it's right around where the average rate is for the general 
population. Without Social Security, that number would be 40 
percent, 40 percent.
    You have millions of seniors who are just eking it out 
under, with the current average $1,900 a month to literally 
reach into people's pockets and steal that money so that a 
billionaire can buy another golden yacht with their trillions 
of dollars in tax handouts, it's deeply un-American. It's 
immoral and I just can never get it through my head how people 
can't see how wrong that path is.
    Senator Gillibrand. Mr. Antoni, do you want to respond to 
his thoughts on your statement?
    Mr. Antoni. Which part, Senator?
    Senator Gillibrand. Well, the poverty created by cutting 
social security benefits.
    Mr. Antoni. Senator, I'm not aware of any proposals to 
actually cut Social Security, so I'm not sure how to address 
that. In terms of your own characterization of my testimony, if 
you actually read my testimony and I'm happy to provide you a 
copy. Nowhere in there do I advocate for cutting social 
security benefits, so I'm not sure where that's coming from.
    Senator Gillibrand. It comes from the rhetoric across the 
country right now. It also----
    Mr. Antoni. With all due respect, Senator, I don't 
represent the country. I simply represent my own views, that's 
what I've been asked to testify on here today, and in my own 
views there are no cuts to social Security, so again, I'm not 
sure where that's coming from.
    Senator Gillibrand. Let's talk about your cuts to SNAP. How 
would you address seniors who are hungry?
    Mr. Antoni. Again, Senator, I'm not advocating for any cuts 
to SNAP, so I'm not sure where this is coming from, that that 
is found nowhere in my testimony.
    Senator Gillibrand. Where are you planning on cutting then? 
Where are your drastic cuts from?
    Mr. Antoni. I would start with the low hanging fruit of 
waste, fraud, and abuse throughout the government.
    Senator Gillibrand. Which waste and which fraud and which 
abuse in which program?
    Mr. Antoni. Senator, everywhere. Absolutely everywhere, and 
there are no sacred counts here by the way----
    Senator Gillibrand. Just give me one. Just give me a few 
hundred billion that are waste, fraud, and abuse. Just gimme a 
few hundred billion since we have to make up over a trillion 
dollars to pay the debt and deficit.
    Mr. Antoni. Oh, certainly. Well, Senator, a very easy way 
to do that would simply be to revert back to pre-COVID spending 
levels.
    Senator Gillibrand. Absolutely not. That's not correct and 
I'll explain why. COVID was such a dramatic crush to the U.S. 
economy. Such an unconscionable disaster to the U.S. economy. 
Businesses closed all across America. Schools were closed. Five 
million women lost their jobs because they had to stay home so 
their kids could get school by Zoom, so that's what happened 
during Covid.
    In fact, we realized pretty quickly that our social service 
safety nets weren't effective during COVID, because so many of 
them required you to turn up in person to fill out a form or to 
get a benefit, SNAP was one of them, so one of the changes we 
did very quickly in SNAP was to let people apply online, so the 
increase in the number of people who had access to SNAP is not 
because people were lazy and stopped working, or because people 
weren't doing their fair share.
    It's because the people who actually were qualified were 
finally getting the benefit that it was made for. It's not that 
somehow there was abuse of the program, or somehow people 
decided that they wanted to get free food. That many people 
needed access to the SNAP program before COVID, but because we 
recognized it wasn't working, to have to show up in person, and 
letting people apply, it fixed the program, so no, that's not 
true.
    A lot of the things we did in COVID was to fix things that 
weren't working, and we didn't understand until we saw the 
impacts of COVID. I'm past my time. I'm now going to refer back 
to the chairman.
    The Chairman. Thank you, Senator Moody.
    Senator Moody. Thank you so much.
    The Chairman. This is your first time to ask questions in a 
committee.
    Senator Moody. Yes, it is. Not my first committee 
appearance, but yes, my first asking of questions, so you 
should all be very afraid. Thank you, chairman Scott, Ranking 
Member Gillibrand. It's an honor to be here. It's an honor to 
be among you on this Committee, and let me just say, I know 
this has gone on for a little bit and we're just really 
grateful that all of you were willing to show up today and 
testify. Thank you so much.
    This is an important hearing, especially for states like 
Florida. We have nearly six million residents that are over the 
age of 60, so we feel many of them living on a fixed income, so 
our residents certainly feel the effects of inflation, and this 
is a problem all across the Nation, but certainly we are 
feeling it in Florida as well.
    We know that this has been caused, certainly in part by the 
enormous spending that has taken place under the last 
Administration. As Attorney General, I fought against agencies 
constantly, not just for overreaching policies, but sometimes 
spending decisions that I don't think were lawful either, and I 
think it all contributed to the excessive spending. I look 
forward to serving on this Committee and I've enjoyed hearing 
not only your original testimony, but your responses to the 
questions. It's been incredibly helpful, as one of the newest 
senators here in the U.S. Senate number 99 to be exact.
    One of the things Mr. Antoni that I heard you talk about, 
of course, your testimony included an analysis of how the 
spending has contributed to the rapid increase in inflation, 
but one of the things you talked about, it may have been in 
response to one of my colleagues' questions, was how the Fed 
might have also played a role in this, and certain monetary 
policy decisions may have played a role in this, and so I 
wanted to just ask you a few questions about that. Number one, 
do you believe that's the case?
    Mr. Antoni. Oh, absolutely Senator. As one colleague of 
mine describes it, if Congress is the bank robber, the Fed is 
the getaway driver, so Congress is the one who initiates this 
excess spending, but then it is the Federal Reserve that 
finances it, and the way they do that is by simply creating 
money out of nothing, just simply--, and the result of that is 
a dilution of the value of the dollar.
    Senator Moody. Do you believe currently there is enough 
transparency and accountability of the Fed?
    Mr. Antoni. Oh, not at all. Absolutely not Senator, and one 
of the best ways to observe that, I think, is if you just 
simply follow their rhetoric around the time of the election, 
so, significantly before the election, they were talking about 
how we're going to need much higher interest rates for a very 
long period of time, and then all of a sudden, right before the 
election, despite the fact that the underlying data had not 
changed, they all of a sudden completely changed their view 
that somehow, we were going to get a lot of interest rate cuts 
in very quickly.
    They actually did start cutting interest rates, and they 
started telling us that inflation was essentially solved, and 
then right after the election, they have once again, changed 
their tune and gone back to saying inflation looks like it's 
going to be around a little bit longer, and we're going to have 
to have these higher interest rates for longer as well.
    Senator Moody. Certainly, when those announcements were 
made about the interest rates coming down right before the 
election, there was no change in spending.
    Mr. Antoni. Correct. That's absolutely right, Senator, and 
so, again, to your point, the underlying problem here has not 
been solved, and yet the Federal Reserve treated as if it was.
    Senator Moody. What would be your suggestions or 
recommendations on how we might bring more transparency or 
oversight to the Fed?
    Mr. Antoni. I think probably the best way to make it 
transparent would be to simply get rid of it, but if you're 
going to have a central bank, I think you need to have much 
less government control over it. It needs to be the bank for 
bankers and not the bank for Congress.
    Senator Moody. Thank you so much.
    The Chairman. Thank you, Senator Moody. Senator Alsobrooks.
    Senator Alsobrooks. Thank you and good afternoon to 
Chairman Scott and Ranking Member Gillibrand, and to our 
speakers today, thank you so much for being here. I know it's 
been a long day.
    I'm going to direct my questions today at Alex Lawson. I 
have to tell you this issue is one that is quite personal to 
me. I am a part of the sandwich generation, which means that I 
am not only raising a wonderful 19-year-old daughter, but I am 
also the daughter to two aging parents. A mother who has 
significant needs, and my father, who is her caregiver.
    Two issues I just want to ask you about that have been 
mentioned quite frequently throughout the State of Maryland are 
housing concerns for our seniors as well as the cost of 
prescription drug medications. These are two issues that I 
believe across all across the state--and without respect for 
party, this is an issue that has been of grave concern.
    My question to you is regarding the Inflation Reduction Act 
which did cap the cost of prescription drug medications, and I 
have to tell you again how significant this is. My father is a 
person who went last year, was diagnosed with a heart 
arrhythmia, and learned that Eliquis was $800, cost prohibitive 
caused him tremendous distress, and so my question to you is, 
whether you believe that this has been--discuss how it's 
impacted seniors and to talk about what would happen were this 
not available to seniors, so just if you could just briefly 
discuss the benefits of the Inflation Reduction Act for 
seniors.
    Mr. Lawson. The American people pay the highest drug prices 
in the world, somewhere between three and eight times higher 
than any other country. This, despite the fact that our tax 
dollars go to the research and development, which develops 
almost all of these drugs, then the pharmaceutical corporations 
turn around and charge us the highest prices in the world, 
because they can, because there's never been a check on their 
greed until the Inflation Reduction Act was passed.
    It had many pieces to it, but the two important ones are, 
it allowed Medicare to negotiate a lower prescription drug 
price with the pharmaceutical corporations. That's the part 
that they hate the most, because they want to be able to charge 
whatever they want. I'll also say what they want is a price 
that's so high that some people die. You look at insulin and 
you see this very clearly; they want some people to die, so 
everyone else is terrified enough to spend every dollar they 
have and every dollar they can borrow to afford the drugs that 
they or a loved one needs.
    Finally, the Congress acts and says, no, you can't charge 
whatever you want. You have to charge a fair price. That just 
started, and seniors will be seeing those reduced prices next 
year.
    Now, there's a lot to do there. We could just do all drugs 
right away instead of just some drugs, but on the other hand, 
they also, what you brought up is the Inflation Reduction Act 
capped what seniors pay out of their pocket at $2,000 a year. 
Right? That's enormous, enormous insulin capped at $35 out of 
pocket for people on Medicare, vaccinations, free. The impact 
that the Inflation Reduction Act had on seniors cannot be 
overstated.
    Senator Alsobrooks. Thank you. Likewise, I know I'm running 
out of time here. Just one other quick question regarding 
housing, which is a big issue. Maryland has a senior assisted 
living subsidy program which helps adults 62 and older pay for 
assisted living programs that they would otherwise not be able 
to afford. How can housing subsidy programs be a part of the 
solution to help seniors who are struggling with high cost of 
living?
    Mr. Lawson. Housing subsidies are a solution to seniors 
struggling with the cost of housing, which is happening across 
the country, is a major issue. The idea that has been brought 
up you know, by my colleagues at the table, you know, they talk 
about drastic cuts. They talk about all these big cuts, but 
then when they're pointed, what are you going to cut? They 
suddenly get amnesia of their own plans that they've written 
down.
    Chairman Scott wrote an op-ed in the Wall Street Journal 
giving himself kudos for being brave enough to say, we're going 
to cut Social Security and Medicare. Right? Now they go down 
the line, they say, we're definitely not going to cut those 
programs, but when pressed, they won't say what they're going 
to cut. It's written down, housing assistance, food assistance, 
Medicaid, Medicare, and yes, social security is on the chopping 
block, so that giant tax handouts can be given to billionaires 
and these multinational corporations.
    Senator Alsobrooks. Thank you so much, Mr. Lawson.
    The Chairman. Mr. Lawson, first off, you just told and said 
a complete lie. I have a bill that would protect Medicare and 
Social Security, and there's not one Democrat that got on the 
bill. I have fought to protect Medicare and Social Security 
since I've been up here, and that was a complete lie, but let 
me ask you a question. You just said drug companies want people 
to die. Can you explain that better?
    Mr. Lawson. The easiest one to see is the insulin cartel. 
There are three companies that produce insulin, a drug that 
costs about six per vial to make. Now these three companies 
have increased the price year after year in lockstep, illegally 
acting as a cartel and charge upwards of $300 a vial. Now you 
can google just insulin death and you will find story after 
story, and the many of them are of 27-year-old people. Why 26-
year-old, they just got kicked off of their parents' insurance. 
They're just footing the bill for the first time, so they're 
trying to stretch their insulin, and what happens is they go 
into ketoacidosis and die. Now, if the pharmaceutical 
corporations wanted that not to happen, there's a million 
things they could do. They could have an emergency program so 
that no one would ever not be able to afford their insulin, but 
they don't want that.
    The Chairman. Has anybody ever sued a drug company for 
wanting people to die?
    Mr. Lawson. A ton of attorney generals have actually taken 
on the insulin cartel for----
    The Chairman. Wait, wait, a minute. You said they want 
people to die. That's what you said?
    Mr. Lawson. Yes.
    The Chairman. Do you know of any lawsuits against the 
pharmaceutical industry because they, and I guess you must have 
evidence, so like, do they have emails to say they want people 
to die? Is that, I mean, how do you have this information?
    Mr. Lawson. I infer it through their actions of keeping 
prices so high that people die.
    The Chairman. That's not what you said. You said that you 
know that they want people to die. I mean, like, if you're 
going to say that I think you would have like some testimony or 
an email or you've talked to somebody at a drug company. Like 
do you know people at drug companies and people there that are 
out there working every day to get people to die?
    Mr. Lawson. Senator, let me be super clear. What I said is 
the prices that they charge are high end----
    The Chairman. Hold on. You said they want people to die. 
That's what you said. Those were your words.
    Mr. Lawson. Prices high enough so that some people die so 
that everyone else is terrified.
    The Chairman. That's not what you said. You said they want 
people to die. In 2023, the Social Security Administration 
reported there was an estimate of 2.7 workers for each social 
security beneficiary. Mr. Lawson, what's the estimate for 2030?
    Mr. Lawson. What the actuaries continually say is that the 
worker dependent ratio is not at all a factor in the trust fund 
insolvency and that's entirely because of the ultra-wealthy and 
billionaires not paying into the fund.
    The Chairman. That doesn't make any sense. Let's think 
about this for a sec. Somebody's got to pay in, right? You have 
to have workers to pay in, so in 2030, it's going to be 2.4 
workers for everybody on retirement. That is a problem, so 
American workers fuel the Social Security Trust fund, that's 
how it's set up, right? The more people that are in the 
workforce, the more people that's going to be contributing to 
the security trust fund.
    I think there's an excess of 50 million Americans now 
between, I think 15 and 64 that are not in the workforce. Now, 
some of them have, are probably retired. Some of them probably 
can't work, all sorts of things, so what is your proposal? All 
right. Does your group have a proposal to get more people into 
the workforce?
    Mr. Lawson. What we would propose is a solution that would 
address the problem, which is that billionaires don't pay the 
same rate into social security as the rest of us. That is what 
the actuaries say drives the entire problem, not the worker 
dependency ratio.
    The Chairman. Do you have the proposal?
    Mr. Lawson. I have a proposal that would solve the problem. 
Not one that would aim at something that does not factor in.
    The Chairman. Can you send me the proposal?
    Mr. Lawson. Absolutely. Okay.
    Senator Gillibrand. It's Senator Sanders bill. I'm a co-
sponsor. It's the blow the cap bill. Create a donut hole, so, 
someone who's earns less than $400,000 but more than what the 
current top number is. Which is what? 166,
    Mr. Lawson. Yes, 176.
    Senator Gillibrand. Right now, that they don't pay any 
additional, but that you get that six percent for all income 
above $400,000. That's the bill.
    The Chairman. Mr. Antoni, the Social Security Trust fund is 
funded by American workers who must preserve and protect the 
benefits of Social Security, but again, if fewer workers are 
working, that's going to become a major challenge. How has the 
weak labor participation rate impacted our ability to fund 
Social Security? Wouldn't increasing the labor force help drive 
the Social Security Trust fund back toward the solvency?
    Mr. Antoni. Absolutely, Senator. One of the devastating 
impacts of the last four years of anti-work, if you want to 
call it that anti-work policies, has been has to reduce payroll 
tax receipts. If we look at, for example social Security and 
Medicare, what you might call the missing tax receipts, just to 
those two programs, amounts to about half a trillion dollars, 
so, to your point, yes, that is speeding us to insolvency of 
those programs.
    The Chairman. Mr. Ferry, over the last four years, the 
federal debt has increased by eight trillion. Federal spending 
is up 55 percent, so we've had about a two percent increase in 
population, and we've had this unbelievable increase. We've got 
$36 trillion for the debt. How is this--I think you've talked 
about this is an existential threat to our economy. Can you 
talk about that?
    Mr. Ferry. Yes, absolutely Senator. Thank you for the 
question. A debt of 120 or 130 percent of GDP sounds like an 
existential crisis for the United States of America. As you 
know, and probably most people on the panel know, some of the 
most respected economists in the world have published a study, 
which put 80 percent as a key threshold. When countries get 
above 80 percent of GDP in debt, then they tend to hit a 
downward slide where investors start to get very skeptical of 
whether this country is ever going to pay back that money.
    We could go look at the history of countries like Greece 
and Italy and Brazil and Argentina, where that problem arises. 
The United States is in a much more central position in the 
world economy. We've got very attractive investments in the 
tech industry and in government bonds, but we are not immune to 
this problem and a growing number of investors around the 
world.
    I do talk to investors at Sovereign Wealth Funds in 
countries that have large amounts of money invested in the 
United States. I recently met with one from Singapore, and this 
$36 trillion of debt does arouse worries and make them start 
looking for alternative investments in what you could call a 
post Imperial America age, and that fills me with fear, I have 
to say.
    The Chairman. Thank you. Mr. Bragdon, Can you talk about 
how much money we could save for seniors if we reduce the 
regulatory environment?
    Mr. Bragdon. Sure. Thank you for the question. We've been 
talking about how big spending drives big inflation and big 
interest payments. A lot of that spending over the last four 
years wasn't driven by appropriations from Congress. It was 
driven by executive fear, by expanding spending through 
regulations and guidance of the Biden Administration. Then, as 
my colleague noted, having to borrow money or create money to 
pay for that spending.
    Outlined in the testimony, some of those key red tape 
regulations that have driven that testimony, that have created 
expansions of the welfare state, have encouraged folks to 
remain on benefit programs beyond their eligibility, have also 
driven up costs across the board in particular industries, and 
so, rolling back that red tape, just as you did as Governor of 
Florida boosts the economy, gets more people working, providing 
more tax receipts that then undergird the safety net for 
seniors.
    The Chairman. Thank you. Ranking Member Gillibrand, do you 
have any other questions?
    Senator Gillibrand. No, I just want to thank this panel for 
your dedication and your passion and your willingness to help 
guide us in these very important decisions we have to make.
    The Chairman. I'd like to thank everyone for being here 
today and participating. I look forward to continue to work 
with my colleagues. If any Senators have additional questions 
for the witnesses or statements to be added, the hearing record 
will be open until next Wednesday at 5:00 p.m. Thanks. That was 
good. Good job.
    [Whereupon, at 5:14 p.m., the hearing was adjourned.]

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                                APPENDIX

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                      Prepared Witness Statements

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                 U.S. Senate Special Committee on Aging

  "Making Washington Work for Seniors: Fighting to end Inflation and 
                         Achieve Fiscal Sanity"

                            January 29, 2025

                       Prepared Witness Statement

                               Jeff Ferry

    "The founder of Soviet Communism, Vladimir Lenin, is said 
to have declared that the best way to destroy the capitalist 
system was to debauch the currency. By a continuing process of 
inflation, governments can confiscate, secretly and unobserved, 
an important part of the wealth of their citizens. By this 
method they not only confiscate, but they confiscate 
arbitrarily; and, while the process impoverishes many, it 
actually enriches some. Lenin was certainly right. There is no 
subtler, no surer means of overturning the existing basis of 
society than to debauch the currency. The process engages all 
the hidden forces of economic law on the side of destruction."

    That's a quote from the great British economist John 
Maynard Keynes. Many people think that Keynes was pro-
inflation, but that's not true. Keynes lived through the 1920s 
and saw what hyperinflation did to Poland, Russia, Austria, and 
especially Germany, where the hyperinflation of 1923 shook the 
faith of the German people in democracy, with disastrous 
results. Keynes advocated balanced government budgets except in 
times of serious recession or depression.
    The fundamental cause of inflation in an economy is an 
excess of demand over supply. Excessive demand can be caused by 
a number of things, including an excessive government budget 
deficit, too much money printing, or wage-push inflation which 
is accommodated by the government.
    In the U.S., in 2021 and 2022 inflation took off, reaching 
a high of 9% in 2022, the highest rate of inflation since the 
early 1980s. The cause of this inflation was excessive demand 
colliding with restrained supply. As we all recall, the supply 
of goods from Asia was severely restrained in 2020 by the 
worldwide Covid pandemic. Even in late 2020, when countries 
began to lift factory closure orders, the ships and the ports 
between Asia and the US west coast were overloaded and backed 
up, with dozens of container ships waiting to unload outside 
Los Angeles and Long Beach ports. In addition, U.S. factories 
took time to catch up to the backlog in orders. There was a 
notorious fire at a Japanese chipmaking facility dedicated to 
chips for automobiles exacerbated the constraints on automobile 
production in the US.
    On the demand side, the federal government enacted three 
separate measures to support people during the Covid pandemic. 
The third of those, the $1.9 trillion American Rescue Plan, was 
too much spending at precisely the wrong time, when the country 
was going back to work and people were rushing out to use their 
savings to purchase goods. That led to a surge in the prices of 
goods, everything from the food at the grocery store to home 
appliances to new cars.
    These forces led inflation to reach 9% in 2022. Could this 
have been prevented? Yes, obviously. On the demand side, the 
American Rescue Plan should have been much smaller, Larry 
Summers said 75% smaller way back in February 2021. On the 
supply side, the situation is more complicated. Clearly the 
U.S. needs more domestic sources of manufactured goods and 
that's something I've been working hard on for several years.
    Nor was the 9% headline rate of inflation the whole story. 
The prices of some categories of consumer goods shot up by much 
more. For example, in December 2022, the price of eggs was up 
by 59% year-on-year; the price of margarine was up 44%; 
airfares were up 28% and even the humble lettuce was up 25%.
    These high inflation rates hurt several groups severely. I 
want to mention two groups: senior citizens and politicians.
    Many seniors live on a fixed income. The average social 
security payment in the U.S. is now $1,976 a month. According 
to a study by University of Massachusetts economists, that 
covers just 68% of basic living expenses for an elderly single 
person who rents their home. For seniors, food makes up a large 
share of their expenses and the 2021-22 inflation hit food 
severely, and there is little sign that prices will come down. 
Rents and the cost of drugs continue to rise. According to the 
National Council on Aging, 14% of people over 65 live in 
poverty today. They say "Aging with dignity should be a right 
for all," and I think that's right.
    Other expenses paid by the elderly also continue to rise. 
Despite Medicare, Medicaid, and Part D prescription drug plans, 
seniors still pay significant copays for prescription drugs. 
Study after study has shown that a significant percentage of 
seniors either don't fill prescriptions or don't adhere to the 
recommended dosage, in other words they take fewer pills than 
they are supposed to, perhaps taking a pill every other day to 
make the prescription last longer. These expenses continue to 
rise, even while broad inflation is subsiding.
    Another critical expense is home health care and related 
services. This is vital for a large and growing number of 
seniors. The latest federal data shows that the cost of care 
for the elderly at home rose by 9.5%, year on year in December 
2024. That's on top of all the inflation of 2021 and 2022. 
That's one of the highest rates of inflation for any sector in 
the 14-page BLS report that came out two weeks ago.
    I also want to point out that politicians suffer from 
inflation too. We can cite four elections where the party in 
power was voted out of office due in part to inflation. That 
happened in 1968 to LBJ, in 1976 to Gerald Ford, again in 1980 
to Jimmy Carter, and finally as we all know, just two months 
ago in 2024. Each time there were other factors at work too, 
but each time, it's very clear that part of the thought process 
of the American voter was: "many things happen in the world 
that are out of politicians' control, but inflation is one 
thing they can control and if they screw that up, it's time to 
turf them out of office."
    I wish more politicians would learn that lesson.
    What can be done about inflation? Most important, we need 
to get the federal budget deficit down. The best way to think 
about inflation is: are we as a nation consuming more than we 
produce, or are we keeping within our budgets? For over 40 
years, this nation has run trade deficits, meaning we borrow 
billions of dollars from abroad to consume more than we 
produce. For 24 consecutive years, the federal government has 
run a large budget deficit, meaning the Federal Government 
spends billions, actually now trillions of dollars more than it 
takes in in revenue. Under the Biden Administration, the 
federal budget deficit reached levels that were unprecedented 
for peacetime.
    A budget deficit of 7% of GDP is far too high. We need to 
cut government spending aggressively. I applaud incoming 
Treasury Secretary Scott Bessent's 3% target for the federal 
deficit. That will ease inflationary pressures, and reduce 
interest rates. There are so many things the federal government 
does badly, and often talks about doing but does not actually 
do, that we need to take an axe to many of these programs.
    Further, I would say that I am a strong advocate of an 
independent Federal Reserve. The Federal Reserve needs a 
laserlike focus on the macroeconomic balance in the economy. 
Past Fed chairmen like Paul Volcker and Alan Greenspan have 
shown us this is achievable. As we all know, in 2021, the 
Federal Reserve took its eye off the ball.
    I would also say that supply-side reforms can make prices 
less rigid and less likely to rise. Areas of the economy where 
more competition and/or deregulation can reduce costs include 
defense equipment providers, prescription drugs, the oil and 
gas industry, and mineral production and processing.
    We need to make it more economic for people to go to work, 
so we can increase the supply of labor and restrain the cost of 
labor. We can do this by fixing the tax and welfare system to 
provide more incentives to work.
    Note that I don't say we should open up our borders to more 
imports. We currently import far too much. Restraining imports 
will stimulate domestic production, helping to improve the 
supply-demand balance. We need more domestic production of 
goods and services and more competition.
    I would say to the Republicans: don't be afraid to cut 
spending and shake up the civil service, but don't cut taxes 
until you know you can reduce the budget deficit. And by the 
way, new tariffs and spending cuts will play a large role in 
enabling you to reduce taxes AND cut the budget deficit.To the 
Democrats, I would say two things: first, it's fine to initiate 
new programs when you are confident that voters support them, 
but you must pay for them directly, with revenue. Expanding the 
deficit is simply another way to debauch the currency, to use 
Keynes's phrase. And that inevitably leads to inflation, 
distrust of politicians, and endangers people's faith in their 
government.
    Finally, I want to say that I am very disappointed in the 
Democratic economists who advised Biden, some of whom I know 
personally. Not one of them has yet to come out publicly and 
say plainly: we goofed. We caused that inflation and we have 
learned our lesson. The economics of inflation is really not 
that hard. Keynes believed that in times of a strong economy 
the government should run a surplus, not a deficit. There was 
really a lot less distance between Maynard Keynes and Milton 
Friedman than many people claim. Economists need to be less 
partisan and more honest about what we see out in the real 
world.
    Thank you Mr. Chairman.

                 U.S. Senate Special Committee on Aging

  "Making Washington Work for Seniors: Fighting to end Inflation and 
                         Achieve Fiscal Sanity"

                            January 29, 2025

                       Prepared Witness Statement

                              Alex Lawson

    Good afternoon, Chairman Scott, Ranking Member Gillibrand, 
and distinguished members of the Committee.
    As Executive Director of Social Security Works, I travel 
across the country speaking with legions of primarily older 
Americans. Almost to a person, they are concerned about rising 
prices. These rising prices hurt older adults, endangering 
their ability to afford food, housing, and prescription drugs. 
They want Congress to take action.
    Across the country, there is widespread bipartisan 
agreement on what people want: cracking down on corporate price 
gouging, improving Social Security's annual cost-of-living 
adjustments, which keep up with rising prices and currently 
under-measure seniors' cost of living, and reducing the price 
of prescription drugs by expanding Medicare's power to 
negotiate. These are actionable policies that will help older 
adults adjust to inflation caused by global supply chain shocks 
and greedflation-which has contributed to rising costs over the 
past few years. In fact, Federal Reserve research found that 
corporate profits accounted for all the inflation in the first 
year of the pandemic recovery and 41 percent of inflation 
overall in the first two years of the post-pandemic recovery.
    There is bipartisan agreement across this country about 
what people don't want in response to rising prices: 
Republicans, Independents and Democrats all agree that not one 
single penny of cuts to Social Security, Medicare or Medicaid 
benefits should be made. There is absolute bipartisan agreement 
among people everywhere across the country.
    Despite this, the House Republican majority announced 
proposals to slash trillions from Medicaid, our country's 
largest provider of long-term care. Over nine million Americans 
over 65 rely on Medicaid.
    Cuts to Medicaid would force these seniors, and their 
families, to pay enormous out of pocket costs for long-term 
care - money they don't have. It would also force millions of 
caregivers, most often women, out of the workforce. This would 
make it far harder for American families to pay their monthly 
bills. In addition, these proposals also include cuts to SNAP 
benefits, which 4.8 million older Americans rely on to put food 
on the table.
    Just last week, the new Trump Administration repealed an 
Executive Order from President Biden that directed the federal 
government to find ways to lower drug prices. The Trump 
Administration is already favoring Big Pharma at the expense of 
seniors and working families.
    There have also been calls by Republicans to repeal the 
Inflation Reduction Act, which gives Medicare the power to 
negotiate lower prices on key prescription drugs. This could 
force many seniors to cut their life-sustaining medications in 
half due to higher costs. Many others would face a terrible 
choice between buying food, filling their prescriptions, and 
paying their heating bills.
    Even Social Security, the most popular and effective 
program in America, is not safe. Last month, a Republican 
representative, who is a member of the DOGE Caucus, told me 
personally that "there will be some cuts" to Social Security 
and Medicare.
    Let me be clear: these proposed cuts will do nothing to 
lower costs for average Americans or older adults; these cuts 
are being proposed to offset the cost of tax handouts for 
billionaires and corporations, who have already been shown to 
be responsible for rising costs. This Congress should value the 
interests of older adults above the wealthiest, and I hope that 
the Aging Committee will lead that charge.
    Consider this: If an older adult can't afford their drugs 
and groceries at the average Social Security benefit of $1900 a 
month, it is absolute fiscal insanity to think the solution is 
to cut their income! To take away their health care! To destroy 
Medicaid and force them to pay the average long-term care cost 
of around $100,000 per year! If they can't afford the price of 
eggs, it is absolute fiscal insanity to believe they can afford 
them better without SNAP benefits.
    I'm here to deliver a message to the members of this 
Committee from older Americans across the country: You don't 
lower prices by stealing health care. You don't lower prices by 
giving giant tax cuts to billionaires and price gouging 
corporations. And you absolutely don't lower prices by reducing 
the Social Security and other benefits that adults have worked 
their entire lives for.

    Appendices:

    Appendix A.

    Work requirements for safety net programs like SNAP and 
Medicaid: A punitive solution that solves no real problem," 
Hilary Wething, January 24, 2025 https://www.epi.org/
publication/snap-medicaid-work-requirements/
    Proponents claim that adding more work requirements for 
programs like food stamps (SNAP) and Medicaid will lead to 
higher levels of employment among low-income adults, but EPI's 
research shows that this will not address the underlying 
challenges these adults face in seeking employment. Such 
requirements will only curb access to food and health care for 
many benefit recipients.
    Congressional Republicans have recently proposed increases 
in work requirements for the receipt of some federal government 
benefits. These proposals seem to be based on an inaccurate 
belief-that public benefits are so generous, there is no 
incentive for recipients to seek out paid employment to 
supplement the money from those benefits. Stricter work 
requirements-and the burdensome paperwork that will need to be 
completed to apply for the benefits-will shut out deserving 
families needing food assistance and health care."

    Appendix B. 
    Americans' Views on Social Security," Social Security 
Works, last updated May 2024 https://socialsecurityworks.org/
2022/08/03/social-security-polling/

    Most Americans want to expand Social Security's modest 
benefits, and pay for it by asking the wealthiest Americans to 
pay their fair share. Almost all voters, including almost all 
Republican voters, reject the idea of cutting Social Security 
to reduce the national debt.

    Appendix C.

    A majority of Americans oppose cuts to Social Security and 
Medicare," Camille Keene, January 23, 2025 https://
navigatorresearch.org/a-majority-of-americans-oppose-cuts-to-
social-security-and-medicare/
    This Navigator Research report contains data from a survey 
on the latest perceptions of public health and health care 
programs, including Social Security and Medicare, as well as 
perceptions of a tax plan that would cut these programs, and 
who Americans see as most likely to benefit from Republicans in 
Congress' tax plan.
    Among a list of policies related to public health and 
health care, more than two in three oppose cutting Medicare (85 
percent) and cutting Medicaid (81 percent)."

    Appendix D.

    Social Security Lifts More People Above the Poverty Line 
than Any Other Program," Kathleen Romig, updated January 21, 
2025 https://www.cbpp.org/research/social-security/social-
security-lifts-more-people-above-the-poverty-line-than-any-
other
    Social Security benefits play a vital role in reducing 
poverty in every state, and they lift more people above the 
poverty line than any other program in the United States. 
Without Social Security, 22.0 million more adults and children 
would be below the poverty line, according to our analysis 
using the March 2024 Current Population Survey. Although most 
of those whom Social Security keeps out of poverty are aged 65 
or older, 5.7 million are under age 65, including 959,000 
children. Social Security is particularly important for older 
women and people of color, who have fewer retirement resources 
outside of Social Security. Depending on their design, 
reductions in Social Security benefits could significantly 
increase poverty, particularly among older adults.
    Without Social Security, the poverty rate for those aged 65 
and over would meet or exceed 40 percent in nearly a third of 
states; with Social Security, it is less than 10 percent in 
nearly two-thirds of states. Social Security lifts more than 
one million older adults above the poverty line in Florida, 
California, and Texas, and over half a million in New York, 
Ohio, Pennsylvania, North Carolina, Georgia, and Michigan."

    Appendix E.

    Seven Facts About Older Adults and SNAP," National Council 
on Aging, April 11, 2024 https://www.ncoa.org/article/7-facts-
about-older-adults-and-snap/
    The Supplemental Nutrition Assistance Program (SNAP) is the 
largest domestic hunger safety net program. SNAP is especially 
important in helping low-income older adults to achieve food 
security, but many myths abound."
    Appendix F.

    10 Things to Know About Medicaid," Robin Rudowitz, Alice 
Burns, Elizabeth Hinton, and Maiss Mohamed, June 30, 2023 
https://www.kff.org/medicaid/issue-brief/10-things-to-know-
about-medicaid/
    Medicaid is the primary program providing comprehensive 
coverage of health care and long-term services and supports to 
more than 90 million low-income people in the United States.
    Public opinion polling suggests that Medicaid has broad 
support. Two-thirds of adults in the U.S. say they have ever 
had a connection with Medicaid; majorities across political 
parties hold positive views of Medicaid, and seven in ten say 
that the program is working well for low-income people."

    Appendix G.

    The Importance of Medicaid for Older Americans," Alicia H. 
Munnell, October 22, 2024 https://crr.bc.edu/the-importance-of-
medicaid-for-older-americans/
    Most people think of Medicare - not Medicaid - when 
considering government health care for older Americans. 
However, Medicaid, the program that covers the medical expenses 
of the poor, spends over $132 billion a year - 20 percent of 
its budget - on individuals ages 65 and over.
    Surprisingly, Medicaid is very important for older 
Americans. Although most people over 65 have Medicare, it does 
not provide long-term care services and supports, only limited 
home health care and post-acute care in a skilled nursing 
facility after a hospital stay."

    Appendix H.

    SNAP Polling," Data for Progress, March - April 2023 
https://www.filesforprogress.org/decks/2023/dfp--snap--deck.pdf
    Voters have a highly favorable view of SNAP and even 
support increasing federal funding for SNAP. Voters are more 
supportive of increasing SNAP" funding than increasing Food 
Stamps" funding. Voters are more likely to believe SNAP 
benefits are too low when presented with a dollar-per-meal 
framing (instead of benefits-per-month)."

    Appendix I.

    Project 2025's Economic and Health Care Policies Concern 
Voters," William Diep, October 15, 2024 https://
www.dataforprogress.org/blog/2024/10/11/project-2025s-economic-
and-health-care-policies-concern-voters
    Project 2025 is a set of conservative policy 
recommendations developed by the Heritage Foundation that 
serves as a blueprint for the next Republican president to 
transform the federal government. The policies range from 
privatizing Medicare and defunding Medicaid to firing thousands 
of civil service employees, eliminating the Department of 
Education, and placing the Department of Justice under direct 
presidential control.
    With less than four weeks until the election, new polling 
from Data for Progress finds that likely voters have heard 
mostly negative things about Project 2025 and are worried about 
its policy proposals, including those that would reduce health 
care and economic benefits for low- and middle-income 
Americans.
    These findings show that voters, including Independents, 
are concerned about the economic and health care changes that 
Project 2025 proposes. Despite Trump's claim that he is not 
involved with Project 2025, a plurality of voters, including 
Independents, believe he supports the platform and its many 
unpopular provisions."

    Appendix J.

    Republicans' Proposed Budget Policies Are Unpopular," Abby 
Springs, April 1, 2024 https://www.dataforprogress.org/blog/
2024/4/1/republicans-proposed-budget-policies-are-unpopular
    The Republican Study Committee - which represents nearly 
four in 5 members of the House Republican caucus - recently 
released a budget that targets Social Security, Medicare, the 
Affordable Care Act, and other popular government programs. 
However, new polling from Data for Progress finds that these 
elements of the RSC's budget proposal are widely unpopular with 
voters.
    The RSC budget advocates cutting funding for Medicare, 
Medicaid, Social Security, the Affordable Care Act (ACA), 
housing assistance, and the Children's Health Insurance Program 
(CHIP). When voters are asked whether they support increasing 
funding, cutting funding, or keeping funding the same for these 
programs, voters overwhelmingly reject funding cuts.
    Overall, the results indicate that policies included in the 
Republican Study Committee budget are extremely unpopular among 
the electorate. Voters would prefer to see funding for Social 
Security, Medicare, and other popular government programs 
increased, not slashed."

                 U.S. Senate Special Committee on Aging

  "Making Washington Work for Seniors: Fighting to end Inflation and 
                         Achieve Fiscal Sanity"

                            January 29, 2025

                       Prepared Witness Statement

                             Tarren Bragdon

    Chairman Scott, Ranking Member Gillibrand, and members of 
the Committee, thank you for hosting this important hearing. I 
am Tarren Bragdon, the Chief Executive Officer at the 
Foundation for Government Accountability (FGA). FGA has worked 
for many years on a wide variety of policy areas, including 
welfare, workforce, health care, and more. These have included 
reforms to help reduce the cost of living for Americans through 
changes at both the federal and state level. In fact, in 2022, 
a member of our staff previously testified before this 
Committee at a field hearing in the Villages, Florida on the 
inflationary challenges American seniors are facing.1
    Unfortunately, since that time, seniors-and all 
Americans-have been facing an even more severe cost-of-living 
crisis. In fact, the inflationary legacy of the Biden 
Administration has done irreparable harm to all Americans. This 
damaging outcome is the direct result of conscious policy 
decisions to increase the size and scope of the regulatory 
state, expand the food stamp program in an unprecedented 
manner, and make other reckless changes to major federal 
welfare programs. Only by undoing these policy changes can 
lawmakers improve prosperity for all Americans.

Overview

    Americans across the country are facing a cost-of-living 
crisis brought on by rampant inflation that has occurred during 
the entire course of the Biden Administration's reckless four-
year term. Annual inflation was just 1.3 percent when Joe Biden 
took office, spiking to 9.1 percent by June 2022.2 
By the end of 2024, prices had grown more than 21 percent under 
President Biden.3 The year-over-year price increase 
of some goods and services-from food to energy to vehicles-
reached double digits at its peak in 2022.4 But the 
harsh reality for many Americans is that it is unlikely they 
will ever regain the purchasing power they lost under the Biden 
Administration.
    The untenable increases in prices have not been 
"transitory". They have not been brought about by sudden 
"corporate greed." They are the direct consequence of three 
major policy failures:
    A massive spike in federal regulations, which has both 
increased government spending and imposed new costs on 
businesses and consumers;
    An illegal and unprecedented increase in food stamp 
benefits that have contributed to rising grocery prices; and
    Unsustainable expansions of federal welfare programs that 
have caused spending to explode while keeping able-bodied 
adults out of the workforce.

    Together, this trio of failures has brought about reckless 
inflation. Fortunately, President Trump has already taken steps 
to begin to address out-of-control spending. And there are 
additional policy options for both Congress and the executive 
branch to consider as they seek ways to undo four years' worth 
of devastating public policy.

Unchecked federal regulations under the Biden Administration 
have driven up costs

    Former President Biden issued more costly regulations than 
any president in modern U.S. history. During his four years in 
office, Joe Biden finalized more than 300 economically 
significant regulations-over 40 percent more than even 
President Obama's record-shattering first term.5
    This regulatory spree began on Joe Biden's first day. 
In his first term, President Trump withdrew and delayed more 
than 1,500 regulatory actions from Obama Administration 
bureaucrats, finalized more than 500 deregulatory actions 
lowering costs by nearly $200 billion, and implemented new 
provisions to stem the future growth in regulations.6
    On his very first day in office, however, then-
President Biden issued an executive order undoing the Trump 
Administration's work to establish regulatory budgets for 
federal agencies and undoing several other regulatory reform 
initiatives.7 Over the next four years, the Biden 
Administration published nearly 357,000 pages worth of 
regulations, executive orders, and agency notices-a record 
high.8 Nearly 111,000 of those pages were added in 
his last year alone-one page of new regulatory material every 
five minutes.9
    Considering that, for every 15 percent increase in 
federal regulations, the cost of consumer goods and services is 
hiked by a full percentage point, it is easy to see how the 
Biden Administration's regulatory overreach drove up the cost 
of living.10 And it's not just more federal 
spending: A larger regulatory burden means more compliance 
costs faced by businesses, which are ultimately passed on to 
consumers through price hikes.
    Overall, the Biden Administration's expansion of the 
regulatory state added $1.7 trillion worth of new costs.11 
From unprecedented student loan forgiveness to gutting program 
integrity provisions in major federal welfare programs, these 
regulations have precipitated major increases in costs for 
everyday Americans.

    Biden's illegal food stamp expansion accelerated inflation

    In 2021, the Biden Administration pushed through a 27 
percent increase in food stamp benefits by reevaluating the 
"Thrifty Food Plan."12 After failing to receive 
congressional approval for an increase to the Thrifty Food 
Plan, the Biden Administration unilaterally took it upon itself 
to ram through this $250 billion expansion-the largest in the 
program's history.13
    To justify this unprecedented increase in welfare 
benefits, the Biden Administration ignored the U.S. Department 
of Agriculture's (USDA) 45-year cost neutrality requirement, 
blatantly violated internal control standards, canceled peer 
review processes, sidelined the Department's chief economist, 
and ignored best practices.14 And just as concerning 
is that, even though federal law requires federal agencies to 
submit reports on the cost of proposed rules to Congress and 
the Government Accountability Office (GAO) before they become 
effective, the Biden USDA implemented the change to the Thrifty 
Food Plan before informing Congress.15
    Why would a government welfare program increase 
inflation for all Americans? As government spending on food 
stamps increases, purchases made by food stamp recipients drive 
up grocery prices through the natural laws of supply and 
demand.16 As food stamp benefits become more 
generous, welfare also becomes more attractive than work-
contributing to the nation's labor shortage and further driving 
up labor costs for employers that are ultimately passed on to 
consumers.17
    Researchers at the World Bank reviewed more than a 
decade of retail scanner data to measure the impact food stamp 
spending has on food prices.18 Their review included 
2.6 million barcodes with data from more than 20,000 stores, 
comprising roughly half of all sales at U.S. grocery 
stores.19 That research found that food prices 
increase by one percent for every 12.5 percent increase in food 
stamp spending.20 When coupling the expansion of the 
Thrifty Food Plan with pandemic-era increases to the food stamp 
program, total food stamp spending nearly tripled. As a result-
and largely driven by the Thrifty Food Plan reevaluation-
increases in the food stamp program caused grocery prices to 
skyrocket by more than 15 percent.21
    The unlawful Biden-era expansion not only spiked 
grocery prices directly, but also led to millions of able-
bodied adults choosing welfare over work.22 An 
estimated 2.4 million Americans declined employment due to the 
Thrifty Food Plan reevaluation.23 Had these 
Americans reentered the workforce, they could have filled 
roughly a quarter of open jobs, further driving costs down by 
increasing the labor supply and reducing business costs.24

Massive expansions of federal welfare programs have 
exploded government spending

    In addition to the changes to the Thrifty Food Plan, the 
Biden Administration promoted and presided over some of the 
most monumental increases in major federal welfare programs in 
U.S. history. These include:

    Rescinding Medicaid work requirements;25
    Gutting Medicaid program integrity provisions and 
preventing states from verifying eligibility;26
    Continuing pandemic-era policies-such as Medicaid 
continuous coverage provisions and food stamp emergency 
allotments-well beyond the time they should have 
expired;27-28
    Expanding refundable tax credits to record levels, 
such as the Child Tax Credit, the Earned Income Tax Credit, and 
ObamaCare subsidies;29-30-31
    Maximizing exemptions and waivers from food stamp 
work requirements;32-33
    And many more.

      Much like the reevaluation of the Thrifty Food Plan, each 
of these policy decisions has kept Americans from reentering 
the workforce as welfare remains more lucrative than work. As a 
result, welfare program enrollment has swelled as labor force 
participation has declined.
    The number of able-bodied people on Medicaid and food 
stamps is higher today than it was when the unemployment rate 
was nearly 15 percent during the government-imposed lockdowns 
at the height of the COVID pandemic.34 Over the next 
decade, these two programs alone are expected to cost taxpayers 
$8.6 trillion.35-36
    Meanwhile, 62 percent of able-bodied adults on 
Medicaid and 66 percent of able-bodied adults on food stamps do 
not work at all.37 The Biden Administration's 
promotion of welfare over work has contributed to this crisis 
of dependency among those dependent on government programs.
    As a result, the labor force participation rate remains 
lower than it was before the pandemic-and continuing to 
struggle.38
    For every American that chooses welfare over work, 
not only will Americans be directly subsidizing their decision 
to stay on the sidelines, but the indirect costs of lower 
workforce participation will drive up costs as well, as 
businesses' labor costs rise and those costs are passed on to 
consumers.
    With 8.1 million open jobs nationwide, the Biden 
Administration's failed policies have directly caused a 
nationwide workforce crisis that will continue to keep costs 
elevated until and unless it is addressed.39

Massive expansions of federal welfare programs have 
exploded government spending and kept Americans out of the 
workforce

    Thankfully, there are solutions at the disposal of Congress 
and the executive branch to undo the harm brought about by the 
Biden Administration. Whether as part of the current budget 
reconciliation process or through executive action, 
policymakers have a wide array of options at their disposal to 
help reduce federal spending, shrink the size of the regulatory 
size, and drive up workforce participation among able-bodied 
welfare enrollees. These policy options include:

    Requiring congressional approval for costly federal rules 
that increase taxpayer costs;
    Repealing Biden-era rules that gutted Medicaid program 
integrity, drastically expanded student loan forgiveness, and 
more;
    Rolling back the reevaluation of the Thrifty Food Plan by 
resetting it to FY2020 levels adjusted forward only for 
inflation;
    Implementing universal work requirements for able-bodied 
adults without young children across Medicaid and food stamps;
    Phasing out the enhanced ObamaCare match for able-bodied 
adults on Medicaid;
    Closing exemptions and loopholes to work requirements in 
the food stamp program;
    Requiring food stamp enrollees to meet federal eligibility 
standards;
    Verifying eligibility more frequently across welfare 
programs, including Medicaid;
    Addressing illegal aliens on welfare programs by requiring 
citizenship verification before enrollment in Medicaid, 
prohibiting administrative spending on Medicaid for illegal 
aliens, and adding citizenship verification requirements to the 
Child Tax Credit;
    And more.

    If left unchecked, the Biden Administration's legacy of 
bigger government and more spending will persist indefinitely. 
Only through bold reforms can policymakers get federal 
expenditures and inflation under control.

References

1 U.S. Senate Committee on Aging, "Issues Facing Seniors: 
Retirement Security, Healthcare, & Fiscal Health," U.S. 
Congress (2022), https://www.aging.senate.gov/hearings/issues-
facing-seniors-retirement-security-healthcare-and-fiscal-
health.

2 Bureau of Labor Statistics, "Consumer price index for all 
urban consumers: All items in U.S. city average, all urban 
consumers, seasonally adjusted," U.S. Department of Labor 
(2025), https://data.bls.gov/timeseries/CUSR0000SA0.

3 Ibid.

4 Ibid.

5 Regulatory Studies Center, "Cumulative economic significant 
rules by presidential month," George Washington University 
(2025), https://regulatorystudies.columbian.gwu.edu/media/9006.

6 Jonathan Ingram et al., "Congress must rein in President 
Biden's regulatory spending spree to tame inflation," 
Foundation for Government Accountability (2022), https://
thefga.org/research/congress-must-rein-spending-to-tame-
inflation.

7 Ibid.

8 Authors' calculations based upon data provided by National 
Archives and Records Administration on the count of numbered 
pages published in the Federal Register between January 21, 
2021 and January 17, 2025.

9 Authors' calculations based upon data provided by National 
Archives and Records Administration on the count of numbered 
pages published in the Federal Register between January 17, 
2024 and January 17, 2025.

10 Jonathan Ingram et al., "Congress must rein in President 
Biden's regulatory spending spree to tame inflation," 
Foundation for Government Accountability (2022), https://
thefga.org/research/congress-must-rein-spending-to-tame-
inflation.

11 Liesel Crocker, "Congress can put a stop to the current 
administration's reckless regulatory spending," Foundation for 
Government Accountability (2024), https://thefga.org/research/
congress-stop-administrations-reckless-regulatory-spending.

12 Jonathan Ingram and Hayden Dublois, "President Biden 
unilaterally and unlawfully increased food stamp benefits," 
Foundation for Government Accountability (2023), https://
thefga.org/research/president-biden-increased-food-stamp-
benefits.

13 Ibid.

14 Ibid.

15 Ibid.

16 Jonathan Ingram, "Feeding inflation: How President Biden's 
unlawful food stamp expansion is costing taxpayers and 
consumers billions," Foundation for Government Accountability 
(2023), https://thefga.org/research/feeding-inflation-bidens-
unlawful-food-stamp-expansion.

17 Hayden Dublois and Michael Greibrok, "The Biden 
administration's unlawful food stamp increase incentivized 
people to choose welfare over work," Foundation for Government 
Accountability (2023), https://thefga.org/research/food-stamp-
increase-incentivized-people-choose-welfare-over-work.

18 Jonathan Ingram, "Feeding inflation: How President Biden's 
unlawful food stamp expansion is costing taxpayers and 
consumers billions," Foundation for Government Accountability 
(2023), https://thefga.org/research/feeding-inflation-bidens-
unlawful-food-stamp-expansion.

19 Ibid.

20 Ibid.

21 Ibid.

22 Hayden Dublois and Michael Greibrok, "The Biden 
administration's unlawful food stamp increase incentivized 
people to choose welfare over work," Foundation for Government 
Accountability (2023), https://thefga.org/research/food-stamp-
increase-incentivized-people-choose-welfare-over-work.

23 Ibid.

24 Ibid.

25 Michael Greibrok, "Congress could boost economy by allowing 
Medicaid work requirements without bureaucratic intervention," 
Foundation for Government Accountability (2023), https://
thefga.org/research/congress-boost-economy-allowing-medicaid-
work-requirements.

26 Sam Adolphsen et al., "Comment on proposed streamlining 
Medicaid eligibility rule," Opportunity Solutions Project 
(2022), https://solutionsproject.org/wp-content/uploads/2022/
10/OSP-Comment-On-Proposed-Streamlining-Medicaid-Eligibility-
Rule-10-28-2022.pdf.

27 Sam Adolphsen and Jonathan Ingram, "Stopping the Medicaid 
madness: How Congress and states can start salvaging some 
program integrity," Foundation for Government Accountability 
(2022), https://thefga.org/research/stopping-the-medicaid-
madness-how-congress-and-states-can-start-salvaging-some-
program-integrity.

28 Hayden Dublois, "Food stamp boosts are bankrupting 
taxpayers," Foundation for Government Accountability (2023), 
https://thefga.org/research/food-stamp-boosts-are-bankrupting-
taxpayers.

29 Jonathan Ingram, "Allowing President Biden's Child Tax 
Credit changes to expire helped flip the House in the 2022 
midterms," Opportunity Solutions Project (2023), https://
solutionsproject.org/wp-content/uploads/2024/01/OSP-Comment-on-
CTC-Impact-on-2022-Elections-2-24-2023.pdf.

30 Hayden Dublois and Jonathan Ingram, "How the new era of 
expanded welfare programs is keeping Americans from working," 
Foundation for Government Accountability (2021), https://
thefga.org/research/expanded-welfare-keeping-americans-from-
working.

31 Hayden Dublois, "Broken promises: Why expanded ObamaCare 
subsidies must expire on time," Foundation for Government 
Accountability (2022), https://thefga.org/research/broken-
promises-why-expanded-obamacare-subsidies-must-expire-on-time.

32 Jonathan Bain, "The Biden administration's new food stamp 
work requirement exemption is keeping able-bodied adults 
trapped in dependency," Foundation for Government 
Accountability (2023), https://thefga.org/research/biden-
administration-food-stamp-exemption-trapped-dependency.

33 Jonathan Bain and Jonathan Ingram, "Waivers gone wild: The 
next wave in waiver abuse," Foundation for Government 
Accountability (2024), https://thefga.org/research/waivers-
gone-wild-next-wave-in-waiver-abuse.

34 Author's calculations based upon data provided by the U.S. 
Department of Health and Human Services, U.S. Department of 
Agriculture, and state welfare agencies.

35 Congressional Budget Office, "June 2024 Medicaid Baseline," 
Congressional Budget Office (2024), https://www.cbo.gov/system/
files/2024-06/51301-2024-06-medicaid.pdf.

36 Congressional Budget Office, "June 2024 SNAP Baseline," 
Congressional Budget Office (2024), https://www.cbo.gov/system/
files/2024-06/51312-2024-06-snap.pdf.

37 Author's calculations based upon data provided by state 
Medicaid agencies and the U.S. Department of Agriculture on the 
share of non-disabled adult enrollees between the ages of 18 
and 64 who report no earned income.

38 Bureau of Labor Statistics, "Labor force statistics from the 
Current Population Survey: Labor force participation rate, 
seasonally adjusted," U.S. Department of Labor (2025), https://
data.bls.gov/timeseries/LNS11300000.

39 Bureau of Labor Statistics, "Job openings and labor turnover 
survey: Total nonfarm job openings, seasonally adjusted," U.S. 
Department of Labor (2025), https://data.bls.gov/timeseries/
JTS000000000000000JOL.

                 U.S. Senate Special Committee on Aging

  "Making Washington Work for Seniors: Fighting to end Inflation and 
                         Achieve Fiscal Sanity"

                            January 29, 2025

                       Prepared Witness Statement

                              E.J. Antoni

    Chairmen Scott, Ranking Member Gillibrand, members of the 
Committee: thank you for the invitation to discuss with you 
today the difficulties faced by seniors stemming from the last 
four years of excessive government spending and its subsequent 
inflation. I am a public finance economist and the Richard F. 
Aster fellow at the Heritage Foundation, where I research 
fiscal and monetary policy. I am also a senior fellow at 
Unleash Prosperity.

Four Years of Cost Increases

    Since January 2021, American families and businesses have 
faced sharp increases in prices, due primarily to the declining 
value of the US dollar.\1\ This has been especially true for 
seniors who have not only tended to face slightly higher price 
increases than the general population, but who 
disproportionately tend to be on fixed incomes, which adjust 
relatively slowly to inflation, if at all.
---------------------------------------------------------------------------
    \1\ The Federal Reserve Note is referred to in this testimony as 
the US dollar for ease of understanding by the general public.
---------------------------------------------------------------------------
    The consumer price index (CPI)\2\ published by the Bureau 
of Labor Statistics (BLS) has risen a cumulative 21.0 percent 
in the 47 months from January 2021 through December 2024 on a 
seasonally adjusted basis. That is an annualized rate of 5.0 
percent, at which pace prices will double in less than 15 
years. This is in stark contrast to the rate of increase in the 
CPI before January 2021. From the start of the previous 
economic expansion through January 2021, the CPI rose at an 
annualized rate of 1.8 percent, below the Federal Reserve's 2.0 
percent target (figure 1). After January 2021, however, the CPI 
began increasing significantly faster and from that time 
through June 2022 rose at an annualized rate of 8.5 percent, 
more than 4.7 times the previous rate of increase. Since June 
2022 and through December 2024, the index has risen an 
annualized 3.0 percent, significantly above the Federal 
Reserve's target and even further above the annualized rate 
before January 2021.
---------------------------------------------------------------------------
    \2\ The CPI-U, consumer price index for all urban consumers, is 
commonly referred to as simply the CPI.

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    The increase in prices over the last four years has far 
outpaced the increase in the typical American's take-home pay. 
Average hourly earnings rose $5.76 from January 2021 through 
December 2024, but inflation-adjusted average hourly earnings 
fell $0.44 (figure 2). This difference of $6.20 between nominal 
and real hourly earnings can be thought of as the average 
American's hourly inflation tax under the Biden administration, 
which exceeds what that same worker loses to the personal 
federal income tax, on average.
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Price Increases for Seniors

    The BLS has also produced a data series that aims to 
replicate the cost of the basket of goods and services 
purchased by the average retiree in the United States, called 
the R-CPI-E. This index differs from the CPI in how its 
components are weighted, in order to better approximate the 
cost of living for older Americans, compared to younger 
consumers. During most of the last four years, cumulative price 
increases in the R-CPI-E were outpacing those in the CPI. With 
the December 2024 data from the BLS, however, the two indexes 
now show essentially identical cost increases of about 21 
percent from January 2021 through December 2024 (figure 3). 
That is not to say that seniors have suffered equally to the 
rest of the population over the last four years. On the 
contrary, prices for the things disproportionately purchased by 
seniors were rising slightly faster than the increase in the 
general price level for most of the last four years. 
Furthermore, seniors tend to have incomes which adjust slower 
to inflation than average because seniors tend to be on fixed 
incomes. Even programs like Social Security which have a cost-
of-living adjustment (COLA) only increase benefits once 
annually so that seniors must suffer through an entire year of 
cost increases before this portion of their incomes adjust 
upward. Even still, the lost purchasing power which they 
experienced over the 12 months in question is never returned to 
them. This phenomenon can be illustrated with the following 
analogy. The situation faced by seniors is like being robbed 
daily for an entire year, and the thief takes slightly more 
from the victim with each passing day. On the first day of the 
year, the thief takes a dollar, then two dollars on the second, 
three dollars on the third, and so on. By the last day of the 
year, the victim is losing $365 daily. Then, on New Year's Day, 
the theft stops, but the victim never receives any restitution 
for the money stolen throughout the prior year. This is like 
what seniors on fixed incomes and infrequent COLAs experience 
from inflation.
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Source of Cost Increases

    The primary source of cost increases over the last four 
years for seniors and the general population alike has been 
inflation. Beginning in 2020, the federal government began 
running unprecedentedly large budget deficits in response to 
the Covid pandemic. Unfortunately, the one-time emergency 
spending measures that caused these initial deficits were then 
replaced with other spending. This resulted in sustained 
elevated Treasury net debt issuances and an increase in the 
federal debt of approximately $8.5 trillion during the Biden 
administration, but also a reduction in the Treasury's cash 
balance of approximately $1 trillion. That is a net 
overspending of roughly $9.5 trillion in just four years. These 
debt issuances were largely financed by the Federal Reserve's 
purchase of almost $5 trillion of Treasury securities since the 
start of 2020, along with manipulations of interest rates and 
capital markets to steer liquidity away from the private sector 
and towards the public sector (figure 4). Since purchases by 
the Federal Reserve are made from the right to issue fiat 
currency, they inherently increase the supply of money. Because 
the real economy has grown much slower than the money supply 
over the last several years, the value of the US dollar 
relative to goods and services has declined. This phenomenon is 
often referred to as "too much money chasing too few goods" and 
it is observed as an increase in the general level of prices. 
The Federal Reserve's balance sheet peaked at nearly $9 
trillion, an increase of approximately 115 percent from pre-
pandemic levels. Securities held outright by the Federal 
Reserve grew approximately 127 percent over that same period. 
These purchases are sometimes referred to as quantitative 
easing, or QE. Conversely, since the Summer of 2022, the 
Federal Reserve has engaged in quantitative tightening (QT), or 
the net sale of securities, to reduce the very inflation which 
the Federal Reserve itself helped cause. Simultaneously, the 
central bank raised interest rates significantly. This balance 
sheet runoff slowed markedly in the Summer of 2024 and 
securities held outright are now approximately 74 percent above 
their pre-pandemic level while the total balance sheet of the 
Federal Reserve is approximately 64 percent above its pre-
pandemic level. In addition to the slower pace of balance sheet 
reductions, the Federal Reserve has reduced its benchmark 
interest rate target by 100 basis points, or one percentage 
point.

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    The quantity of money referred to as M2 grew over $6 
trillion from early 2020 to the middle of 2022 (figure 5). 
After about a year of declines, M2 then remained relatively 
steady and has now begun growing again, with the latest data 
available at the time of this writing indicating that the 
growth rate of M2 is exceeding the average growth rate of the 
previous economic expansion. The level of M2 remains about $3 
trillion above its pre-pandemic trend, is only down 
approximately one percent from its peak in April 2022, and 39 
percent above its pre-pandemic level.

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    Similarly, bank reserves reached a trough at the beginning 
of 2023 and then trended up for that entire year, before 
declining throughout much of 2024 (figure 6). As this portion 
of the monetary base increases, loans to individuals, 
businesses, and the Treasury can increase, and each loan 
expands the total money supply. Thus, despite the Federal 
Reserve's reduction in its balance sheet, the increase in bank 
reserves throughout 2023 continued to expand the money supply 
and maintained an inflationary impulse in the economy. Bank 
reserves appear to be trending upward again, as inflation 
reaccelerates in the American economy, with the annualized 
increase in the CPI for December 2024 reaching 4.8 percent, the 
highest in nine months.

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    The Federal Reserve did not simply create money for the 
Treasury to spend but also engaged in active manipulation of 
the loanable funds market in order to channel liquidity away 
from private lending and towards the Treasury, while seeking to 
minimize the inflationary impact of its money creation. In 
March 2020, the Federal Reserve ended its interest on excess 
reserves policy and replaced it with the policy of paying 
interest on all reserves. This incentivized banks to keep money 
parked at the Federal Reserve and not lend it out to the 
private market. This revised policy stance can be seen as an 
extension of the interest on excess reserves policy, which was 
previously utilized to reduce the inflationary impact of 
government overspending financed with fiat money creation. 
Simultaneously, the Federal Reserve used its reverse repurchase 
agreement (RRP) facility to absorb massive amounts of excess 
liquidity and maintain an interest rate floor. Instead of 
lending that liquidity to either private borrowers or the 
Treasury, financial institutions were effectively lending to 
the Federal Reserve. The New York district's RRP facility saw a 
peak utilization of over $2.5 trillion as the central bank 
sterilized unprecedented amounts of money, in conjunction with 
similar efforts from the interest on reserve policy (figure 
7).\3\ However, as the Treasury's demand for loanable funds has 
remained stubbornly high, the RRP facility is seeing almost no 
use today. That has caused the previously sterilized $2.5 
trillion to come back into circulation and multiply in the 
banking system, creating renewed inflationary pressure and 
countering the Federal Reserve's continued QT. The economy is 
still suffering from the monetary malfeasance that began 
several years ago. In other words, some of the inflation which 
would have been caused months or years ago by the budget 
deficits of 2021 and 2022 is only now manifesting itself. This 
is contributing to the notion of "sticky" or persistent 
inflation.
---------------------------------------------------------------------------
    \3\ Federal Reserve Bank of New York, desk operations.

 GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT
   

    However, today's inflation is not only the result of past 
mistakes. Elevated levels of government spending have not 
abated. Consequently, the current fiscal year is off to its 
worst start ever, with a cumulative deficit of $711 billion in 
just three months.\4\ The deterioration of federal finance has 
entered a positive feedback loop because of these elevated 
levels of spending and their accompanying higher interest 
rates. Interest on the federal debt now exceeds $1.2 trillion 
per year. In December 2024, the most recent data available at 
the time of this writing, gross interest payments were $140 
billion, just for the month-the largest single line item in the 
entire monthly statement from the Treasury. For context, 
Treasury outlays in December for the next three largest line 
items were $130 billion for the Social Security Administration, 
$99 billion for the Department of Health and Human Services, 
and $79 billion for all military spending. For additional 
context, gross interest in December was equal to more than 66 
percent of all personal income taxes collected that month. 
Since all marginal federal spending is borrowed, this increase 
in interest expense has increased the deficit. That additional 
borrowing in turn increases the demand for loanable funds, 
which puts upward pressure on interest rates. Higher interest 
rates then increase the cost of servicing the federal debt, 
which exacerbates borrowing, interest expense, interest rates, 
etc. If left unchecked, this positive feedback loop will result 
in exponential growth of federal interest payments (figure 8). 
As a percentage of gross domestic product, interest payments 
will set a new record high by 2027, exceeding 5 percent, and 
then continue climbing.
---------------------------------------------------------------------------
    \4\ Monthly Treasury Statement, Bureau of the Fiscal Service, 
December 2024.

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Impact of Inflation and Interest Rate Changes on Retirement 
---------------------------------------------------------------------------
Accounts

    While equities have performed historically well in nominal 
terms since the end of 2020, much of that gain has merely been 
a reflection of the decreasing value of the dollar, which 
declined by about one-fifth in just four years. That poses 
particular difficulties for many savers because capital gains 
are not indexed for inflation. Nominal price appreciation and 
real growth are taxed exactly the same, which means that 
inflation not only imposes a higher cost of living but also 
increases savers' tax liability. From the first quarter of 2021 
through the third quarter of 2024, major stock indices saw 
nominal gains of two to four times their inflation-adjusted 
increases.\5\ Furthermore, the bond market experienced its 
worst three and a half year run in at least a century because 
of the rapid rise in interest rates that followed the 
unprecedented issuance of near-zero-interest-rate fixed income 
assets, with 2022 seeing the worst bond market returns in 100 
years. The rapid rise in interest rates and inflation rates 
during the Biden Administration caused devastating losses to 
retirement accounts. The average 401(k) plan fell about 9.2 
percent from the first quarter of 2021 through the third 
quarter of 2024, after adjusting for inflation. Likewise, 
pension plans in aggregate have lost $2.5 trillion in real 
value over that same time. Because seniors tend to have their 
savings disproportionately allocated in cash and fixed-income 
assets, their individual retirement accounts have been hit even 
harder than the average 401(k) plan. The typical senior who was 
planning on retiring today will have to work an additional six 
years or more to recoup the real losses sustained to his or her 
retirement account since the beginning of 2021.
---------------------------------------------------------------------------
    \5\ "Making Senior Citizens Poorer: The Negative Impact of the 
Biden Administration's Economic Policies on Senior Citizens' Retirement 
Incomes" E.J. Antoni, Ph.D., October 2024.

---------------------------------------------------------------------------
An Inflation Misnomer

    Inflation is caused by the federal government overexpanding 
the money supply to pay for unfunded spending. The idea that 
inflation is caused by "corporate greed" or "price gouging" is 
incorrect according to both economic theory and empirical data. 
Businesses did not suddenly become greedy at the beginning of 
2021 at the same time as the government vastly expanded its 
budget. Instead, the government's own data show that prices 
paid by businesses have risen faster than those paid by 
consumers during the Biden Administration's tenure (figure 9). 
According to the BLS, in the 47 months from January 2021 
through the end of 2024, the wholesale price level rose 21.2 
percent while the consumer price level rose 21.0 percent. 
Furthermore, during nearly this entire period, the cumulative 
price increases faced by businesses exceeded those faced by 
consumers. In other words, businesses were shielding consumers 
from cost increases, likely in an effort to maintain or even 
grow market share. The exact same facts are observed when 
excluding the volatile categories of food and energy from both 
consumer and wholesale price indices.

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Public Policy Considerations

    The elevated levels of government spending, which have made 
40-year-high inflation possible today, stem directly from 
Congressional action. Additionally, the Federal Reserve's 
monetary manipulations were prompted by this same Congressional 
action. In conjunction with Congress, the Executive Branch 
during the Biden Administration played a necessary role in both 
the highest inflation and fastest interest rate increases in 
four decades. Just two pieces of legislation alone increased 
federal spending by over $3 trillion, required then-Vice 
President Kamala Harris to cast the tie-breaking vote in the 
Senate, and accounted for at least half of the excess inflation 
since 2020.\6\ Both of these pieces of legislation, as well as 
numerous other unfunded spending bills, had the explicit 
endorsement of then-President Joseph Biden who eventually 
signed each of them into law. Seniors have suffered 
considerably because of this government overspending, with 
their cost of living rising as their real incomes fall and 
their retirement accounts plunge at the worst rates in years.
---------------------------------------------------------------------------
    \6\ "The Big Government Formula for Double-Digit Inflation" Casey 
B. Mulligan, Ph.D., August 2024.
---------------------------------------------------------------------------
    Additionally, it is not just today's seniors who have been 
so negatively affected by the public policy decisions of the 
Biden Administration and a spendthrift Congress. America's 
seniors in the future will be suffering because of the Biden 
Administration's policies that have disincentivized work and 
retarded economic growth. Those policies have reduced Medicare 
and Social Security tax receipts over the last four years by 
about $500 billion, and that decline in revenues directly 
impacts the long-run solvency of these entitlement programs.\7\ 
This has the effect of accelerating their insolvency and 
putting seniors' benefits at risk at a much earlier date than 
previously forecasted.
---------------------------------------------------------------------------
    \7\ "Payroll Tax Revenues Down $400 to $900 Billion Due to Lower 
Wages and Less Growth: Casey B. Mulligan, Ph.D., March 2023.
---------------------------------------------------------------------------
    While the monetary phenomenon of inflation has been the 
primary driver of cost increases for seniors over the last four 
years, restrictive energy policy has also played a role in 
driving up costs. These anti-energy policies have reduced 
domestic oil output by at least a cumulative 2.4 billion 
barrels from 2021 through the end of 2023. The relatively lower 
production of oil and natural gas has increased prices higher 
than they otherwise would be, imposing additional costs on the 
economy of at least $250 billion over that same period.\8\ 
Because energy is such a ubiquitous input in the economy, these 
higher energy prices have raised prices for all goods and 
services, exacerbating seniors' deteriorating financial 
situations.
---------------------------------------------------------------------------
    \8\ "The War on Oil and Gas has Cost America $250 Billion in Lost 
Output" Moore and Mulligan, May 2024.
---------------------------------------------------------------------------
    If Congress wants to alleviate the pain inflicted on 
Americans, especially older Americans, then lawmakers should 
make drastic cuts to government spending and return the federal 
budget to pre-pandemic levels. This would achieve several 
objectives. First, it would begin reducing the primary 
inflationary pressure in the economy. As the Treasury borrows 
less, the demand for loanable funds will decline, putting 
downward pressure on interest rates. Reduced levels of spending 
and borrowing also remove the Federal Reserve's incentive to 
overinflate the money supply. Thus, both inflation rates and 
interest rates will decline if Congress reduces its spending. 
Efforts to increase domestic energy production would also have 
a positive impact by reducing prices while increasing both 
American jobs and payroll tax receipts. While regulatory reform 
would help roll back the $50,000 in regulatory costs that the 
Biden Administration imposed on the average American family, 
this is largely the purview of the executive branch.\9\
---------------------------------------------------------------------------
    \9\ "Biden-Harris Regulations Cost the Average Family Almost 
$50,000" Casey B. Mulligan, Ph.D., July 2024.
---------------------------------------------------------------------------
    Lastly, when considering the impact of proposed tariffs on 
seniors, the Senate Aging Committee should keep in mind that 
tariffs, by definition, cannot be inflationary. If a tariff is 
imposed on a particular import and raises the cost to consumers 
of that import, then the consumer has less money to spend on 
other products and services. The consumer will buy less in 
aggregate as the quantity demanded falls. Furthermore, because 
there is no change to the money supply, the value of the 
currency is unaffected. The Aging Committee should also 
consider factors like the price elasticity of the item(s) being 
tariffed and the effects on exchange rates. Failing to account 
for these economic realities will result in overestimating the 
negative impact of tariffs on consumers broadly and seniors 
specifically. Lastly, if tariffs protect American jobs, there 
can be a positive and significant impact on seniors, 
particularly the sustainability of those seniors' retirement 
savings. Increasing the number of American jobs and the real 
wages earned by Americans will also increase payroll tax 
revenue and provide additional tax receipts to Social Security 
and Medicare. This can help ensure benefits will be available 
to seniors in the future. Tariffs can also increase the value 
of American corporations, companies in which seniors hold 
shares of stock or from which seniors have purchased fixed-
income assets like corporate bonds. Congress should consider 
these, and other, positive impacts of tariffs when proposing or 
evaluating any legislation in this area.

*******************

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                       Statements for the Record

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                 U.S. Senate Special Committee on Aging

  "Making Washington Work for Seniors: Fighting to end Inflation and 
                         Achieve Fiscal Sanity"

                            January 29, 2025

                       Prepared Witness Statement

                     Senator Rick Scott Statements

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