After the Amtrak Crash: Finding the Money to Fix Our Infrastructure
The Amtrak derailment in Philadelphia that left six people dead and dozens more injured has already prompted calls for increased infrastructure spending. "This one is a wake-up call," New York City Mayor Bill de Blasio said Wednesday on MSNBC’s Morning Joe. "We have got to get serious about investing in infrastructure."
There have been other wake-up calls before, and the dire need for infrastructure renewal isn’t news. Yet, as Politico’s Kathryn A. Wolfe reported, the deadly crash occurred just as a House panel was set to mark up a bill that would cut Amtrak’s funding for 2016 to $1.13 billion, or about $250 million less than the railroad service typically gets. (To be fair, it’s also not clear at this point what caused the horrific Amtrak derailment and whether infrastructure problems played a part or not — and the number of rail accidents each year has actually fallen significantly since 2006, according to Federal Railroad Administration data.)
Related: At Least 6 Die in Philadelphia Train Derailment, Scores Hurt
Even before the Amtrak tragedy, though, de Blasio and Oklahoma City Mayor Mick Cornett, a Republican, along with some two dozen other mayors were scheduled to travel to Washington, D.C. today to press Congress for a long-term renewal of the federal transportation authorization bill. The current funding law is set to expire May 31.
Pretty much everyone agrees that it’s well past time for the country to repair and rebuild its dangerously dated bridges, roads, railways, water mains and other critical infrastructure. The hold-up has always been over how to fund it.
Here’s one suggestion: The U.S. has spent some $110 billion on rebuilding Afghanistan, including billions that can’t be accounted for or that the inspector general has found have been wasted. That’s a drop in the bucket compared to the trillions in domestic infrastructure spending that some have called for. Still, clamping down on that waste in Afghanistan, and on other money being frittered away, might allow for some spending to be redirected to other necessary and more productive needs, like domestic infrastructure.
That’s not to suggest we must entirely abandon nation building abroad in order to rebuild this country. It’s just to point out that Congress should be able to find the money to address our national priorities, something it has miserably failed to do of late.
Tax Refunds Rebound
Smaller refunds in the first few weeks of the current tax season were shaping up to be a political problem for Republicans, but new data from the IRS shows that the value of refund checks has snapped back and is now running 1.3 percent higher than last year. The average refund through February 23 last year was $3,103, while the average refund through February 22 of 2019 was $3,143 – a difference of $40. The chart below from J.P. Morgan shows how refunds performed over the last 3 years.
Number of the Day: $22 Trillion
The total national debt surpassed $22 trillion on Monday. Total public debt outstanding reached $22,012,840,891,685.32, to be exact. That figure is up by more than $1.3 trillion over the past 12 months and by more than $2 trillion since President Trump took office.
Chart of the Week: The Soaring Cost of Insulin
The cost of insulin used to treat Type 1 diabetes nearly doubled between 2012 and 2016, according to an analysis released this week by the Health Care Cost Institute. Researchers found that the average point-of-sale price increased “from $7.80 a day in 2012 to $15 a day in 2016 for someone using an average amount of insulin (60 units per day).” Annual spending per person on insulin rose from $2,864 to $5,705 over the five-year period. And by 2016, insulin costs accounted for nearly a third of all heath care spending for those with Type 1 diabetes (see the chart below), which rose from $12,467 in 2012 to $18,494.
Chart of the Day: Shutdown Hits Like a Hurricane
The partial government shutdown has hit the economy like a hurricane – and not just metaphorically. Analysts at the Committee for a Responsible Federal Budget said Tuesday that the shutdown has now cost the economy about $26 billion, close to the average cost of $27 billion per hurricane calculated by the Congressional Budget Office for storms striking the U.S. between 2000 and 2015. From an economic point of view, it’s basically “a self-imposed natural disaster,” CRFB said.
Chart of the Week: Lowering Medicare Drug Prices
The U.S. could save billions of dollars a year if Medicare were empowered to negotiate drug prices directly with pharmaceutical companies, according to a paper published by JAMA Internal Medicine earlier this week. Researchers compared the prices of the top 50 oral drugs in Medicare Part D to the prices for the same drugs at the Department of Veterans Affairs, which negotiates its own prices and uses a national formulary. They found that Medicare’s total spending was much higher than it would have been with VA pricing.
In 2016, for example, Medicare Part D spent $32.5 billion on the top 50 drugs but would have spent $18 billion if VA prices were in effect – or roughly 45 percent less. And the savings would likely be larger still, Axios’s Bob Herman said, since the study did not consider high-cost injectable drugs such as insulin.
