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Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.
The federal government should create a public social insurance benefit that provides coverage for LTSS. It should be within Medicare or in a new public program.
Efforts to reform entitlement spending should recognize the following factors:
Higher levels of government should provide adequate resources when mandating functions to lower levels of government.
Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them.
Tax and spending decisions should be the purview of the legislative branch.
A balanced budget amendment to the U.S. Constitution should not be adopted.
Policymakers should enact effective and balanced rules for fiscal discipline.
Governments should not limit their ability to address future economic and political changes and the need for investments.
Efforts to balance the budget or address shortfalls should remain the purview of the legislative branch. They should be fully negotiated by elected officials.