Back in 2015, just five years ago, it seemed like entitlement reform might happen.
Republicans in the House and Senate voted for budgets based on much-needed changes to Medicare and Medicaid. That was only a symbolic step with Obama in the White House, to be sure, 
but the presumption was that actual reform would be possible if Republicans controlled both the White House and Congress after the 2016 election.
The good news is that the GOP did wind up in control of Washington.
The bad news is that Donald Trump was in the White House.
Given his unfortunate views on government spending, that killed entitlement reform for the past four years.
And now Biden will be in the White House, and he wants to expand those programs, so that presumably kills reform for the next four years.
But does that change the fact that the programs should be reformed?
In a column for National Review, Fred Bauer asserts that Republicans should give up on trying to control big government.
Republicans…risk being lured toward a pivot back to 2010s-style austerity politics during the Biden administration, with a renewed focus on the federal deficit and entitlement reform. …Trying to push party-line entitlement reform has backfired on the GOP again and again in the recent past.
George W. Bush’s 2005 Social Security–privatization proposal kneecapped his second term from the start. In 2012, Republicans got bogged down defending their position on Medicare reform… retreating to austerity politics could cost Republicans a chance to promote other kinds of reforms that would strengthen workers and families: fixing the medical marketplace (by reducing cartelization, revising medical licensing, etc.), passing a 21st-century infrastructure program, trying to secure a strategic industrial base, enacting smarter regulation of Big Tech that addresses market concerns and serves the public welfare, offering Americans family tax credits, and so on.
Also writing for National Review, Yuval Levin of the American Enterprise Institute explains that we have no choice but to grapple with entitlements.
The Republican Party has styled itself the party of fiscal restraint for the better part of a century… But there hasn’t been much action,
or much willingness to expend political capital or make some painful deals to achieve a meaningful change in the trajectory of the government’s finances. …the willful blindness of the Trump era…means the underlying fiscal problems have grown worse… the costs of fiscal irresponsibility have more to do with constraints on future growth… Fiscal reform will need to involve changes to these programs.
Levin even suggests that entitlement reform is so important that it might be worth ceding ground in other areas.
Republicans should be willing to make bargains that involve leaving discretionary spending untouched, or even on a path of modest growth, if that allows for some reforms of entitlements. They should also be willing to contemplate tax increases and reforms that move the burden of federal revenue upward on the income scale, provided such changes do not unduly undermine growth.
My two cents is that Levin is right and Bauer is wrong.
To be sure, I don’t agree with everything Levin wrote (it’s theoretically possible to make a tax increase acceptable, for instance, but that won’t happen in the real world). But at least he recognizes the long-run spending outlook is so dour that entitlement reform is absolutely necessary.
Bauer, by contrast, argues that we should throw in the towel because reform is politically difficult.
I think he misreads the evidence.
Regarding Social Security, Bush got elected twice while supporting personal accounts, but the issue never went anywhere in his second term in large part because the White House never proposed a plan.
Moreover, the public continued to be supportive of the idea of personal accounts, even after Bush left office.
Likewise, I think Bauer is wrong on Medicare and Medicaid. Republicans easily maintained control of the House in 2012, 2014 and 2016, notwithstanding Democratic attacks that they wanted to “push granny off a cliff.” And they still control the Senate after years of similar attacks.
But even if Bauer was right about the politics, he’s wrong about policy.
America will become another Greece if we don’t reform entitlements. That will be bad for the nation. It will be bad for our economy. It will be bad for our children and grandchildren. It will be bad for the fabric of our society.
The bottom line is that entitlement reform is the patriotic thing to do.
