Here’s a loaded question for you: “What could go wrong?”
In some contexts, it can express mistaken confidence, as in, “Sure I’ll put my hand between that crocodile’s jaws. What could go wrong?”
Investors should ask the same question before entering a position. “What risks am I taking with this trade? What could go wrong if it doesn’t go as planned?”
But here’s the problem: What if you never think to ask the question because you have no idea you’re in that trade?
And guess what—this is your problem if you are a taxpayer anywhere in the US.
What else could go wrong? Plenty.
Healthcare Goes on the Books
Local governments often give retired police officers, firefighters, teachers, and other workers a pension plus healthcare benefits.
Healthcare is expensive even in the best circumstances. Imagine your health insurer had promised to cover your medical expenses but hadn’t set aside any cash to pay for it.
Remarkably, that’s exactly what has happened. Governments currently disclose their retiree healthcare liabilities only in footnotes to their financial statements. Many have saved little to no money to cover those future expenses.
That’s about to change.
Starting in 2018, the Governmental Accounting Standards Board—the source of generally accepted accounting principles (GAAP) for state and local governments—will force officials to record healthcare liabilities on their balance sheets. Pew Charitable Trusts estimates the national shortfall will add up to $645 billion.
That’s on top of the estimated $1.1 trillion in unfunded pension liabilities they already had. In other words, this giant problem that no one knows how to solve is about to get 59% worse!
Or, more accurately, it’s going to look 59% worse. The healthcare shortfall isn’t new. What’s new is that local governments have to stop obscuring it.
What else could go wrong? Plenty.
Unbudgeted Crisis
Now, let’s add another crisis on top of the already-terrible one that just got 59% worse.
You’ve probably heard about the opioid drug abuse that is killing thousands of Americans. Putting numbers on it is tricky—often, multiple factors contribute to the same death. The Centers for Disease Control estimates opioids played a role in more than 33,000 deaths in 2015. No one thinks the numbers have improved since then.
The deaths aren’t evenly distributed. This Reuters graphic shows the heaviest concentrations in the Midwest, New England, and New Mexico.

It’s probably no coincidence that some of these states also suffered above-average economic pain in the last decade or two.
The deaths from overdose and the even larger number of near-deaths are putting a huge strain on local government finances in those regions.
A recent Reuters investigation found costs soaring for everything from ambulances to autopsies. Cities and counties are racking up huge bills for courts, prosecutors and public defenders, jails, and treatment programs.
The small towns and counties dealing with this opioid plague are often the same ones whose pension plans and healthcare expenses are already underfunded.
That’s bad news for current retirees, workers who hope to retire, and taxpayers who will ultimately foot the bill. In a word, everyone.
But that’s not all.
Costly Storms
Last weekend at the Texas Tribune Festival here in Austin, I heard Houston Police Chief Art Acevedo discuss his Hurricane Harvey experience. As more areas flooded, he kept the entire department on duty for six straight days, 24 hours a day.
Acevedo said he knew this wasn’t in the budget, but the alternatives were worse. Lives were at stake, and the city needed its protectors more than ever.
The hurricane is over, but the Harvey expenses are just starting. Houston may have to spend $250 million on the disposal of flood debris… and the city is only part of the affected area.
Houston’s pension plans were already on shaky ground, so this won’t help. Many local governments in Florida, Puerto Rico, and the US Virgin Islands may see the same, thanks to Irma and Maria.
So what does it mean to you?
For one, we should plan for substantially higher state and local taxes in the future.
And if you’re a public worker or retiree, you better think about how you will make ends meet if your benefits get slashed.




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