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More than 4 in 10 U.S. Adults Who Needed Substance Use and Mental Health Care Did Not Get Treatment

More than 4 in 10 U.S. Adults Who Needed Substance Use and Mental Health Care Did Not Get Treatment
PR Newswire
WASHINGTON, May 31, 2022

Barriers to access compound mental health and substance use challenges, erode wellbeing and lead to problems at…

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More than 4 in 10 U.S. Adults Who Needed Substance Use and Mental Health Care Did Not Get Treatment

PR Newswire

Barriers to access compound mental health and substance use challenges, erode wellbeing and lead to problems at work and home.

WASHINGTON, May 31, 2022 /PRNewswire/ -- A staggering 43% of U.S. adults who say they needed substance use or mental health care in the past 12 months did not receive that care, and numerous barriers to access stand between them and needed treatment, according to a new national survey of more than 2,000 U.S. adults conducted online by The Harris Poll on behalf of the National Council for Mental Wellbeing.

"Recruiting more mental health and substance use professionals must be a top priority."

Barriers to access may complicate or delay treatment, according to the 2022 Access to Care Survey. Cost, availability, wait times, a lack of diversity and proximity to care all represent significant obstacles for all those seeking care for substance use and mental health challenges – those who were able to access care and those who weren't.

"Substance use and mental health challenges and barriers to access are enacting a crushing toll on those who seek treatment and cannot get it," National Council for Mental Wellbeing President and CEO Chuck Ingoglia said. "The COVID-19 pandemic led to increased substance use and mental health challenges for people of all ages and all backgrounds, yet too many people are not getting the care they need. It is not enough to acknowledge the problem. We must break down these barriers."

Too Many are Not Getting Care

The new survey provides a picture of substantial demand, but with large swaths of the population missing opportunities to get care. The unmet demand for substance use and mental health care is more than double the unmet demand for physical health needs, according to the survey. Specifically:

  • 42% of U.S. adults report needing mental health care over the past 12 months and 24% report needing substance use care during that timeframe.
  • 43% of U.S. adults who needed mental health care or substance use care (also 43%) in the past 12 months did not receive it, compared to 21% of those who needed primary care and did not receive it.

"It is a national disgrace that 43% of U.S. adults who needed care are unable to get that care for mental health and substance use challenges. We are in a mental health and substance use crisis. Failing to eliminate barriers to access will only worsen this new public health emergency," Ingoglia said. "In conducting this survey, we at the National Council do not seek to simply call attention to a national crisis in health care. It is our goal to begin a national discussion that will pave the way to lasting solutions."

Barriers to Care are Universal

All U.S. adults who needed care cite difficulties getting it, including those who actually got care. The primary barriers to access for those with unmet needs for mental health or substance use challenges over the past 12 months include:

  • Cost-related issues (no insurance, out-of-pocket costs) prevented 37% from getting mental health care and 31% from receiving substance use care.
  • Inability to find a conveniently located provider prevented 28% from getting mental health care and 22% from getting substance use care. In some rural areas, providers may be hours away.
  • Inability to find a provider who offers a visit format people feel comfortable with (e.g., in-person, telehealth) prevented 25% from getting mental health care and 31% from receiving substance use care.
  • Inability to get an appointment immediately when they needed care prevented 21% from receiving mental health care and 28% from receiving substance use care. Wait times can range from weeks to months in some areas.

Those who did receive mental health or substance use care over the past 12 months also cite difficulties in getting that care:

  • 81% of U.S. adults who received substance use care had trouble getting care.
  • 67% of U.S. adults who received mental health care experienced difficulties getting care.

The survey also found that many U.S. adults, overall, believe insurance-related issues complicate access. Nearly 3 in 5 U.S. adults believe it is easier (59%) and faster (59%) to get mental health or substance use care if you pay out-of-pocket versus using insurance. In addition, 71% of U.S. adults would be more likely to get mental health or substance use care if they could receive it through their primary care doctor, if they needed it, and 67% think it's harder to find a mental health care provider than it is to find a physical health care provider.

Peoples' Lives are Impacted by Unmet Needs

Those with unmet mental health and substance use care needs say not receiving care had an impact on their lives. Among those who did not receive needed mental health care:

  • 50% reported personal relationship issues as a result of not getting care.
  • 45% reported work issues.
  • 44% reported a decline in mental wellbeing.

Among those who did not receive needed substance use care:

  • 49% reported work issues as a result of not getting care.
  • 43% reported personal relationship issues.
  • 37% reported a decline in mental wellbeing.

Our Workforce is not as Diverse as the People We Serve

The survey revealed that a workforce shortage may have made access to care more difficult. Those who received needed mental health or substance use care, as well as those who did not had difficulty finding culturally competent care. Many adults feel there is a lack of providers available to address cultural needs:

  • 13% who didn't get needed mental health care cite that it was because they couldn't find a provider who was a good cultural fit, and 17% who didn't get needed substance use care say the same.
  • 17% who received mental health care in the past 12 months say they struggled to get care because they were unable to find a provider who was a good cultural fit, and 24% who received substance use care say the same.
  • 61% of U.S. adults overall feel there are not enough mental health care providers who are trained to address issues specific to race, ethnicity, sexual orientation or socioeconomic status.

"Recruiting more mental health and substance use professionals must be a top priority – and that workforce must reflect the rich diversity of our nation. We won't be able to increase access to care or meet the historic demand for mental health and substance use care with an inadequate number of people employed to provide treatment. Improving Medicare, Medicaid and non-Medicaid-funded program reimbursement rates will allow employers to boost salaries and other financial incentives that will help with recruitment and retention," Ingoglia said.

The bipartisan Excellence in Mental Health and Addiction Treatment Act (S. 2069/H.R. 4323) would expand Certified Community Behavioral Health Clinics (CCBHCs), allowing more clinics to take advantage of specialized funding for staff recruitment and retention. CCBHCs are specialized clinics that offer expanded mental health and substance use services – CCBHCs on average were able to hire 41 new positions per clinic. Passing the Excellence Act would give every state the opportunity to expand CCBHCs and expand access to lifesaving services nationwide.

Additional workforce-focused legislation includes the Mental Health Access Improvement Act (S. 828/H.R. 432), which would allow marriage and family therapists and mental health counselors to receive reimbursement from Medicare for their services, adding an estimated 225,000 providers to the Medicare mental health workforce. The Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act (S. 2144/H.R. 2767) would allow peer support specialists to participate in providing integrated mental health services, the care coordinated by both primary and behavioral health clinicians, to Medicare beneficiaries.

Men and Younger People are Most Impacted

The need for care is greatest among men and younger adults. Men are more likely than women to say they needed substance use care in the past 12 months (30% vs. 19%), and Gen Z (ages 18-25) and Millennials (ages 26-41) are more likely than Gen X (ages 42-57) and Boomers (ages 58-76) to say they needed both mental health (59% and 64% vs. 42% and 18%) and substance use care (38% and 42% vs. 21% and 7%) in the past 12 months. Whether they receive the care they need likely depends on their ability to overcome the many obstacles they encounter.

"We know overdose deaths in 2021 reached a record level and that people with substance use challenges need support and we know people of all backgrounds continue to struggle with their mental health and need support. We cannot continue to support a system that propagates barriers and inequity in care," Ingoglia said. "Those with unmet needs are especially imperiled. The sooner we find the resources and political will to respond, the sooner we will be able to meaningfully address the lingering effects of the pandemic."

To eliminate barriers to access we must:

  • Overcome the workforce shortage by passing the bipartisan Mental Health Access Improvement Act (S. 828/H.R. 432), which would allow marriage and family therapists and mental health counselors receive reimbursement from Medicare for their services, and the Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act (S. 2144/H.R. 2767), which would allow peer support specialists to participate in providing integrated mental health services, the care coordinated by both primary and behavioral health clinicians, to Medicare beneficiaries. The legislation also would provide a comprehensive definition of peer support specialists in the Medicare program.
  • Permanently lift restrictions on telehealth. During the pandemic, many organizations quickly transitioned from in-person services to telehealth and technology-assisted services, and this increased use of technology is expected to continue.
  • Continue to invest in Certified Community Behavioral Health Clinics (CCBHCs) by passing the Excellence Act (S. 2069/H.R. 4323). CCBHCs provide a full array of services and supports, integrated with primary care and coordinated with other social service providers, reduce wait times, expand states' capacity to address the overdose crisis and establish innovative partnerships with law enforcement, schools and hospitals to improve care, reduce recidivism and prevent hospital readmissions and will also help communities bolster the resources needed to provide mental health and substance use treatment.
  • Improve our understanding of substance use challenges. People with substance use challenges can and do recover. We can do much more to reduce overdose deaths by introducing evidence-based prevention, harm reduction and treatment strategies and promoting recovery-oriented systems of care and support.
  • Improve health equity because the opportunity to be healthy and achieve mental wellbeing eludes many people. Despite demand for mental health and substance use treatment, only one in three Black Americans in need of mental health care receives treatment, according to the American Psychiatric Association.
  • Shift to an integrated model of care. Integrating primary care with treatment for mental health and substance use challenges increases efficiency, saves money and improve outcomes.
  • Make a greater commitment to ensuring the success of 988, the new three-digit number for the National Suicide Prevention Lifeline scheduled to go live on July 16, 2022. The new dialing code will not immediately replace the current lifeline number – 1-800-273-TALK (8255) – but will offer an easy-to-remember option. This ambitious undertaking will require significant investment and coordination over the coming years to realize and fulfill its potential – passing the 9-8-8 Implementation Act of 2022 (H.R.7116) will help ensure people dialing or texting 988 have someone to call, someone to come, and somewhere to go.

Survey Method
This survey was conducted online within the United States by The Harris Poll on behalf of National Council for Mental Wellbeing from April 26-28, 2022, among 2,053 U.S. adults ages 18 and older. The sampling precision of Harris online polls is measured by using a Bayesian credible interval. For this study, the sample data is accurate to within + 2.8 percentage points using a 95% confidence level. For complete survey methodology, including weighting variables and subgroup sample sizes, please contact the National Council for Mental Wellbeing.

About the National Council for Mental Wellbeing
Founded in 1969, the National Council for Mental Wellbeing is a membership organization that drives policy and social change on behalf of over 3,100 mental health and substance use treatment organizations and the more than 10 million children, adults and families they serve. We advocate for policies to ensure equitable access to high-quality services. We build the capacity of mental health and substance use treatment organizations. And we promote greater understanding of mental wellbeing as a core component of comprehensive health and health care. Through our Mental Health First Aid (MHFA) program, we have trained more than 2.6 million people in the U.S. to identify, understand and respond to signs and symptoms of mental health and substance use challenges.

CONTACT: Sophia Majlessi, sophiam@thenationalcouncil.org

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SOURCE National Council for Mental Wellbeing

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Government

Young People Aren’t Nearly Angry Enough About Government Debt

Young People Aren’t Nearly Angry Enough About Government Debt

Authored by The American Institute for Economic Research,

Young people sometimes…

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Young People Aren't Nearly Angry Enough About Government Debt

Authored by The American Institute for Economic Research,

Young people sometimes seem to wake up in the morning in search of something to be outraged about. We are among the wealthiest and most educated humans in history. But we’re increasingly convinced that we’re worse off than our parents were, that the planet is in crisis, and that it’s probably not worth having kids.

I’ll generalize here about my own cohort (people born after 1981 but before 2010), commonly referred to as Millennials and Gen Z, as that shorthand corresponds to survey and demographic data. Millennials and Gen Z have valid economic complaints, and the conditions of our young adulthood perceptibly weakened traditional bridges to economic independence. We graduated with record amounts of student debt after President Obama nationalized that lending. Housing prices doubled during our household formation years due to zoning impediments and chronic underbuilding. Young Americans say economic issues are important to us, and candidates are courting our votes by promising student debt relief and cheaper housing (which they will never be able to deliver).

Young people, in our idealism and our rational ignorance of the actual appropriations process, typically support more government intervention, more spending programs, and more of every other burden that has landed us in such untenable economic circumstances to begin with. Perhaps not coincidentally, young people who’ve spent the most years in the increasingly partisan bubble of higher education are also the most likely to favor expanded government programs as a “solution” to those complaints.

It’s Your Debt, Boomer 

What most young people don’t yet understand is that we are sacrificing our young adulthood and our financial security to pay for debts run up by Baby Boomers. Part of every Millennial and Gen-Z paycheck is payable to people the same age as the members of Congress currently milking this system and miring us further in debt.

Our government spends more than it can extract from taxpayers. Social Security, which represents 20 percent of government spending, has run an annual deficit for 15 years. Last year Social Security alone overspent by $22.1 billion. To keep sending out checks to retirees, Social Security goes begging to the Treasury Department, and the Treasury borrows from the public by issuing bonds. Bonds allow investors (who are often also taxpayers) to pay for some retirees’ benefits now, and be paid back later. But investors only volunteer to lend Social Security the money it needs to cover its bills because the (younger) taxpayers will eventually repay the debt — with interest.

In other words, both Social Security and Medicare, along with various smaller federal entitlement programs, together comprising almost half of the federal budget, have been operating for a decade on the principle of “give us the money now, and stick the next generation with the check.” We saddle future generations with debt for present-day consumption.

The second largest item in the budget after Social Security is interest on the national debt — largely on Social Security and other entitlements that have already been spent. These mandatory benefits now consume three quarters of the federal budget: even Congress is not answerable for these programs. We never had the chance for our votes to impact that spending (not that older generations were much better represented) and it’s unclear if we ever will.

Young Americans probably don’t think much about the budget deficit (each year’s overspending) or the national debt (many years’ deficits put together, plus interest) much at all. And why should we? For our entire political memory, the federal government, as well as most of our state governments, have been steadily piling “public” debt upon our individual and collective heads. That’s just how it is. We are the frogs trying to make our way in the watery world as the temperature ticks imperceptibly higher. We have been swimming in debt forever, unaware that we’re being economically boiled alive.

Millennials have somewhat modest non-mortgage debt of around $27,000 (some self-reports say twice that much), including car notes, student loans, and credit cards. But we each owe more than $100,000 as a share of the national debt. And we don’t even know it.

When Millennials finally do have babies (and we are!) that infant born in 2024 will enter the world with a newly minted Social Security Number and $78,089 credit card bill for Granddad’s heart surgery and the interest on a benefit check that was mailed when her parents were in middle school. 

Headlines and comments sections love to sneer at “snowflakes” who’ve just hit the “real world,” and can’t figure out how to make ends meet, but the kids are onto something. A full 15 percent of our earnings are confiscated to pay into retirement and healthcare programs that will be insolvent by the time we’re old enough to enjoy them. The Federal Reserve and government debt are eating the economy. The same interest rates that are pushing mortgages out of reach are driving up the cost of interest to maintain the debt going forward. As we learn to save and invest, our dollars are slowly devalued. We’re right to feel trapped.  

Sure, if we’re alive and own a smartphone, we’re among the one percent of the wealthiest humans who’ve ever lived. Older generations could argue (persuasively!) that we have no idea what “poverty” is anymore. But with the state of government spending and debt…we are likely to find out. 

Despite being richer than Rockefeller, Millennials are right to say that the previous ways of building income security have been pushed out of reach. Our earning years are subsidizing not our own economic coming-of-age, but bank bailouts, wars abroad, and retirement and medical benefits for people who navigated a less-challenging wealth-building landscape. 

Redistribution goes both ways. Boomers are expected to pass on tens of trillions in unprecedented wealth to their children (if it isn’t eaten up by medical costs, despite heavy federal subsidies) and older generations’ financial support of the younger has had palpable lifting effects. Half of college costs are paid by families, and the trope of young people moving back home is only possible if mom and dad have the spare room and groceries to make that feasible.

Government “help” during COVID-19 resulted in the worst inflation in 40 years, as the federal government spent $42,000 per citizen on “stimulus” efforts, right around a Millennial’s average salary at that time. An absurd amount of fraud was perpetrated in the stimulus to save an economy from the lockdown that nearly ruined itTrillions in earmarked goodies were rubber stamped, carelessly added to young people’s growing bill. Government lenders deliberately removed fraud controls, fearing they couldn’t hand out $800 billion in young people’s future wages away fast enough. Important lessons were taught by those programs. The importance of self-sufficiency and the dignity of hard work weren’t top of the list.

Boomer Benefits are Stagnating Hiring, Wages, and Investment for Young People

Even if our workplace engagement suffered under government distortions, Millennials continue to work more hours than other generations and invest in side hustles and self employment at higher rates. Working hard and winning higher wages almost doesn’t matter, though, when our purchasing power is eaten from the other side. Buying power has dropped 20 percent in just five years. Life is $11,400/year more expensive than it was two years ago and deficit spending is the reason why

We’re having trouble getting hired for what we’re worth, because it costs employers 30 percent more than just our wages to employ us. The federal tax code both requires and incentivizes our employers to transfer a bunch of what we earned directly to insurance companies and those same Boomer-busted federal benefits, via tax-deductible benefits and payroll taxes. And the regulatory compliance costs of ravenous bureaucratic state. The price paid by each employer to keep each employee continues to rise — but Congress says your boss has to give most of the increase to someone other than you. 

Federal spending programs that many people consider good government, including Social Security, Medicare, Medicaid, and health insurance for children (CHIP) aren’t a small amount of the federal budget. Government spends on these programs because people support and demand them, and because cutting those benefits would be a re-election death sentence. That’s why they call cutting Social Security the “third rail of politics.” If you touch those benefits, you die. Congress is held hostage by Baby Boomers who are running up the bill with no sign of slowing down. 

Young people generally support Social Security and the public health insurance programs, even though a 2021 poll by Nationwide Financial found 47 percent of Millennials agree with the statement “I will not get a dime of the Social Security benefits I have earned.”

In the same survey, Millennials were the most likely of any generation to believe that Social Security benefits should be enough to live on as a sole income, and guessed the retirement age was 52 (it’s 67 for anyone born after 1959 — and that’s likely to rise). Young people are the most likely to see government guarantees as a valid way to live — even though we seem to understand that those promises aren’t guarantees at all.

Healthcare costs tied to an aging population and wonderful-but-expensive growth in medical technologies and medications will balloon over the next few years, and so will the deficits in Boomer benefit programs. Newly developed obesity drugs alone are expected to add $13.6 billion to Medicare spending. By 2030, every single Baby Boomer will be 65, eligible for publicly funded healthcare.

The first Millennial will be eligible to claim Medicare (assuming the program exists and the qualifying age is still 65, both of which are improbable) in 2046. As it happens, that’s also the year that the Boomer benefits programs (which will then be bloated with Gen Xers) and the interest payments we’re incurring to provide those benefits now, are projected to consume 100 percent of federal tax revenue.

Government spending is being transferred to bureaucrats and then to the beneficiaries of government spending who are, in some sense, your diabetic grandma who needs a Medicare-paid dialysis treatment, but in a much more immediate sense, are the insurance companiespharma giants, and hospital corporations who wrote the healthcare legislation. Some percentage of every college graduate’s paycheck buys bullets that get fired at nothing and inflating the private investment portfolios of government contractors, with dubious, wasteful outcomes from the prison-industrial complex to the perpetual war machine.

No bank or nation in the world can lend the kind of money the American government needs to borrow to fulfill its obligations to citizens. Someone will have to bite the bullet. Even some of the co-authors of the current disaster are wrestling with the truth. 

Forget avocado toast and streaming subscriptions. We’re already sensing it, but we haven’t yet seen it. Young people are not well-informed, and often actively misled, about what’s rotten in this economic system. But we are seeing the consequences on store shelves and mortgage contracts and we can sense disaster is coming. We’re about to get stuck with the bill.

Tyler Durden Tue, 03/19/2024 - 20:20

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Spread & Containment

There Goes The Fed’s Inflation Target: Goldman Sees Terminal Rate 100bps Higher At 3.5%

There Goes The Fed’s Inflation Target: Goldman Sees Terminal Rate 100bps Higher At 3.5%

Two years ago, we first said that it’s only a matter…

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There Goes The Fed's Inflation Target: Goldman Sees Terminal Rate 100bps Higher At 3.5%

Two years ago, we first said that it's only a matter of time before the Fed admits it is unable to rsolve the so-called "last mile" of inflation and that as a result, the old inflation target of 2% is no longer viable.

Then one year ago, we correctly said that while everyone was paying attention elsewhere, the inflation target had already been hiked to 2.8%... on the way to even more increases.

And while the Fed still pretends it can one day lower inflation to 2% even as it prepares to cut rates as soon as June, moments ago Goldman published a note from its economics team which had to balls to finally call a spade a spade, and concluded that - as party of the Fed's next big debate, i.e., rethinking the Neutral rate - both the neutral and terminal rate, a polite euphemism for the inflation target, are much higher than conventional wisdom believes, and that as a result Goldman is "penciling in a terminal rate of 3.25-3.5% this cycle, 100bp above the peak reached last cycle."

There is more in the full Goldman note, but below we excerpt the key fragments:

We argued last cycle that the long-run neutral rate was not as low as widely thought, perhaps closer to 3-3.5% in nominal terms than to 2-2.5%. We have also argued this cycle that the short-run neutral rate could be higher still because the fiscal deficit is much larger than usual—in fact, estimates of the elasticity of the neutral rate to the deficit suggest that the wider deficit might boost the short-term neutral rate by 1-1.5%. Fed economists have also offered another reason why the short-term neutral rate might be elevated, namely that broad financial conditions have not tightened commensurately with the rise in the funds rate, limiting transmission to the economy.

Over the coming year, Fed officials are likely to debate whether the neutral rate is still as low as they assumed last cycle and as the dot plot implies....

...Translation: raising the neutral rate estimate is also the first step to admitting that the traditional 2% inflation target is higher than previously expected. And once the Fed officially crosses that particular Rubicon, all bets are off.

... Their thinking is likely to be influenced by distant forward market rates, which have risen 1-2pp since the pre-pandemic years to about 4%; by model-based estimates of neutral, whose earlier real-time values have been revised up by roughly 0.5pp on average to about 3.5% nominal and whose latest values are little changed; and by their perception of how well the economy is performing at the current level of the funds rate.

The bank's conclusion:

We expect Fed officials to raise their estimates of neutral over time both by raising their long-run neutral rate dots somewhat and by concluding that short-run neutral is currently higher than long-run neutral. While we are fairly confident that Fed officials will not be comfortable leaving the funds rate above 5% indefinitely once inflation approaches 2% and that they will not go all the way back to 2.5% purely in the name of normalization, we are quite uncertain about where in between they will ultimately land.

Because the economy is not sensitive enough to small changes in the funds rate to make it glaringly obvious when neutral has been reached, the terminal or equilibrium rate where the FOMC decides to leave the funds rate is partly a matter of the true neutral rate and partly a matter of the perceived neutral rate. For now, we are penciling in a terminal rate of 3.25-3.5% this cycle, 100bps above the peak reached last cycle. This reflects both our view that neutral is higher than Fed officials think and our expectation that their thinking will evolve.

Not that this should come as a surprise: as a reminder, with the US now $35.5 trillion in debt and rising by $1 trillion every 100 days, we are fast approaching the Minsky Moment, which means the US has just a handful of options left: losing the reserve currency status, QEing the deficit and every new dollar in debt, or - the only viable alternative - inflating it all away. The only question we had before is when do "serious" economists make the same admission.

They now have.

And while we have discussed the staggering consequences of raising the inflation target by just 1% from 2% to 3% on everything from markets, to economic growth (instead of doubling every 35 years at 2% inflation target, prices would double every 23 years at 3%), and social cohesion, we will soon rerun the analysis again as the implications are profound. For now all you need to know is that with the US about to implicitly hit the overdrive of dollar devaluation, anything that is non-fiat will be much more preferable over fiat alternatives.

Much more in the full Goldman note available to pro subs in the usual place.

Tyler Durden Tue, 03/19/2024 - 15:45

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Spread & Containment

Household Net Interest Income Falls As Rates Spike

A Bloomberg article from this morning offered an excellent array of charts detailing the shifts in interest payment flows amid rising rates. The historical…

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A Bloomberg article from this morning offered an excellent array of charts detailing the shifts in interest payment flows amid rising rates. The historical anomaly was both surprising and contradicted our priors.

10 Key Points:

  1. Historical Anomaly: This is the first time in the last fifty years that a Federal Reserve rate hike cycle has led to a significant drop in household net interest income.
  2. Interest Expense Increase: Since the Fed began raising rates in March 2022, Americans’ annual interest expenses on debts like mortgages and credit cards have surged by nearly $420 billion.
  3. Interest Income Lag: The increase in interest income during the same period was only about $280 billion, resulting in a net decline in household interest income, a departure from past trends.
  4. Consumer Debt Influence: The recent rate hikes impacted household finances more because of a higher proportion of consumer credit, which adjusts more quickly to rate changes, increasing interest costs.
  5. Banks and Savers: Banks have been slow to pass on higher interest rates to depositors, and the prolonged period of low rates before 2022 may have discouraged savers from actively seeking better returns.
  6. Shift in Wealth: There’s been a shift from interest-bearing assets to stocks, with dividends surpassing interest payments as a source of unearned income during the pandemic.
  7. Distributional Discrepancy: Higher interest rates benefit wealthier individuals who own interest-earning assets, whereas lower-income earners face the brunt of increased debt servicing costs, exacerbating economic inequality.
  8. Job Market Impact: Typically, Fed rate hikes affect households through the job market, as businesses cut costs, potentially leading to layoffs or wage suppression, though this hasn’t occurred yet in the current cycle.
  9. Economic Impact: The distribution of interest income and debt servicing means that rate increases transfer money from those more likely to spend (and thus stimulate the economy) to those less likely to increase consumption, potentially dampening economic activity.
  10. No Immediate Relief: Expectations for the Fed to reduce rates have diminished, indicating that high-interest expenses for households may persist.

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