🚨NEW ANALYSIS🚨 The #Medicare Trustees' report shows that the Part A HI trust fund is only 6 years from insolvency, facing a large shortfall with rapidly-growing spending. The outlook is slightly improved, but substantial structural imbalances remain.
1️⃣ The HI trust fund is only 𝟲 𝘆𝗲𝗮𝗿𝘀 from insolvency.
The Trustees project the trust fund will be insolvent by 2028, just six years from now but two years later than projected last year. At that point, provider + insurer payments would have to be cut by 10% (20% by 2046).
2️⃣ Total #Medicare spending will grow significantly.
All parts of Medicare will grow rapidly in the coming decade. Gross Medicare spending will ⬆️ from 3.9% of GDP in 2022 to 5.4% in 2032 and 6.2% in 2045. This rise is driven partially by the rising cost of #MedicareAdvantage.
3️⃣ #Medicare's financial outlook is slightly better.
The Trustees project a later insolvency date + slight improvement in long-term solvency largely due to higher payroll tax revenue. However, structural imbalances remain substantial and ultimate costs are similar to last year.
4️⃣(1) #Medicare will grow more costly in an illustrative alternative scenario.
The Chief Actuary produced an alternative scenario that assumes the constraints under current law are gradually weakened & some currently scheduled physician bonus payments are continued long-term.⤵️
...4️⃣(2) These assumptions would mean payments grow more slowly than the private sector over the next two decades, then growing at the same rate.
Spending would grow substantially higher than the official forecasts over the long term, both for HI and #Medicare more broadly.
➡️Action is needed soon to constrain the rising costs of #Medicare.
Without timely action by lawmakers to secure the #Medicare HI trust fund, payments from the trust fund would be abruptly and indiscriminately reduced or delayed – leading to a potential loss of access to care.
➡️Many options are available to secure and improve #Medicare for future generations, including those put forward in our Trust Fund Solutions initiative (crfb.org/our-work/proje…).
🚨NEW ANALYSIS🚨 The latest #SocialSecurity projections show that the program is only 13 years from insolvency and faces large & rising imbalances. Though finances have improved slightly, they remain perilous, and time is running out to save the program.
The theoretical combined trust funds comprising #SocialSecurity (OASI+SSDI) will exhaust their reserves by 2035, when today's 54-year-olds reach full retirement age and today's youngest retirees turn 75. ⤵️
The Trustees project the program will run cash deficits of nearly $2.5 trillion over the next decade – the equivalent of 2.1% taxable payroll or 0.8% of GDP. 75-year actuarial imbalance totals 3.4% of payroll or 1.2% of GDP.
🚨NEW🚨 Today's trustees reports show that the #SocialSecurity and #Medicare Hospital Insurance (HI) #trustfunds are rapidly approaching insolvency; these funding imbalances will require #TrustFundSolutions to prevent broad benefit cuts.
➡️OASI depletion will occur by 2034, while SSDI will not deplete within the projection window.
On a theoretical combined basis, assuming revenue is allocated between the trust funds in the years between OASI and SSDI insolvency, #SocialSecurity will become insolvent by 2035. ⤵️
➡️Upon insolvency, all beneficiaries will face a 20% across-the-board benefit cut, which will grow to 26% by 2096. The Trustees estimate a 75-year actuarial shortfall of 3.42% of taxable payroll for #SocialSecurity – lower than 2021's estimate, but higher than any prior year.
🚨The #SocialSecurity and #Medicare Trustees released their annual reports on the state of the trust funds today, finding that #Medicare HI will be insolvent by 2028 and theoretically combined #SocialSecurity by 2035.
"#SocialSecurity is only 13 years from insolvency and #Medicare is only 6 years. Policymakers need to get their heads out of the sand and stop pretending these vital programs’ funding issues will fix themselves." crfb.org/press-releases….
"Today’s youngest retirees will be 68 years old when #Medicare runs out of reserves and 75 years old when #SocialSecurity becomes insolvent. Workers under the age of 55 will retire into an insolvent system."
🚨NEW🚨 Under alternative, fiscally-irresponsible scenarios based on @USCBO's baseline – including likely policy extensions and more deficit-financed actions – #deficits could surpass $𝟯 𝘁𝗿𝗶𝗹𝗹𝗶𝗼𝗻 and #debt could reach 𝟭𝟮𝟱% of GDP by 2032.
➡️We've mapped debt, deficits & interest payments based on two alternative, more realistic scenarios:
➤With extensions of temporary policies & with spending growing faster than inflation;
➤With the above extensions, plus other debt-financed legislative & administrative actions.
Although the $1.9 trillion COVID relief bill under consideration addresses some key needs, some pieces could be better targeted. A redesigned plan could still provide the support necessary to fight the virus and support a strong economic recovery.
The House #COVIDrelief package includes about $312B of policies developed long before the #COVID crisis, not in response to it. Many of these policies are worthwhile but should be paid for and made permanent parts of the tax code or budget.
Policymakers could offset these policies by raising the top individual income tax rate for high earners back to 39.6% or increasing the corporate income tax rate.
NEW: The CBO update shows that the recent budget deal made a bad situation worse. From our statement: "The recent budget deal was a budget buster, and now we have further proof. Both parties took an already unsustainable situation and made it much worse." crfb.org/press-releases…
"Debt is now going to grow to almost the size of the economy within the decade. If Congress keeps extending tax cuts, debt will likely exceed the size of the economy within the decade."
"Between the budget deal, the tax cuts, and other recent unpaid-for legislation, policymakers have roughly doubled near-term deficits over just the past few years."