Breaking the budget will be three programs. Medicare, Medicaid, and Social Security. Sure we can change these programs but there is a terrible headwind that cannot be controlled, demographics. The baby boom generation will be retiring so there will be increased demand for services so the only way that this can change is if the services are curtailed or there are significant efficiencies and cost-savings. While everyone is talking about health care insurance, the real issue is still the retirement programs. The Federal government has not been able to control these costs.
Yes, we can insure more with health care but that does not change the problems with Medicare and Medicaid. These two programs represent about 5 percent of GDP but will increase to 10% in 2035 and more than 17% by 2080. These two programs will have the same share as the total current Federal budget. This is where we will have real problems and this is one reason for high long-term rates.
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