<font size="-1" , face="Arial" ,"Helvetica">National Bipartisan Commission on the Future of Medicare

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The Facts About Medicare

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Medicare Goes Broke in 2008

The Balanced Budget Act of 1997 (which also created the Medicare Commission) ensures solvency of the Medicare Part A trust fund for the next 10 years. But, without reform, the trust fund goes bankrupt in the year 2008.

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Medicare Spending Affects Other Programs

Annual Medicare expenditures will climb from $207 billion, last year, to between $2.2 and $3 trillion by the year 2030. As a result, Medicare spending will become a much larger part of the federal budget, potentially affecting the funding of other important programs such as national defense, justice, health and safety and environmental protection.

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Beneficiaries’ Out-of-Pocket Costs to Rise

As the Medicare system itself faces financial troubles, Medicare beneficiaries also face higher costs. Today, beneficiaries pay nearly 30 percent of their health care costs from their own pockets. In 1995, those costs averaged $2,563 per person to pay for premiums, services and products not covered by Medicare. In the future, out-of-pocket costs are expected to rise.

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77 Million Baby Boomers to Enter Medicare

Medicare must be strengthened and improved to handle the increased demand of 77 million “Baby Boomers” (people born between 1946 and 1964) who will begin entering Medicare in the year 2011.

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Fewer Workers Per Retiree to Fund Medicare

As the number of new Medicare beneficiaries rises sharply, there will be significantly fewer workers per retiree to fund Medicare.


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The National Medicare Commission is examining Medicare closely to make recommendations by March 1, 1999, to strengthen and improve the health care program in time for the retirement of 77 million "Baby Boomers." The Commission's work is timely and important because Medicare faces serious challenges brought on by rapid population changes and rising medical costs. Unless fundamental reforms are adopted to make Medicare more efficient and to slow its growth, some combination of tough choices will have to be made to ensure Medicare's long-term solvency. For example, without other changes, Medicare's payroll taxes would have to increase from 2.9% to about 5.6% by the year 2030 to fully fund inpatient hospital services (Part A spending).1 Reforming Medicare is thus critical to delivering quality health care to the elderly in the future.

1 source: 1998 Annual Report of the Board of Trustees of the Federal Hospital Insurance Trust Fund



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