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.
Fact #2 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.
Fact #3 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.
Fact #4 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.
Fact #5 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.
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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