Wednesday, September 9, 2020

Projected Medicare Expenditures through 2060

 This is an attempt to project Medicare expenditures through 2060.  I am basing it on my latest projection in the post Crisis in 2052.  I take the Medicare expenditures as a percent of GDP from the 2020 Medicare Trustees Report in Table V.B2.  Here is what I come up with:



Projected CBO
Medicare
Year GDP Health Medicare Medicare % Expend
2019 21,220 1,258


2020 20,649 1,399 862 3.85% 800
2021 20,997 1,419 810 3.95% 800
2022 22,077 1,559 973 4.06% 900
2023 22,975 1,578 1,013 4.19% 1,000
2024 23,956 1,625 1,036 4.32% 1,000
2025 25,010 1,776 1,158 4.45% 1,100
2026 26,130 1,890 1,240 4.58% 1,200
2027 27,287 2,011 1,328 4.71% 1,300
2028 28,462 2,209 1,491 4.84% 1,400
2029 29,591 2,207 1,450 4.94% 1,500
2030 30,732 2,411 1,611 5.17% 1,600
2031 32,300 2,615
5.27% 1,700
2032 33,900 2,819
5.37% 1,800
2033 35,600 3,023
5.47% 1,900
2034 37,400 3,227
5.57% 2,100
2035 39,300 3,431
5.66% 2,200
2036 41,300 3,635
5.72% 2,400
2037 43,000 3,839
5.78% 2,500
2038 44,900 4,043
5.84% 2,600
2039 46,800 4,247
5.89% 2,800
2040 48,800 4,451
5.94% 2,900
2041 50,900 4,629
5.96% 3,000
2042 53,100 4,814
5.98% 3,200
2043 55,800 5,007
6.00% 3,300
2044 58,600 5,207
6.02% 3,500
2045 61,500 5,415
6.04% 3,700
2046 64,600 5,632
6.04% 3,900
2047 67,800 5,857
6.05% 4,100
2048 71,200 6,092
6.05% 4,300
2049 74,800 6,335
6.06% 4,500
2050 78,500 6,589
6.06% 4,800
2051 82,400 6,852
6.07% 5,000
2052 86,500 7,126
6.08% 5,300
2053 90,800 7,411
6.09% 5,500
2054 95,300 7,708
6.10% 5,800
2055 100,100 8,016
6.10% 6,100
2056 105,100 8,337
6.12% 6,400
2057 110,400 8,670
6.14% 6,800
2058 115,900 9,017
6.15% 7,100
2059 121,700 9,378
6.16% 7,500
2060 127,800 9,753
6.17% 7,900

The column titled Projected Health is the total projected health spending that year including Medicare, Medicaid, health tax credits, and children's health.  The last column titled Medicare Expend is just the Medicare portion.  

Note that the HI Trust Fund will be depleted in 2026, so any projection after that is speculative.  Probably the spending will just continue and be funded from general revenues, which means it will be borrowed.  And then it is hard to see how that can continue after 2052.

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