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Issues in the Budget Debate. Bob Greenstein July 19, 2011. Medicare and Medicaid Expected to Rise Rapidly, Other Programs (Except Social Security) to Shrink, As Share of GDP. Spending and Revenues as a Share of GDP. Source: CBPP projections based on CBO data.

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issues in the budget debate

Issues in the Budget Debate

Bob Greenstein

July 19, 2011

Medicare and Medicaid Expected to Rise Rapidly, Other Programs (Except Social Security) to Shrink, As Share of GDP

Spending and Revenues as a Share of GDP

Source: CBPP projections based on CBO data.

economic downturn and legacy of past policies drive record deficits in the decade ahead
Economic Downturn and Legacy of Past Policies Drive Record Deficits in the Decade Ahead

Source: CBPP analysis based on Congressional Budget Office estimates.

tax expenditures are substantial
Tax Expenditures Are Substantial

Note: Tax expenditure figures exclude Recovery Act provisions that were allowed to expire, but include those that have been extended. Sources: Office of Management and Budget, Congressional Budget Office.

medicare and medicaid controlled costs better than private insurance over the last decade
Medicare and Medicaid Controlled Costs Better than Private Insurance Over the Last Decade

Average Annual Growth Rate, 2000-2009

Private Per



to Medicare

Medicaid Per


Medicare Per


Private Employer



Source: CBPP analysis.

nearly two thirds of proposed cuts in ryan plan come from low income programs
Nearly Two-Thirds of Proposed Cuts in Ryan Plan Come From Low Income Programs

Source: “The Path to Prosperity” FY2012 Budget Resolution

ryan proposal would double health care spending of typical 65 year old
Ryan Proposal Would Double Health Care Spending of Typical 65-Year Old

Source: Douglas W. Elmendorf, Director, Congressional Budget Office, Letter to the Honorable Paul Ryan, April 5, 2011, and CBPP calculations. Current Medicare is CBO’s alternative fiscal scenario.

Note: Beneficiary’s share of spending includes premiums out-of-pocket costs for covered services, and any payments for supplemental insurance.


Reductions in Medicare, Medicaid, and Social Security Under Corker Cap If the Spending Reductions Are Achieved Through the Bill’s Automatic Cuts

Source: CBPP analysis based on Congressional Budget Office data

what the rsc budget does
What the RSC Budget Does
  • Eliminates 70% of non-defense discretionary funding — including older Americans’ Act programs — by 2021. Cuts these programs more than $3 trillion over 10 years, compared to the FY 2011 funding levels Congress approved in April.
  • Similar to Ryan budget in Medicare, except that its Medicare cuts are even deeper than Ryan’s.
  • Raises Social Security retirement age to 70.
  • Cuts Medicaid, SSI for the elderly and disabled poor, and food stamps in half.
  • Cuts Medicaid and CHIP (Children’s Health Insurance Program) by over $2 trillion over 10 years.
deficit in 2021 would be cut nearly in half simply by letting all of the bush tax cuts expire
Deficit in 2021 Would Be Cut Nearly in Half Simply by Letting All of the Bush Tax Cuts Expire

Source: Center on Budget and Policy Priorities based on data from the Congressional Budget Office.

federal income taxes historically low
Federal Income Taxes Historically Low

Source: Treasury Department, 1955-1996; Tax Policy Center update, 1997-2010.

Cost of Extending Tax Cuts Exclusively for Upper-Income Taxpayers Roughly Equals Social Security Shortfall

Source: Social Security Administration, CBPP based on Congressional Budget Office and President Obama’s FY 2012 Budget.

highly uneven income growth has substantially worsened income inequality
Highly Uneven Income Growth Has Substantially Worsened Income Inequality

Source: CBPP calculations based on Congressional Budget Office data.