Trump’s Fuzzy Medicare Math
by Eugene Kiely
Sep 20, 2018
7 minutes
President Donald Trump on several occasions has taken credit for making Medicare “stronger.” In one instance, he said, “Medicare will be $700 billion stronger over the next decade thanks to our growth.”
In fact, Medicare’s finances have worsened since he took office, and economic growth is not expected to help the program as much as he claims:
- The latest Medicare trustees report says the Medicare Part A trust fund, which covers payments to hospitals, will run out of money by 2026, three years earlier than projected just last year. That’s partly because the tax cut law that Trump signed last year will reduce Medicare revenues and increase expenses.
- Medicare remains on an unsustainable path. The annual cost for all four parts of Medicare — including physician payments and prescription drugs — is expected to more than double from $710 billion in 2017 to $1.44 trillion in 2027, and general revenues will increase as a share of Medicare financing from 41 percent in 2017 to 49 percent in 2032.
- The Congressional Budget Office in April estimated that economic growth could increase all payroll tax revenues, including Social Security, by $92 billion over the next 10 years. That’s far short of Trump’s $700 billion figure, which he said was just for Medicare.
Financial Outlook Worsens
Trump made claims about strengthening Medicare — the health
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