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Mandatory spending in the US federal budget in 2013 totaled $2.0 trillion, or 12.2% of GDP. The largest portions were $861 billion on major health care programs like Medicare and Medicaid, $808 billion on Social Security, and $340 billion on income security programs. Mandatory spending has increased as a percentage of GDP from 10.6% in 1993 due to growth in major health care programs and income security programs.
