Eugene Steuerle's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Meghan Hoyer: "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15reportingonhealth
Meghan Hoyer's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Larry Levitt: "Out of Pocket: Surprise Costs After Health Reform," 10.29.15reportingonhealth
Larry Levitt's presentation from "Out of Pocket: Surprise Costs After Health Reform," 10.29.15
http://www.reportingonhealth.org/content/out-pocket-surprise-costs-after-health-reform
Zack Cooper: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Zack Cooper's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Who is impacted by the coverage gap in states that have not adopted the medic...KFF
This slideshow examines the poor uninsured adults in the coverage gap in states that have not expanded Medicaid under the Affordable Care Act (ACA) and shows who is affected by the gap. Updated November 2016.
Meghan Hoyer: "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15reportingonhealth
Meghan Hoyer's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Larry Levitt: "Out of Pocket: Surprise Costs After Health Reform," 10.29.15reportingonhealth
Larry Levitt's presentation from "Out of Pocket: Surprise Costs After Health Reform," 10.29.15
http://www.reportingonhealth.org/content/out-pocket-surprise-costs-after-health-reform
Zack Cooper: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Zack Cooper's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Who is impacted by the coverage gap in states that have not adopted the medic...KFF
This slideshow examines the poor uninsured adults in the coverage gap in states that have not expanded Medicaid under the Affordable Care Act (ACA) and shows who is affected by the gap. Updated November 2016.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17reportingonhealth
Kathleen Nolan's slides from the Center for Health Journalism webinar, "Medicaid Undone? Covering the Safety Net’s New Future," 7.26.17
More info: https://www.centerforhealthjournalism.org/content/medicaid-undone-covering-safety-nets-new-future
Jay Angoff: "King v. Burwell: Obamacare on the Brink?" 6.16.15reportingonhealth
Jay Angoff's presentation from "King v. Burwell: Obamacare on the Brink?" a ReportingOnHealth.org webinar, 6.16.15
http://www.reportingonhealth.org/content/king-v-burwell-obamacare-brink
Blair Hickman: "Out of Pocket: Surprise Costs After Health Reform," 10.29.15reportingonhealth
Blair Hickman's presentation from "Out of Pocket: Surprise Costs After Health Reform," 10.29.15
http://www.reportingonhealth.org/content/out-pocket-surprise-costs-after-health-reform
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17reportingonhealth
Kathleen Nolan's slides from the Center for Health Journalism webinar, "Medicaid Undone? Covering the Safety Net’s New Future," 7.26.17
More info: https://www.centerforhealthjournalism.org/content/medicaid-undone-covering-safety-nets-new-future
Jay Angoff: "King v. Burwell: Obamacare on the Brink?" 6.16.15reportingonhealth
Jay Angoff's presentation from "King v. Burwell: Obamacare on the Brink?" a ReportingOnHealth.org webinar, 6.16.15
http://www.reportingonhealth.org/content/king-v-burwell-obamacare-brink
Blair Hickman: "Out of Pocket: Surprise Costs After Health Reform," 10.29.15reportingonhealth
Blair Hickman's presentation from "Out of Pocket: Surprise Costs After Health Reform," 10.29.15
http://www.reportingonhealth.org/content/out-pocket-surprise-costs-after-health-reform
Linda Greenhouse: "King v. Burwell: Obamacare on the Brink?" 6.16.15reportingonhealth
Linda Greenhouse's presentation from "King v. Burwell: Obamacare on the Brink?" a ReportingOnHealth.org webinar, 6.16.15
http://www.reportingonhealth.org/content/king-v-burwell-obamacare-brink
Noam Levey: "Out of Pocket: Surprise Costs After Health Reform," 10.29.15reportingonhealth
Larry Levitt's presentation from "Out of Pocket: Surprise Costs After Health Reform," 10.29.15
http://www.reportingonhealth.org/content/out-pocket-surprise-costs-after-health-reform
Dan Gorenstein: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Dan Gorenstein's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Becca Aaronson's presentation from "Visualizing Health Care Data" a ReportingOnHealth.org webinar, 7.23.15
http://www.reportingonhealth.org/content/visualizing-health-care-data
Dr. Mollyann Brodie: "What Soaring Drug Prices Mean for Patients," 9.3.15reportingonhealth
Dr. Mollyann Brodie's presentation from "What Soaring Drug Prices Mean for Patients," 9.3.15
http://www.reportingonhealth.org/content/what-soaring-drug-prices-mean-patients
Kristin Gourlay: "What Soaring Drug Prices Mean for Patients," 9.3.15reportingonhealth
Kristin Gourlay's presentation from "What Soaring Drug Prices Mean for Patients," 9.3.15
http://www.reportingonhealth.org/content/what-soaring-drug-prices-mean-patients
Dr. Peter B. Bach: "What Soaring Drug Prices Mean for Patients," 9.3.15reportingonhealth
Dr. Peter B. Bach's presentation from "What Soaring Drug Prices Mean for Patients," 9.3.15
http://www.reportingonhealth.org/content/what-soaring-drug-prices-mean-patients
Martin Gaynor: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Martin Gaynor's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
This infographic provides an overview of CBO's report, The 2016 Long-Term Budget Outlook. Gain quick insight into why CBO projects a substantial imbalance in the federal budget beyond the next 10 years.
SECTION 1: INTRODUCTION
HealthView Services’ 2016 Retirement Health Care Costs Data Report explores emerging trends and provides
detailed projections of health care expenses in retirement.
The paper will address the impact of rising in-retirement health care inflation, the elimination of Social Security
filing strategies, and adjustments to Medicare-surcharge brackets on future health care costs.
The Report also outlines costs related to state of residence, years to retirement, extent of coverage, gender, health
status, and income: all of which must be considered by financial advisors when planning for future medical
expenses at the individual level.
Finally, some time will be spent analyzing investment strategies, including personal time horizons (both before
and during retirement) and the adjustment of income replacement ratios, to minimize the effect of rising health
care on retirement budgets.
Learn about 2016 trends in government and private healthcare spending, employer costs, and the patient-as-consumer movement that's spurring new provider models.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Architecture Before Experience - EuroIA Amsterdam 2016 Bogdan Stanciu
Spending $9.715 per capita (The World Bank, 2013), the United States sits on top of the world of total health expenditures, but ranks only 33rd in population health. With 165.169 mHealth applications available for download to more than two-thirds of Americans who own a smartphone, one might think the digital revolution is going to cure everyone. However, the healthcare industry is failing the care model. Facing disruption in an open, competitive marketplace, the big insurance and big pharma, along with the hospital-based medical systems are trying to ride the wave of digital transformation in the most archaic way: adding a digital silo to their organisational chart. Battling conflicting workflows, poor integrations of a wide range of applications, and legacy policies and infrastructure, digital is as challenged as its peers in the marketing, patient experience, physician relationships, and consumer product departments to produce a comprehensive strategy for transformation. The good news is that medical systems are just that: systems. And like every other systems in the world, they can be designed.
Health Reform in America: An Overview of the Patient Protection and Affordabl...Adam Dougherty
A lecture to the UC Davis School of Medicine community covering the basics of the health reform law passed in early 2010. Presented by Adam Dougherty, MPH, MS1
Presentation by Julie Topoleski, Director of CBO’s Labor, Income Security, and Long-Term Analysis Division, at the 15th Annual Meeting of the OECD’s Working Party of Parliamentary Budget Officials and Independent Fiscal Institutions.
This is a training on the financial crisis facing Medicare in the next generation. Are Democratic of Republican proposals for Medicare reform able to address the crisis, or can only single payer save the Medicare entitlement for seniors?
The Paradigm Shift from Healthcare to Population HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Although there has been much discussion about health care recently, very little attention has been paid to Medicare. While some politicians promise not to touch the vital program, such pledges will only hurt it as it faces serious financing issues that must be addressed and will make the larger health care problem harder to solve. See more at http://www.fixthedebt.org/why-leaving-medicare-alone-will-only-weaken-it
Similar to Eugene Steuerle: "Will the Silver Tsunami Send Medicare into the Red?," 12.17.15 (20)
Tom Wong: Public Charge: Immigrant Health Under Trump’s New Rulereportingonhealth
Prof. Tom Wong's slides from the Center for Health Journalism webinar, "Public Charge: Immigrant Health Under Trump’s New Rule" 9.11.19
More info: https://www.centerforhealthjournalism.org/content/employee-health-insurance-failing-americans
Dr. Arnie Milstein: Is Employee Health Insurance Failing Americans?reportingonhealth
Dr. Arnold Milstein's slides from the Center for Health Journalism webinar, "Is Employee Health Insurance Failing Americans?" 7.23.19
More info: https://www.centerforhealthjournalism.org/content/employee-health-insurance-failing-americans
Larry Levitt: Is Employee Health Insurance Failing Americans?reportingonhealth
Larry Levitt's slides from the Center for Health Journalism webinar, "Is Employee Health Insurance Failing Americans?" 7.23.19
More info: https://www.centerforhealthjournalism.org/content/employee-health-insurance-failing-americans
Barbara Laker & Wendy Ruderman: "Toxic Cities: Telling Big Stories on Hidden ...reportingonhealth
Barbara Laker and Wendy Ruderman's slides from the Center for Health Journalism webinar, "Toxic Cities: Telling Big Stories on Hidden Risks" 6.6.19
More info: https://www.centerforhealthjournalism.org/content/what-s-stake-rural-america-loses-its-hospitals
Betsy McKay: "What’s at Stake as Rural America Loses Its Hospitals"reportingonhealth
Betsy McKay's slides from the Center for Health Journalism webinar, "What’s at Stake as Rural America Loses Its Hospitals" 1.22.19
More info: https://www.centerforhealthjournalism.org/content/what-s-stake-rural-america-loses-its-hospitals
Dr. Katy Kozhimannil: "What’s at Stake as Rural America Loses Its Hospitals"reportingonhealth
Dr. Katy Kozhimannil's slides from the Center for Health Journalism webinar, "What’s at Stake as Rural America Loses Its Hospitals" 1.22.19
More info: https://www.centerforhealthjournalism.org/content/what-s-stake-rural-america-loses-its-hospitals
Dr. Elissa Epel: "How Our Environment Gets Under Our Skin"reportingonhealth
Dr. Elissa Epel's slides from the Center for Health Journalism webinar, "How Our Environment Gets Under Our Skin" 10.9.18
More info: https://www.centerforhealthjournalism.org/content/master-class-reporting-health-policy
Dr. Anthony Iton: "How Our Environment Gets Under Our Skin"reportingonhealth
Dr. Anthony Iton's slides from the Center for Health Journalism webinar, "How Our Environment Gets Under Our Skin" 10.9.18
More info: https://www.centerforhealthjournalism.org/content/master-class-reporting-health-policy
Daniel Chang: "Master Class: Reporting on Health Policy"reportingonhealth
Daniel Chang's slides from the Center for Health Journalism webinar, "Master Class: Reporting on Health Policy" 9.6.18
More info: https://www.centerforhealthjournalism.org/content/master-class-reporting-health-policy
Victoria Colliver: "Master Class: Reporting on Health Policy"reportingonhealth
Victoria Colliver's slides from the Center for Health Journalism webinar, "Master Class: Reporting on Health Policy" 9.6.18
More info: https://www.centerforhealthjournalism.org/content/master-class-reporting-health-policy
Dylan Scott's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Angela Rachidi's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Judith Solomon's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Stephanie Armour: "Will Obamacare survive the latest Trump maneuver?"reportingonhealth
Stephanie Armour's slides from the Center for Health Journalism webinar, "Will Obamacare survive the latest Trump maneuver?" 6.18.18
More info: https://www.centerforhealthjournalism.org/content/obamacare-really-back-legal-limbo
Timothy Jost: "Will Obamacare survive the latest Trump maneuver?"reportingonhealth
Timothy Jost's slides from the Center for Health Journalism webinar, "Will Obamacare survive the latest Trump maneuver?" 6.18.18
More info: https://www.centerforhealthjournalism.org/content/obamacare-really-back-legal-limbo
Dr. Aaron Kesselheim: "Runaway Train: America’s Drug Price Problem"reportingonhealth
Dr. Aaron Kesselheim's slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
Katie Thomas: "Runaway Train: America’s Drug Price Problem"reportingonhealth
Katie Thomas' slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
David Mitchell: "Runaway Train: America’s Drug Price Problem"reportingonhealth
David Mitchell's slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
Lois Beckett: "Outgunned: America’s Public Health Crisis"reportingonhealth
Lois Beckett's slides from the Center for Health Journalism webinar, "Outgunned: America’s Public Health Crisis," 3.13.18
More info: https://www.centerforhealthjournalism.org/content/outgunned-americas-public-health-crisis
David Hemenway: "Outgunned: America’s Public Health Crisis"reportingonhealth
David Hemenway's slides from the Center for Health Journalism webinar, "Outgunned: America’s Public Health Crisis," 3.13.18
More info: https://www.centerforhealthjournalism.org/content/outgunned-americas-public-health-crisis
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Eugene Steuerle: "Will the Silver Tsunami Send Medicare into the Red?," 12.17.15
1. Medicare as Health Care Flagship
Eugene Steuerle, Richard B. Fisher Chair & Institute Fellow, Urban Institute
blog.governmentwedeserve.org | deadmenruling.com
Presentation for Center for Health Journalism: “Will the Silver Tsunami Send Medicare
into the Red?”
December 16, 2015
2. Pressures Related to Medicare
Health costs:
Prices in a non-competitive sector
Quantities in a technologically advanced sector
Automatic growth without new legislation
Aging of population:
“Faux aging”: living longer but not working longer
True aging: decline in the birth rate & population labor force participation,
Budget:
Medicare Part A imbalances
Total Medicare cost = demand on revenues from som whatever the source
Squeeze:
On other government programs
On other personal income
3. Health Spending as a Share of per Capita GDP Growth
19.1%
27.6%
31.1%
1965-1985 1985-2005 2005-2020
Source: CMS National Health Expenditure data. GDP data from CBO and Federal Reserve Economic Data.
Health Costs consuming nearly one-third of per
capita income growth
4. Increasing years of support
0
5
10
15
20
25
30
35
1965 1975 1985 1995 2005 2015 2025 2035 2045 2055 2065
Expected Years of Benefits for a Couple at Age 65
At least one spouse living
Source: Urban Institute. 2015. Calculations from actuarial tables provided by the Social Security Administration.
5. Ever more generous retirement
269,000
487,000
185,000
616,000 543,000
731,000 655,000
962,000
813,000
39,000
156,000
18,000
422,000
140,000
621,000
179,000
965,000
227,000
308,000
37,000
643,000
203,000
1,038,000
683,000
1,352,000
834,000
1,927,000
1,040,000
Benefits Taxes Benefits Taxes Benefits Taxes Benefits Taxes Benefits Taxes
1960 1980 2015 2030 2050
Year Couple Turns 65
Social Security Medicare
Married couple earning the average wage ($49,000 in 2015)
Present Value of Lifetime Social Security and Medicare Benefits and Taxes at Age
Source: C. E. Steuerle and C. Quakenbush, Urban Institute, 2015. Based on earlier work with Adam Carasso and Stephanie Rennane.
Calculations based on data from Social Security and CMS trustees.
Notes: Totals are expected present values adjusted for mortality at age 65 and assume a constant 2 percent real discount rate.
(Age 50 in 2015) (Age 30 in 2015)
2015 dollars
6. Expected Medicare benefits comprise a large share
of lifetime benefits.
39,000
-
156,000
18,000
422,000
140,000
621,000
179,000
965,000
227,000
Benefits Taxes Benefits Taxes Benefits Taxes Benefits Taxes Benefits Taxes
1960 1980 2015 2030 2050
Year Couple Turns 65 (Age 50 in 2015) (Age 30 in 2015)
2015 dollars
Source: C. E. Steuerle and C. Quakenbush, Urban Institute, 2015. Based on earlier work with Adam Carasso and Stephanie Rennane.
Lifetime benefits are net of premiums. Calculations based on data from Social Security and CMS trustees.
Notes: Totals are expected present values adjusted for mortality at age 65 and assume a constant 2 percent real discount rate.
Present Value of Lifetime Medicare Benefits and Taxes at Age 65
Married couple earning the average wage ($49,000 in 2015)
7. Declining rates of fertility
(begins about 1965, starts playing out in Medicare about 2010)
0
0.5
1
1.5
2
2.5
3
3.5
1965 1970 1975 1980 1985 1990 1995 2000 2005 2010
Source: Center for Disease Control data compiled by the World Bank
Notes: The total fertility rate estimates the number of births that a hypothetical group of 1,000 women would have over their
lifetimes, based on the age-specific birth rates in a given year.
Total Fertility Rate in the United States
9. Widening gap in financing
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
1966 1971 1976 1981 1986 1991 1996 2001 2006 2011 2016 2021 2026 2031 2036 2041 2046 2051 2056
Expenditures
Income Excluding
Interest and General
Fund Transfers
Medicare Costs and Income Excluding Interest and General Fund
Transfers
Source: Supplemental data from Medicare 2015 Trustees Report. Expenditures assume CMS “illustrative alternative”
scenario.
Percentage of GDP
10. Health and retirement expenditures dominate growth
in spending over the next decade.
-2%
2%
10%
30%
59%
Defense
Children
All other outlays
Interest on the debt
Social Security, Medicare, and Medicaid
Source: Urban Institute. Kids’ Share 2015: Report on Federal Expenditures on Children through 2014.
Share of Projected Growth in Federal Outlays from 2014 to 2025 by Major
Budgetary Category
11. For reporters: terms that confuse
• Aging : different responses required for longer lives and drop in birth rates
• Costs: price and quantity (partly due to technology) pressures not the same
• Change: focus on new legislation obscures the major, automatic, change from the past
• Employment: employment rate, not unemployment rate, drives growth & revenues
• Insolvency? 44% of Medicare costs already financed by general revenues & deficits
• Winners and losers: when one share goes up, another must go down