Plus, Medicareâs financial problems have gotten worse
By Yuval Rosenberg and Michael Rainey
Social Security Will Need to Tap Trust Fund for First Time Since 1982
Medicareâs financial problems worsened last year while Social Security still faces a significant long-term financial crunch â and will need to tap into its reserves for the first time in 36 years, according to annual reports released Tuesday by the programsâ trustees.
Here are the details you need to know about the outlook for safety net programs that more than 60 million American rely on â and that together account for about 40 percent of federal spending:
Social Security ([see the report](
- Social Security encompasses two programs, one for retirees and one that provides disability benefits. Taken together, the trust funds for the two programs are projected to be depleted in 2034, the same as last year. Taken separately, the fund for retirees is now expected to be depleted in 2034, a year earlier than last yearâs report, while the disability insurance reserves run out in 2032, four years later than projected last year.
- For the first time since 1982, Social Securityâs cost is projected to exceed its total income this year, forcing the program to tap into its $2.9 trillion trust fund to cover benefit payments.
- Depletion of the Social Security trust funds means that the program would no longer be able to pay its full benefits. Continuing payroll tax revenues to the combined trust funds would be sufficient to cover 79 percent of scheduled benefits starting in 2034.
- To make Social Security fully solvent for 75 years, the report says, revenues would have to be increased by an amount equivalent to a permanent payroll tax rate hike of 2.78 percentage points, from 12.4 percent to 15.18 percent, or scheduled benefits would need to be cut by as much as 21 percent, depending on whether the reduction in payments was applied to all beneficiaries or only those who become eligible starting this year. Some combination of revenue increases and benefit changes could also eliminate the projected shortfall.
Medicare ([see the report](
- Medicareâs Hospital Insurance Trust Fund, which is known as Medicare Part A and covers inpatient care for older Americans, will be depleted in 2026, three years earlier than projected last year. The deteriorating outlook is the result of lower-than-expected wages in 2017, and thus lower payroll tax collections. Last yearâs Republican tax cuts also reduced projected revenue from taxes on Social Security benefits. The programâs spending, meanwhile, was slightly higher than expected.
- Total Medicare expenditures were $710 billion last year. The trustees project that Medicare costs will grow from about 3.7 percent of GDP in 2017 to 5.8 percent by 2038, and will continue to rise to about 6.2 percent of GDP by 2092.
- The trustees said the share of Medicare hospital benefits that can be covered by the programâs payroll tax revenues will decline from 91 percent in 2026 to 78 percent in 2039 before rising to 85 percent in 2092.
President Trump has said he wonât cut Social Security or Medicare, and his administration says that a strong economy will bolster both programs. âThe Administrationâs economic agenda â tax cuts, regulatory reform, and improved trade agreements â will generate the long-term growth needed to help secure these programs and lead them to a more stable path,â Treasury Secretary Steven Mnuchin said in a [statement]( Tuesday. But as Robert Pear of The New York Times [notes]( based on the new trusteesâ reports, âso far that does not appeared to have happened.â
Number of the Day: 2.2
The ratio of workers to Social Security beneficiaries will fall from about 2.8 last year to 2.2 by 2035, when most Baby Boomers will have retired, according to the new trusteesâ report. In 1960, there were about five workers for every beneficiary.
McConnell Cancels Senateâs August Recess
Senate Majority Leader Mitch McConnell announced Tuesday that he will cancel the Senateâs August recess as Republicans look to push through more of President Trumpâs judicial and executive branch appointments and make progress on annual appropriations bills.
"Due to the historic obstruction by Senate Democrats of the president's nominees, and the goal of passing appropriations bills prior to the end of the fiscal year, the August recess has been canceled," McConnell said in a [statement](.
The Senate had been tentatively scheduled to be in recess for four weeks, from August 6 until after Labor Day on September 3. Under the new schedule, theyâre expected to be away for the week of August 6 before returning to Washington for the rest of the month.
The change in schedule also has some [political benefit]( for Republicans as it helps keep Senate Democrats from campaigning at home as 24 of the seats they now hold are up for re-election. "The fact that the Republicans have resorted to keeping Democrats off the campaign trail in August shows you just how nervous they are about November," a senior Democratic aide told [The Hill](.
CMS Unveils New Scorecards for Medicaid and CHIP
The Trump administration is rolling out a scorecard that will evaluate states on key metrics for Medicaid and the Children's Health Insurance Program. Seema Verma, administrator of the Centers for Medicare and Medicaid Services, said the scorecards are a âconversation starterâ that will help states explore varying outcomes for services provided, ranging from postpartum care to immunization levels. The Washington Post [said]( the scorecards are âpart of a fundamental recalibration of the power relationship in Medicaid between the federal government and states,â as the Trump administration allows states more flexibility to institute their own rules â including, for example, new work requirements for Medicaid recipients â while being held accountable for their performance, though what exactly that accountability involves is still unclear.
Click [here for more details]( on the initial version of the CMS scorecard, and [here for a national-level summary]( of some of the key data.
A New Government Spending Tool from the Census
How much do your state and local governments spend on education, recreation and health care? The U.S. Census has created a new tool that allows users to sift through reams of government data to create revenue and spending profiles at the state and local level. Overall, state and local governments spent more than $3 trillion in 2015, the most recent year available, with the District of Columbia ($22,762), Alaska ($21,023) and Wyoming ($15,026) leading the way on per capita spending.
Click [here for a deluge of data from the State & Local Government Snapshot tool]( at the U.S. Census.
Quote of the Day
"I think the greatest threat domestically to the country is this $21 trillion debt hanging over the cloud of America and future generations.â
â Outgoing Starbucks Chairman Howard Schultz, on [CNBC]( Tuesday. Schultz announced Monday he will retire from the coffee company at the end of the month, stoking speculation that he may run for president in 2020.
News
- [A âSuicideâ Mission: White House and GOP Leadership Fear New Obamacare Repeal Push]( â Daily Beast
- [Licking Cancer: US Postal Stamp Helped Fund Key Breast Study]( â Associated Press
- [Long Waits Under VAâs Private Health Program]( â Associated Press
- [Republican Senator Calls Pruitt âas Swampy as You Getâ]( â Bloomberg
- [Maine Voted to Expand Medicaid. Judge Orders the State to Get Moving.]( â New York Times
- [Late Data for CMS Bundled-Pay Program Gives Providers Little Decision Time]( â Modern Healthcare
- [Top Medicaid Official Cheers Work Rules in Virginia Expansion]( â Washington Examiner
- [The Real Story of Trump's Crusade to Cut Government Red Tape]( â CNN Money
- [Trump's War on the Washington Bureaucracy]( â Washington Examiner
- [Pentagon May Cut Commando Forces in Africa in Major Military Review]( â New York Times
- [CEOs Are Scaling Back Hiring and Spending Because of Trade Fears]( â CNN Money
- [The U.S. Labor Market Just Hit a Key Level That We Havenât Seen Since 1970]( â Bloomberg
Views
- [Health Care Is Still a Mess. Republicans Are Making It Worse]( âWashington Post Editorial Board
- [Always Look on the Bright Side of Life, Says CEO Who Raised EpiPen Price by More Than 400%]( â David Lazarus, Los Angeles Times
- [The ObamaCare Fix for Mom and Pop]( â Tom Price, Wall Street Journal
- [The GOP Made Two Rotten Policy Bets]( â Jennifer Rubin, Washington Post
- [Automobile Tariffs Would Offset Half the TCJA Gains for Low-income Households]( â Tax Foundation
- [Why Trump's Leak on Jobs Data Was So Ominous]( â Stephen Mihm, Bloomberg View
- [A World Imagined: Nostalgia and Liberal Order]( â Cato Institute
- [Trump Just Flunked Another Math Test]( â Timothy OâBrien, Bloomberg View
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