• The Heritage Network
    • Resize:
    • A
    • A
    • A
  • Donate
  • Federal Spending on Health Care Doubles in the Next Decade

    The Congressional Budget Office (CBO) released its Budget and Economic Outlook for years 2012 to 2022 yesterday, and as Heritage’s Patrick Knudsen shows, the numbers add up to a dismal fiscal future. As the government continues its fiscal irresponsibility, 2012 will be the fourth straight year of trillion-dollar deficits. This trend is on track to continue as a result of increasing federal spending on health care, which will more than double between 2012 and 2022.

    The CBO estimates that by 2022, the government will spend $1.8 trillion on health care, 7.3 percent of our total economy. CBO breaks down the portions of the spending each program will account for: “Rising spending for Medicare accounts for about one-half of that growth, rising spending for Medicaid accounts for roughly one-third, and the remaining growth stems primarily from the new subsidies to be provided through health insurance exchanges beginning in 2014.”

    Medicare Spending

    As the population ages and health care costs continue their upward trend, Medicare spending will become unsustainable. CBO projects that “gross Medicare outlays in 2022 will exceed $1 trillion, almost 90 percent more than they are expected to be this year.” But that projection includes cuts to Medicare reimbursements for doctors and hospitals included in current law that are highly unlikely to happen. For example, doctor payment reductions are scheduled to be cut by 27 percent under the flawed sustainable growth rate (SGR). This affects the CBO’s baseline greatly:

    If future legislation overrides the scheduled reductions (as has happened in every year since 2003), spending on Medicare might be significantly greater than the amount that is projected in CBO’s baseline. For example, if payment rates for physicians remained at their 2011 amounts through 2022, net Medicare outlays over the next 10 years would be about $316 billion (or roughly 4 percent) higher than in CBO’s baseline projections.

    Growth in Medicare spending is partially a result of an increase in the number of beneficiaries of 3 percent per year over the next decade, from 48 million beneficiaries in 2011 to 66 million beneficiaries in 2022. In addition, federal spending per beneficiary will grow. Spending in Parts A and B is projected to increase by about 30 percent, and Part D spending is expected to double.

    Medicaid Spending

    Federal spending on Medicaid is expected to “shoot up rapidly in 2014, 2015, and 2016 as a result of provisions in the Affordable Care Act. By 2022, under current law, federal outlays for Medicaid are expected to total $605 billion, more than twice the 2012 amount.” And this is only the federal share of Medicaid spending; state spending will also increase. Spending growth is caused by a huge increase in enrollment due under Obamacare’s expansion of the entitlement. “By 2022, about 95 million people will be enrolled in Medicaid at some point in the year,” CBO estimates. The federal share of Medicaid costs will be significantly larger in the future than it is today.

    Obamacare Subsidies

    Obamacare’s major provisions begin to kick in in 2014, and this will result in federal spending for health care programs other than Medicare and Medicaid rising from $26 billion this year to $161 billion in 2022. CBO predicts, “About 8 million people will receive exchange subsidies in 2014 and roughly 20 million will receive them by 2022. Outlays for providing those subsidies, operating the exchanges, and running related programs will total $104 billion by 2022.”

    End It Before It Gets Worse

    As expected, the CBO’s report does not show Obamacare paying for itself. In fact, it costs $54 billion more over the next 10 years than the last CBO estimate. This is because the Administration’s abandoned CLASS Act, which had a repeal vote in the House happening today, no longer offsets new spending. Also, the cost of the law increased because an additional year of its full implementation has been added to the 10-year baseline. The CBO’s estimates are going to continue to rise as the baseline captures a full 10 years of implementation.

    CBO’s budget and economic outlook for America is bleak and disturbing. It reiterates the need for Congress to get serious about our nation’s debt and spending problems. It is past time to repeal Obamacare and get the country’s fiscal future back on track. To read Heritage’s full reform proposal, click here.

    Posted in Obamacare [slideshow_deploy]

    4 Responses to Federal Spending on Health Care Doubles in the Next Decade

    1. Stirling says:

      Not a real surprise when you put the government in charge of anything… The State's I fear will be the ones in the end to be crushed by the mandates which will have to pass on to it's citizens in higher taxes. Wecome to the GRE (government run everything) Entitlement generation.

    2. Darlene Gordon says:

      Smaller Government—health care in the hands of state and local government. It can be manageable.

    3. steve h says:

      Health care costs were shooting up already in the public and private sector as it is – they more than doubled over the prevous decade, so doubling over the next decade means nothing – in fact it's better than last decade considering the number of baby boomers to retire and the numbers of Americans who will not be insured. Looks like step in right direction to me…and having 30 to 40 million more Americans with health insurance – who could possibly be against that?

    4. Duke S says:

      Doubling budgets — I would be more concerned as a measure on cost / person at two points in time in present value terms— then a sensational title of 'budget doubles'…. I would expect the budget to increase over a 10 year period not only due to inflation but due to increases in enrollment. If governments are investing in technology today to support 21st century services, that is a good thing. Not only does it help our current economy in the tech sector, efficiences gained through modernization should allow for more efficient operations and delivery of services. Who needs broken systems and inefficient services at time when demand for the services are on the rise for the next couple of decades?

    Comments are subject to approval and moderation. We remind everyone that The Heritage Foundation promotes a civil society where ideas and debate flourish. Please be respectful of each other and the subjects of any criticism. While we may not always agree on policy, we should all agree that being appropriately informed is everyone's intention visiting this site. Profanity, lewdness, personal attacks, and other forms of incivility will not be tolerated. Please keep your thoughts brief and avoid ALL CAPS. While we respect your first amendment rights, we are obligated to our readers to maintain these standards. Thanks for joining the conversation.

    Big Government Is NOT the Answer

    Your tax dollars are being spent on programs that we really don't need.

    I Agree I Disagree ×

    Get Heritage In Your Inbox — FREE!

    Heritage Foundation e-mails keep you updated on the ongoing policy battles in Washington and around the country.