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Thursday, May 17, 2012

That Which Is Unsustainable Will Go Away: Medicare

Medicare is an example of an unsustainable system that will go away in the decade ahead.

Here are the sobering facts about the number of workers and those drawing Social Security, Medicare and Medicaid entitlements in the U.S. While the government claims to have a "trust fund" to pay for Social Security and Medicare, this is illusory propaganda. There are no funds set aside to pay these entitlements--they are "pay as you go" programs funded by current tax revenues. If the tax revenues don't cover the programs' expenses, the Treasury sells bonds, i.e. issues debt to pay the entitlements.

Social Security (SSA) has 61 million beneficiaries [7]as of March 2012.

Medicare has 49 million beneficiaries [8]as of November 2011.

Medicaid has over 50 million beneficiaries [9]; another source puts the current number at 58 million.

Kaiser Family Foundation says roughly 7 million "dual-eligibles" who receive both Medicaid and Medicare, so let's use the data point of 50 million [10] Medicaid-only recipients.

We can assume that most people drawing Medicare benefits also draw Social Security, while the 8+ million drawing disability from Social Security are also covered by Medicaid.

However you slice it, there are roughly 60 million people drawing Social Security and Medicare/Medicaid and another 50 million Medicaid recipients for a total of 110 million people drawing significant entitlements.

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2 comments:

Anonymous said...

If Congress hadn't kept borrowing from the Medicare system or had repaid the loan, it would not be in as bad a shape as it is. I'm not saying it would be perfect but it would be in better shape.

Anonymous said...

Yeah...the problem started when Congress raided (depleted) the SS Trust Fund. They can't have money just sitting around, now can they? This is a reality that everyone needs to accept and plan on what they will do when they get sick and/or retire. It troubles me deeply as I will not have a gov't pension and health care. Whats worse is that I (as well as every person in America) carries over 50K in debt, growing every day. I feel its like having a credit card in my wallet that I owe over 150k on (three in my family). Watch the debt clock for a few minutes...it makes me sick.