From the Congressional Budget Office’s hot new white paper, “Options for Deficit Reduction“:
That’s all of the federal government’s spending in three graphs. The top graph is health care, including Medicare, Medicaid and the Affordable Care Act. The middle graph is Social Security. And then there’s literally everything else: Defense, education, infrastructure, food safety, R&D, farm subsidies, the FBI, etc.
What these three charts tell you is simple: It’s all about health care. Spending on Social Security is expected to rise, but not particularly quickly. Spending on everything else is actually falling. It’s health care that contains most all of our future deficit problems. And the situation is even worse than it looks on this graph: Private health spending is racing upwards even faster than public health spending, so the problem the federal government is showing in its budget projections is mirrored on the budgets of every family and business that purchases health insurance...Got that? Private health care costs are inflating faster than government health care spending. Which means it's not a "Medicare" problem. The issue we need to attack is getting systemic health care costs under control. When you hear anyone blame Medicare as the root of our budget problems or their target in "getting health care costs under control", they are either selling you their ideology or their ignorance. The prevalence of this nonsense is a key to understanding why as a nation our health care spending per capita is about twice as much as the high-quality universal systems such as France and Canada, with no better outcomes to show for it.