Long-term projections of health care spending and the implications for the federal budget: presentation at the 15th annual meeting of the OECD’s working party of parliamentary budget officials and independent fiscal institutions
Growth in real national income per person has been--and, in CBO’s estimation, will continue to be—the most significant factor in the growth of spending on health care. The agency projects that in 2052, that factor would account for just over half of the additional cost growth. Increasing medical prices have been--and, in CBO’s estimation, will continue to be--another significant factor in the growth of spending on health care. The agency projects that in 2052, such increases would account for slightly less than half of the additional cost growth. Changes in out-of-pocket spending for health care have historically been an important factor in the growth of spending on health care. However, CBO projects that, under current law, the out-of-pocket share of national health expenditures would not change over the 30-year projection period. That is, the agency does not expect changes in out-of-pocket spending to contribute to additional cost growth in 2052.
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