Jun 5, 2018

Medicare fund slated to run dry by 2026

People protest Medicare cuts in Chicago. Photo: Scott Olson/Getty Images

Medicare's primary fund is expected to be depleted by 2026, three years earlier than health care officials expected last year, per the 2018 report from Medicare's trustees.

Why it matters: More than 58 million seniors and disabled people rely on Medicare to get health care services. But a dwindling and aging tax base, higher payments to providers and health insurers, and overall high health care prices could result in fewer covered hospital bills for Medicare enrollees in the not-too-distant future.

By the numbers: Medicare spent $710 billion in 2017, or more than $12,000 per beneficiary.

  • Medicare's hospital trust fund, which pays for inpatient and nursing care and is mainly funded through payroll taxes, is the one that is expected to be insolvent three years ahead of earlier forecasts.
  • The other portions of Medicare — physician services, Medicare Advantage plans and prescription drug plans — are funded through general taxpayer revenue and premiums that people pay every month.

Behind the numbers: Officials said President Trump's tax overhaul likely will hurt the financial shape of Medicare. The law reduced federal income tax rates (which means less money for Medicare) and eliminated the Affordable Care Act's individual mandate (which means Medicare will need more money to reimburse hospitals for treating the uninsured).

A warning: Officials urged Congress and the administration to "work with a sense of urgency" because "the early introduction of reforms increases the time available for affected individuals and organizations — including health care providers, beneficiaries and taxpayers — to adjust their expectations and behavior."

The big picture: President Trump previously vowed not to cut Medicare, and his administration has offered no plan to increase the program's solvency. Many Democratic lawmakers and candidates are endorsing a "Medicare-for-all" system that would replace the current system of multiple health insurance sources with one cradle-to-grave Medicare system.

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Illustration: Eniola Odetunde/Axios

Here's the growing dilemma for 2020 Democrats vying for a one-on-one showdown with frontrunner Bernie Sanders: Do they have the guts — and the money — to first stop Mike Bloomberg?

Why it matters: Joe Biden, Pete Buttigieg, Amy Klobuchar and Elizabeth Warren all must weigh the costs of punching Bloomberg where he looks most vulnerable: stop-and-frisk, charges of sexism, billionaire entitlement. The more zealous the attacks, the greater the risk he turns his campaign ATM against them.

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Why it matters: GDP is the most comprehensive economic scorecard — and something presidents, especially Trump, use as an example of success. And it's especially relevant since Trump is running for re-election on his economic record.

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14 Americans evacuated from the Diamond Princess cruise ship tested positive for the novel coronavirus before being flown in a "specialist containment" on a plane repatriating U.S. citizens back home, the U.S. government said early Monday.

The big picture: COVID-19 has now killed at least 1,770 people and infected almost 70,000 others. Most cases and all but five of the deaths have occurred in mainland China. Taiwan confirmed its first death on Sunday, per multiple reports, in a 61-year-old man with underlying health conditions. Health officials were investigating how he became ill.

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