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    Saturday, April 27, 2024

    Report: Long-term funding worsens for Medicare and Social Security

    Washington - The foul economy has shaved a few more years off the life expectancy of Medicare and Social Security, according to a new government report released Friday.

    Medicare's Hospital Insurance Trust Fund - which pays for hospital, home health, skilled nursing and hospice care for the elderly and disabled - will run out of money in 2024. That's five years earlier than last year's trustees report projected.

    Social Security has enough cash to cover benefits for 25 more years, but will become insolvent in 2036 when revenues no longer will cover full payments. Last year's report projected the Social Security Trust Fund would go broke in 2037. Longer life expectancy was the main cause of the change.

    While Medicare's funding woes are deeper than Social Security's, Treasury Secretary Tim Geithner said the reports show the need to revamp both of the programs sooner rather than later.

    "We should not wait for the Trust Funds to be exhausted to make the reforms necessary to protect our current and future retirees," Geithner said. "Larger, more difficult adjustment will be necessary if we delay reform. Making reforms soon that are phased in over time would help reduce uncertainty about future retirement benefits."

    Social Security paid benefits of $702 billion to roughly 54 million beneficiaries in 2010. Medicare, the public health program for seniors, provided services for 47.5 million people at a cost of $523 billion last year.

    The trustees said last year that provisions of the 2010 Affordable Care Act added 12 years to the Medicare trust fund's life, extending it until 2029. But rising health care costs and the recent recession took a toll this year, as fewer workers contributed to the fund because of high unemployment.

    Senate Budget Committee Chairman Max Baucus, D-Mont., said the report makes efforts to strengthen Medicare even more important.

    "We must continue to fight for and protect the Medicare program to ensure it is as dependable for the next generation as it is for our seniors today," Baucus said in a statement.

    Medicare now accounts for 15 percent of the federal budget. The GOP-led House of Representatives passed a budget that would cap program spending growth by changing Medicare from a program that pays for a defined set of health care benefits to one that pays a set subsidy toward private health insurance. Under that scenario, beneficiaries would be responsible for any cost overruns.

    The Congressional Budget Office found that 65-year-olds retiring in 2022 would devote about half their monthly Social Security checks to health care under the House proposal. That's more than twice what they'd pay under the current Medicare system, the analysis found.

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    Numerous polls have shown strong opposition to the House proposal, but in a statement Friday, Rep. Paul Ryan R-Wis., the chairman of the House Budget Committee, continued to champion the plan, citing the trustee report as an impetus for change.

    "Today's report yet again highlights the urgent need to save and strengthen our critical health and retirement security programs. Rather than allow opponents of reform to allow Medicare to collapse, the House-passed budget saves Medicare, making no changes for those 55 and older and offering future generations a strengthened, personalized Medicare program they can count on," Ryan said in a statement.

    John Rother, AARP executive vice president, said savings equivalent to those sought in the Ryan plan could be obtained throughout the health care system by improving patient safety, reducing preventable hospital readmissions and encouraging delivery system reforms.

    "If we are serious about addressing rising health costs, we cannot look only to Medicare for solutions," Rother said.

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    ON THE WEB:

    -Social Security trust fund report: http://1.usa.gov/fNg6yp

    -Medicare trust fund report: http://go.cms.gov/cODg5O

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    (c) 2011, McClatchy-Tribune Information Services.

    Visit the McClatchy Washington Bureau on the World Wide Web at www.mcclatchydc.com.

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    GRAPHIC (from MCT Graphics, 202-383-6064): 20110513 SOCIALSECURITY