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Morning Briefing

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Monday, Apr 3 2023

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Medicare Fund Projected To Run Out By 2031; Social Security By 2033

An annual report by the Boards of Trustees of the Social Security and Medicare trust funds warns that both could become insolvent within the next decade without congressional action. If the Medicare Hospital Trust Fund falls short, recipients would face automatic cuts to benefits.

The financial safety nets millions of older Americans rely on 鈥 and millions more young people are counting on 鈥 will run short of money to pay full benefits within the next decade, the annual Social Security and Medicare trustees report released Friday warns. Medicare, the government-sponsored health insurance that covers 65 million older and disabled people, will be unable to pay full benefits for inpatient hospital visits and nursing home stays by 2031, the report forecast. And just two years later, Social Security won鈥檛 have enough cash on hand to pay out full benefits to its 66 million retirees. (Seitz and Hussein, 3/31)

The U.S. Social Security system's main trust fund's reserves will be depleted in 2033, one year earlier than estimated last year, while Medicare's finances have improved slightly, reports from the programs' trustees showed on Friday. The Medicare Hospital Trust Fund reserves are now expected to be depleted in 2031 compared to an estimate of 2028 made last year, due in part to new estimates showing higher revenue data. (3/31)

Benefits won鈥檛 stop when the programs reach insolvency, but the government will be able to pay only a portion of the amount to which people are entitled. The trustees report predicts that, starting in 2033, Social Security鈥檚 old age and survivors insurance trust fund will be able to pay 77 percent of that amount. Starting in 2031, Medicare鈥檚 hospital insurance will be able to pay 89 percent of the scheduled benefits for hospital services, the report states. (Stein and Goldstein, 3/31)

Congress has assorted options鈥攍ike increasing taxes and reducing benefits鈥攖o reduce or eliminate both programs鈥 long-term financing shortfalls, but lawmakers have made it clear action isn鈥檛 imminent. Some Republicans initially called for a debt-limit deal this summer to also address entitlement solvency, possibly setting up a bipartisan panel to negotiate policy changes. But President Joe Biden and Speaker Kevin McCarthy (R-Calif.) have since said changes to Social Security and Medicare aren鈥檛 under discussion in debt-limit talks. (Pugh and Fitzpatrick, 3/31)

How government cuts are hurting Americans 鈥

Rhonda Smith is already struggling to get by on her fast-food salary. She鈥檚 behind on rent and cellphone payments, and she can no longer afford fresh fruits or vegetables. Now the 54-year-old in Bristol, Va., is among millions of Americans who may lose Medicaid coverage in the coming months, following a rollback in pandemic-era policies on Friday that adds uncertainty and strain to her finances. 鈥淢y insulin鈥檚 $3,000 a month and, without Medicaid, that鈥檚 just not possible,鈥 Smith said. 鈥淚鈥檓 barely getting by as it is, eating hot dogs and oatmeal most days. There鈥檚 nowhere left to cut.鈥 (Bhattarai, 4/2)

Steep cuts to food benefits hit Michiganders this month as a pandemic program wound down. Some saw their benefits drop to the minimum $23 a month. Some are turning to food banks to fill their cupboards. And others are planning to rework budgets and use coupons to stretch their grocery dollars as food prices have skyrocketed. (White, 4/1)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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