The financial condition of the government's bedrock retirement programs for middle- and working-class Americans remains shaky, with Medicare pointed toward insolvency by 2026, according to a report Monday by the government's overseers of Medicare and Social Security.
It paints a sobering picture of the programs, though it's relatively unchanged from last year's update. Social Security would become insolvent in 2035, one year later than previously estimated.
Both programs will need to eventually be addressed to avert automatic cuts should their trust funds run dry. Neither President Donald Trump nor Capitol Hill's warring factions has put political perilous cost curbs on their to-do list.
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The report is the latest update of the government's troubled fiscal picture. It lands in a capital that has proven chronically unable to address it. Trump has declared benefit cuts to the nation's signature retirement programs off limits and many Democratic presidential candidates are calling for expanding Medicare benefits rather than addressing the program's worsening finances.
Many on both sides actually agree that it would be better for Washington to act sooner rather than later to shore up the programs rather than wait until they are on the brink of insolvency and have to weigh more drastic steps.
Limiting her comments to Medicare, White House press secretary Sarah Sanders said the report highlights the need for "serious-minded" lawmakers to work with the administration on bipartisan changes to lower costs, eliminate fraud and abuse, and preserve the program for future generations.
Sanders also took the opportunity to criticize Democrats' calls to expand Medicare. She claimed such a step would amount to a "total government takeover of health care" that would cut out private-sector options, endanger access to health care for seniors and further strain the federal budget.
But potential cuts such as curbing inflationary increases for Social Security, hiking payroll taxes or raising the Medicare retirement age are so politically freighted and toxic that Washington's power players are mostly ignoring the problem.
Arkansas Rep. Steve Womack, the senior Republican on the House Budget Committee, urged action, saying the financial condition of both programs is driving up federal spending, increasing budget deficits and crowing out other priorities.
"We cannot afford to ignore this reality any longer," Womack said.
Later this year, Social Security is expected to declare a 1.8% cost-of-living increase for 2020 based on current trends, program officials say.
Monday's report by three Cabinet heads and Social Security's acting commissioner, urges lawmakers to "take action sooner rather than later to address these shortfalls, so that a broader range of solutions can be considered and more time will be available to phase in changes while giving the public adequate time to prepare."
If Congress doesn't act, both programs would eventually be unable to cover the full cost of promised benefits. With Social Security that could mean automatic benefit cuts for most retirees, many of whom depend on the program to cover basic living costs.
For Medicare, it could mean that hospitals, nursing homes, and other medical providers would be paid only part of their agreed-upon fees.
In a glimmer of good news, Social Security's disability program is now estimated to remain solvent for an additional 20 years, through 2052. Overall, however, Social Security would run out of reserves by 2035, one year later than projected in last year's report.
"We remain committed to further bolstering the programs' finances, which will benefit from the long-term growth we will see as a result of the Administration's economic policies," said Treasury Secretary Steven Mnuchin.
As an indication of Medicare's woes, it would take a payroll tax increase of 0.91 percentage points to fully address its shortfall or a 19% cut in spending. Medicare's problems are considered more difficult to solve, as health care costs regularly outpace inflation and economic growth.
Social Security is the government's largest program, costing $853 billion last year, with another $147 billion for disability benefits. Medicare's hospital, outpatient care, and prescription drug benefits totaled about $740 billion.
Taken together, the two programs combined for 45% of the federal budget, excluding interest payments on the national debt.