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ELECTION 2004

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Volume 351:1714-1716 October 21, 2004 Number 17
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Financing Medicare in the Next Administration
Joseph P. Newhouse, Ph.D.

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Because of its size and political impact, Medicare will rank high on the domestic policy agenda of any incoming administration. When that administration assumes office in January 2005, Medicare will account for more than 13 percent of total federal expenditures; the only larger domestic program will be Social Security, which will account for 21 percent.1 By fiscal year 2007, with the phase-in of the prescription-drug benefit, Medicare's share of federal spending will increase to almost 16 percent. In short, the new administration will find the scope of any new initiatives limited by the needs of the Medicare behemoth.

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From the Department of Health Care Policy, Harvard Medical School; and the Department of Health Policy and Management, Harvard School of Public Health — both in Boston; and the Kennedy School of Government, Harvard University, Cambridge, Mass.


Related Letters:

Controlling Health Care Costs
Abbo E. D., Coca S. G., Ellis E., Campbell K. N., Ginsburg P. B.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:415-416, Jan 27, 2005. Correspondence

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