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Volume 357:1885-1887 November 8, 2007 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Audio Interview Perspective by Orszag, P. R. Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

The long-term fiscal balance of the United States will be determined primarily by the future rate of growth of health care costs, as we have recently noted.¹ If costs per enrollee in Medicare and Medicaid continued to grow at the same rate as they have over the past four decades, federal spending on those two programs alone would increase from about 5% of the gross domestic product today to about 20% by 2050 — roughly the share of the economy now accounted for by the entire federal budget. Compounding the challenge for policymakers is the difficulty of controlling federal spending . . . [Full Text of this Article]

Source Information

Dr. Orszag is the director of the Congressional Budget Office (CBO), where Dr. Ellis is a senior analyst. CBO is a nonpartisan agency that provides budgetary and economic analyses to Congress.

An interview with Dr. Orszag can be heard at www.nejm.org.

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