Spending - Projections

Projected federal spending (as a share of GDP) with and without excess health care cost growth

Year Revenue Spending with ECG Spending without ECG
2018 16.6% 19 19
2019 16.5 19.3 19.2
2020 16.7 19.1 19
2021 16.7 19.1 19.2
2022 16.9 19.6 19.6
2023 17.1 19.5 19.6
2024 17.3 19.4 19.3
2025 17.4 19.7 19.7
2026 17.9 20 20
2027 18.3 20.1 20
2028 18.2 20.6 20.6
2029 18.3 20.4 20.3
2030 18.3 20.7 20.4
2031 18.3 20.8 20.6
2032 18.4 21 20.8
2033 18.5 21.2 20.8
2034 18.6 21.4 20.9
2035 18.6 21.5 21
2036 18.7 21.7 21.1
2037 18.8 21.9 21.1
2038 18.9 22 21.1
2039 18.9 22.2 21.1
2040 19.0 22.3 21.1
2041 19.1 22.4 21.1
2042 19.1 22.5 21.1
2043 19.2 22.6 21.1
2044 19.3 22.7 21.2
2045 19.3 22.8 21.3
2046 19.4 22.9 21.3
2047 19.5 23 21.3
2048 19.6 23.1 21.3
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Economic Policy Institute

Source: Congressional Budget Office, The 2018 Long-Term Budget Outlook (June 2018)

Congressional Budget Office (CBO), The 2018 Long-Term Budget Outlook (June 2018). Spending and tax revenue as shares of GDP are taken directly from the CBO 2018. CBO 2018 also provides an estimate of federal health spending in a scenario with zero “excess cost growth.” This federal health spending in the absence of excess cost growth is combined with nonhealth spending projections to yield the dashed line.

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