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FAQs on Medicare Financing and Trust Fund Solvency
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Medicare Hospital Trust Fund to Stay Solvent Until 2036, Trustees Report Says
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If an unreformed Medicare program is to be able to pay the hospital bills of today's workers when they reach retirement, industry and government will have to pass on additional yearly costs of at least $7.4 billion to investors and consumers. In addition, workers will face additional annual costs of at least $115.7 billion in direct taxes and reduced wages. These costs will be the result of the additional payroll taxes, on top of current payroll taxes, needed to assure long-term fiscal sol- vency of the cash-strapped Medicare hospitalization trust fund if no reforms are enacted. The reason the burden is so heavy on employees is that an increase in payroll taxes technically is shared by both the employer and the employee. Experience indicates that about 88 percent of the cost of addi- tional employer taxes is passed on to workers in the form of reduced wages and compensation. I Moreover, the cost of stabilizing the hospital trust fund is only part of the necessary burden if re- for
Medicare's increasingly dangerous financial plight leaves Congress with only two options if the program is to continue providing health care to seniors: either restructure and reform the pro- grain or significantly increase payroll taxes on America's businesses and working families. While payroll taxes technically are shared between employers and employees, in reality most taxes on busi- ness are shifted to workers in the form of reduced wages or compensation-in some cases, even job loss. Thus, any new payroll tax to shore up the financially failing Medicare system will be another tax on America's working families. Medicare's seven-member Board of Trustees, which includes President Clinton's Secretaries of Health and Human Services, Treasury, and Labor, has determined that the Medicare Hospitalization (HI, or Part A) Trust Fund, which finances hospital services to the nation's elderly, will be insolvent in the year 2002.
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