All of the projected future growth in the federal budget will come from entitlements and interest costs
September 17, 2013
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SOURCE: Congressional Budget Office, The 2013 Long-Term Budget Outlook, September 2013. Compiled by PGPF.
NOTE: Healthcare programs include Medicare, Medicaid, Children’s Health Insurance Programs (CHIP), and the healthcare exchange subsidies. Outlays for Medicare are net of offsetting receipts, such as premium payments by Medicare beneficiaries.

Two main factors are responsible for projected long-term growth in the federal budget: healthcare programs and interest payments. Federal healthcare spending is projected to almost double as a percent of GDP by 2040. The sharp rise in interest costs is a result of the continued accumulation of government debt, exacerbated by the rise in interest rates from their unusually low levels as the economy strengthens. On the other hand, with statutory limits on annually-appropriated spending in place through 2021, all other spending is projected to decrease as a percentage of GDP through the end of this decade before increasing to its average historical level for the long-term.

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Peter G. Peterson Foundation Chart Pack:

The PGPF chart pack illustrates that budget-making involves many competing priorities, limited resources, and complex issues. In this set of charts, we aim to frame the financial condition and fiscal outlook of the U.S. government within a broad economic, political, and demographic context.
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