America's National Debt Challenge
America remains on an unsustainable fiscal path. The national debt is already at its highest level since World War II, and annual deficits are projected to remain on an upward trajectory for the years to come.
America’s fiscal health and economic strength are closely linked. The national debt is also an issue of fairness for the next generation. Young Americans will be saddled with the weight of decisions made by those that come before them, unless thoughtful, forward-looking fiscal decisions are made to strengthen our economic future. A strong fiscal foundation creates conditions that encourage broad-based economic growth: an environment with greater access to capital, increased public and private investments, enhanced business and consumer confidence, and a solid safety net. In turn, those factors improve the lives of Americans by supporting a vibrant economy with rising wages and greater opportunity, productivity, and mobility.
Our Current Fiscal Path
The national debt is nearly as large as the entire U.S. economy and is projected to exceed its record high in just 3 years, according to the Congressional Budget Office (CBO), before it continues climbing in the following years.
Why is our debt rising so dramatically? There is a fundamental imbalance between spending and revenues that will continue to grow in future years. CBO anticipates that federal spending will rise from 23.1 percent of GDP in 2024 to 27.3 percent in 2054, according to the agency’s most recent long-term projections. Revenues are projected to increase slightly during that period, from 17.5 percent of GDP in 2024 to 18.8 percent in 2054 — which means deficits will continue to rise in the decades ahead.
Key Drivers of the National Debt
There are three primary drivers of the overall growth in spending: America’s aging population, rising healthcare costs, and rapidly escalating interest costs. This significant growth in spending is combined with a tax system that is not designed to collect enough revenues to fund the promises we’ve made.
1) Aging Population
Over the next 25 years, the major driver of rising long-term federal spending is the aging of America’s population, as the number of people 65 or older will increase much faster than the working-age population, leading to increases spending on retirement programs.
The first wave of the baby-boom generation has already reached retirement age. Americans are living longer, on average, which means that seniors will spend more years in retirement. In the coming decades, those factors will add substantially to the number of people supported by programs targeted to older Americans, such as Social Security and Medicare.
2) Rising Healthcare Costs
The rising cost of healthcare in the United States is a key driver of the national debt. CBO’s projections anticipate that the federal government’s spending on major healthcare programs, such as Medicare and Medicaid, will climb from 5.6 percent of GDP in 2024 to 8.3 percent in 2054. Additionally, the Centers for Medicare & Medicaid Services note that healthcare spending by all sectors of the economy will grow to reach one-fifth of our entire economy.
On a per capita basis, our healthcare system is the most expensive among other wealthy countries. Yet, America’s health outcomes are generally no better than those of our peers, and in some cases, are worse, including in areas like life expectancy, infant mortality, asthma, and diabetes.
3) Rising Interest Costs
One of the most damaging effects of rising debt is the rapidly growing interest costs.
As the national debt grows and interest rates rise, the United States will spend more of its budget on the cost of servicing that debt — crowding out opportunities to invest in the economy.
Interest costs are set to become the fastest-growing part of the federal budget and will total $12.9 trillion in the next 10 years alone, according to CBO.
4) Insufficient Revenues
It would be one thing if our tax code were designed to fund all the promises we’re making, but it’s not. The U.S. tax system does not generate enough revenues to our spending.
Furthermore, our tax code is also overly complex, confusing, inefficient, and unfair. For example, it remains riddled with tax expenditures, or “tax breaks,” that provide financial benefits to specific activities, entities, and groups of people. Those tax breaks, which totaled nearly $1.8 trillion in 2023, increase annual deficits and can create market distortions that damage economic growth and productivity.
Economic Impact
Putting our nation on a sustainable fiscal path creates a positive environment for growth, opportunity, and prosperity. With a strong fiscal foundation, the nation will have increased access to capital, more resources for future public and private investments, improved consumer and business confidence, and a stronger safety net.
However, if we fail to act, the opposite is also true. If our long-term fiscal challenges remain unaddressed, our economic environment will weaken as confidence suffers, access to capital is reduced, interest costs crowd out key investments in our future, the conditions for growth deteriorate, and our nation is put at greater risk of economic crisis. If our long-term fiscal imbalance is not addressed, our future economy will be diminished, with fewer economic opportunities for individuals and families and less fiscal flexibility to respond to future crises.
Take Action
The good news is that this problem is solvable. We can choose a better path — a path of stabilized debt, faster economic growth, broader prosperity, and enhanced economic opportunity and mobility.
To get involved, it’s important to understand the facts. Learn more about how the national debt relates to issues important to Americans and some of the policy options available to lawmakers. If you want help putting the latest developments in context, sign up for our email newsletter, or follow us on Facebook, Twitter, YouTube, or LinkedIn.
Your Senator and Representative needs to know that the fiscal challenge is something you care about. Here is a suggested email message:
“I’m concerned about America’s long-term fiscal outlook. I am seeking your commitment to working on solutions to our national debt, which will lead to a stronger economy, now and in the future. We need action now to begin to stabilize our long-term debt, in order to help the economy grow, keep taxes low, and protect vital programs and priorities for our country."
Find your Senator’s contact information or your Representative’s contact information.