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Medicare Trustees Report 2025
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| Chart Title: You can create a title for your chart. Use the text field to enter a title and click the button to the right of the text field. |
| Chart Size: By default, the chart is displayed at medium size. But you can use the dropdown control to change the size. Color: By default charts are displayed with color data lines and fill. You can change this to grayscale if you want. Report Year: By default, the chart displays
actual and forecast spending from the latest trustees report. But you can change to look at
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Data Range Start Year: You can select any start year you want using the dropdown control in the table heading. At the top and bottom of the dropdown only years ending in “0” are shown. Select a start year to get close, then select the start year you want. End Year: You can select any end year you want using the dropdown control in the table heading. At the top and bottom of the dropdown only years ending in “0” are shown. Select an end year to get close, then select the end year you want. |
The chart shows the latest forecast for the cost, in percent of GDP, of the federal government’s Medicare program for seniors through 2095. It shows the cost of each of the three major parts of Medicare: the Part A Hospital Insurance program, the Part B Supplementary Medical Insurance program and the Part D Supplementary Medical Insurance drug benefit. See the Center for Medicare and Medicaid’s website for more details.
The numbers are obtained from the current 2025 Medicare Trustees Report using numbers from a spreadsheet “HI and SMI Incurred Expenditures as a Percentage of the Gross Domestic Product” available in Expanded and Suppplementary Tables.
If you’d like to create your own custom chart of spending data you should use the table above to make your selections.
- Select the year range: Select the start year and the end year you want by selecting the years you want in the two year dropdown boxes.
- Choose chart features: You can select the size of the chart, select color or black and white. You can also blow up the chart to fill the screen with the “full screen” tab control above the chart display.
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View Data Series
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Below is a formatted version of the data displayed in the chart.
| Year | Medicare Part A percent GDP | Medicare Part B percent GDP | Medicare Part D percent GDP | |||
| 2024 | 1.46 | a | 1.86 | a | 0.51 | a |
| 2025 | 1.49 | e | 1.92 | e | 0.53 | e |
| 2026 | 1.54 | e | 2.06 | e | 0.54 | e |
| 2027 | 1.59 | e | 2.17 | e | 0.56 | e |
| 2028 | 1.64 | e | 2.25 | e | 0.57 | e |
| 2029 | 1.69 | e | 2.36 | e | 0.58 | e |
| 2030 | 1.73 | e | 2.48 | e | 0.58 | e |
| 2031 | 1.77 | e | 2.57 | e | 0.57 | e |
| 2032 | 1.8 | e | 2.66 | e | 0.55 | e |
| 2033 | 1.86 | e | 2.81 | e | 0.55 | e |
| 2034 | 1.9 | e | 2.92 | e | 0.54 | e |
| 2035 | 1.92 | e | 3.02 | e | 0.54 | e |
| 2036 | 1.94 | e | 3.11 | e | 0.54 | e |
| 2037 | 1.96 | e | 3.2 | e | 0.53 | e |
| 2038 | 1.97 | e | 3.28 | e | 0.53 | e |
| 2039 | 1.99 | e | 3.34 | e | 0.52 | e |
| 2040 | 1.99 | e | 3.41 | e | 0.52 | e |
| 2041 | 2 | e | 3.47 | e | 0.52 | e |
| 2042 | 2.01 | e | 3.52 | e | 0.51 | e |
| 2043 | 2.01 | e | 3.56 | e | 0.51 | e |
| 2044 | 2.01 | e | 3.6 | e | 0.51 | e |
| 2045 | 2.01 | e | 3.63 | e | 0.51 | e |
| 2046 | 2.01 | e | 3.66 | e | 0.51 | e |
| 2047 | 2.01 | e | 3.68 | e | 0.51 | e |
| 2048 | 2.01 | e | 3.69 | e | 0.51 | e |
| 2049 | 2.01 | e | 3.7 | e | 0.52 | e |
| 2050 | 2 | e | 3.71 | e | 0.52 | e |
| 2051 | 2 | e | 3.72 | e | 0.52 | e |
| 2052 | 2 | e | 3.73 | e | 0.53 | e |
| 2053 | 1.99 | e | 3.74 | e | 0.53 | e |
| 2054 | 1.99 | e | 3.76 | e | 0.53 | e |
| 2055 | 1.98 | e | 3.78 | e | 0.54 | e |
| 2056 | 1.98 | e | 3.8 | e | 0.54 | e |
| 2057 | 1.98 | e | 3.82 | e | 0.55 | e |
| 2058 | 1.98 | e | 3.84 | e | 0.55 | e |
| 2059 | 1.98 | e | 3.86 | e | 0.55 | e |
| 2060 | 1.97 | e | 3.88 | e | 0.56 | e |
| 2061 | 1.97 | e | 3.9 | e | 0.56 | e |
| 2062 | 1.98 | e | 3.92 | e | 0.57 | e |
| 2063 | 1.98 | e | 3.94 | e | 0.57 | e |
| 2064 | 1.98 | e | 3.96 | e | 0.57 | e |
| 2065 | 1.98 | e | 3.98 | e | 0.58 | e |
| 2066 | 1.99 | e | 4 | e | 0.58 | e |
| 2067 | 1.99 | e | 4.02 | e | 0.58 | e |
| 2068 | 1.99 | e | 4.03 | e | 0.59 | e |
| 2069 | 2 | e | 4.05 | e | 0.59 | e |
| 2070 | 2 | e | 4.06 | e | 0.59 | e |
| 2071 | 2 | e | 4.08 | e | 0.6 | e |
| 2072 | 2 | e | 4.1 | e | 0.6 | e |
| 2073 | 2.01 | e | 4.12 | e | 0.61 | e |
| 2074 | 2.01 | e | 4.13 | e | 0.61 | e |
| 2075 | 2.01 | e | 4.14 | e | 0.61 | e |
| 2076 | 2.01 | e | 4.15 | e | 0.61 | e |
| 2077 | 2.01 | e | 4.16 | e | 0.62 | e |
| 2078 | 2.01 | e | 4.17 | e | 0.62 | e |
| 2079 | 2.01 | e | 4.18 | e | 0.62 | e |
| 2080 | 2 | e | 4.19 | e | 0.62 | e |
| 2081 | 2 | e | 4.2 | e | 0.62 | e |
| 2082 | 1.99 | e | 4.2 | e | 0.63 | e |
| 2083 | 1.99 | e | 4.2 | e | 0.63 | e |
| 2084 | 1.98 | e | 4.21 | e | 0.63 | e |
| 2085 | 1.98 | e | 4.21 | e | 0.63 | e |
| 2086 | 1.97 | e | 4.2 | e | 0.63 | e |
| 2087 | 1.97 | e | 4.2 | e | 0.63 | e |
| 2088 | 1.96 | e | 4.2 | e | 0.63 | e |
| 2089 | 1.96 | e | 4.19 | e | 0.63 | e |
| 2090 | 1.95 | e | 4.19 | e | 0.63 | e |
| 2091 | 1.94 | e | 4.19 | e | 0.63 | e |
| 2092 | 1.94 | e | 4.18 | e | 0.63 | e |
| 2093 | 1.93 | e | 4.18 | e | 0.63 | e |
| 2094 | 1.92 | e | 4.18 | e | 0.63 | e |
| 2095 | 1.91 | e | 4.18 | e | 0.63 | e |
Legend: Data source: Medicare Trustees Report | ||||||
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Spending Data Sources
Spending data is from official government sources.
- Federal spending data since 1962 comes from the president’s budget.
- All other spending data comes from the US Census Bureau.
Gross Domestic Product data comes from US Bureau of Economic Analysis and measuringworth.com.
Detailed table of spending data sources here.
Medicare breakdown here; Medicaid breakdown here.
Federal spending data begins in 1792.
State and local spending data begins in 1820.
State and local spending data for individual states begins in 1957.
Gross Federal Debt
| Debt Now: | $37,889,756,572,760.44 | Debt 2/2020: | $23,409,959,150,243.63 |
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Data Sources for 2024_2095:
Sources for 2024:
GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years
Sources for 2095:
GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years
> data sources for other years
> data update schedule.
Blog
Federal Deficit, Receipts, Outlays Actuals for FY 2025
On October 16, 2025, the US Treasury reported in its Monthly Treasury Statement (and xlsx) for September that the federal deficit for FY 2025 ending September 30, 2025, was $1,775 billion. Here are the numbers, including total receipts, total outlays, and deficit compared with the numbers projected in the FY 2025 federal budget published in February 2024:
| Federal Finances FY 2025 Outcomes | |||
|---|---|---|---|
| Budget billions | Outcome billions | ||
| Receipts | $5,485 | $5,235 | |
| Outlays | $7,226 | $7,010 | |
| Deficit | $1,781 | $1,775 | |
We use the spending projections from the FY 2025 budget because the Federal government did not publish spending projections in its Budget for Fiscal Year 2026 as originally published in May 2025.
The Monthly Treasury Statement includes "Table 4: Receipts of the United States Government, September 2025 and Other Periods." This table of receipts by source is used for usgovernmentspending.com to post details of federal receipt actuals for FY 2025. usdgovernmentspending.com obtains the data for outlays and receipts from apis at fiscaldata.treasury.gov.
This MTS report on FY 2025 actuals is a problem for usgovernmentspending.com because this site uses Historical Table 3.2--Outlays by Function and Subfunction from the Budget of the United States as its basic source for federal subfunction outlays. But the Monthly Treasury Statement only includes "Table 9. Summary of Receipts by Source, and Outlays by Function of the U.S. Government, September 2025 and Other Periods". Subfunction amounts don't get reported until the FY27 budget in February 2026. Until then usgovernmentspending.com estimates actual outlays by "subfunction" for FY 2025 by factoring subfunction budgeted amounts for FY25 by the ratio between relevant actual and budgeted "function" amounts where actual outlays by subfunction cannot be gleaned from the Monthly Treasury Statement.
On September 11, 2025 we updated the state and local spending and revenue for FY 2023 using the new Census Bureau ...
In March 2025 the US Census Bureau released data on state finances for FY 2023 here and ...
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Budget News
President’s FY 2025 Budget Release Scheduled for March 11
Although the FY 2024 appropriations process is not yet resolved
Biden to Release Budget March 9
will press McCarthy On Default Risk - Bloomberg
Biden to Release 2023 Budget Request on March 28
how the administration expects to spend money for priorities including aid to Ukraine and the continuing effort to fight the coronavirus pandemic, as well as legislative proposals such as increased funding for community policing programs, cancer research, and mental health education.
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