GDP: $27,811.5 bln
GO:
$48,386.8 bln
United States Federal
State and Local Government Spending		 US CA > 
Pop: 336.8 million 
Fiscal Year 2023 in $ billion  
Fed
Gov.
Xfer		State and
Local 		Total
Social Security 1,318.7 0.0 0.0  1,318.7 
Medicare (Net) 854.5 0.0 0.0  854.5 
Medicaid 535.9 -713.6 0.0  -177.7 
Medicaid 535.9 -713.6 0.0  -177.7 
[+] Grants to states for Medicaid (558) 535.9 0.0 0.0  535.9 
 –Federal Intergovernmental - Vendor Payments for Medical Care (B74) 0.0 -713.6 0.0  -713.6 
 –Medicaid (E72) 0.0 0.0 0.0  0.0 
 –Medicaid (S72) 0.0 0.0 0.0  0.0 
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Other Welfare 513.7 -127.3 329.2  715.7 
Gov. Employee Pensions (Net) 55.0 0.0 404.7  459.7 
Defense 1,167.4 0.0 1.6  1,169.0 
All Other Spending 1,449.4 -352.7 3,037.9  4,134.6 
Balance -102.6 -63.8 1,768.3  1,602.0 
Total Government Spending 5,792.1 -1,257.4 5,541.8  10,076.4 
Federal Deficit 1,153.9 0.0 0.0  1,153.9 
Gross Public Debt 32,593.2 0.0 3,074.5  35,667.6 
Agency GSE Debt 11,915.8 0.0 0.0  11,915.8 
Spending:
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b - budgeted
g - guesstimated
a - actual
e - estimated