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Medicare Trustees Report 2025
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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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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: | $37,852,655,815,448.95 | 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
State and Local Finances for 2023
On September 11, 2025 we updated the state and local spending and revenue for FY 2023 using the new Census Bureau State and Local Government Finances summaries for FY 2023 released on July 31, 2025. (See also Annual Survey of State and Local Government Finances). The release includes state and local spending for the United States as a whole and the 50 individual states and the District of Columbia.
State and local spending and revenue for FY2023 are now actual historical spending as reported by the Census Bureau. In addition, the Census Bureau published updated tables for 2021 and 2022.
We have updated the "guesstimated" state and local finances for FY2024-30 as indicated in our "guesstimate" blog entries.
We have also updated data for individual local government units with data for 2023.
Beginning in 2022 the Census Bureau has changed the value for Line 56 Direct Expenditure and Line 7 General Revenue from own sources, as follows:
We have decided to end our publication of non-insurance trust cash and security holdings.
However, to keep the time series at usgovernmentspending.com consistent, we have decided to add insurance-trust values back into Line 56 and Line 7 values.
In March 2025 the US Census Bureau released data on state finances for FY 2023 here and ...
On June 24, 2025, usgovernmentspending.com updated its data for agency debt from the Federal Reserve Board database. Data is now available for the period 1945-2024. You can see our Agency Debt page ...
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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.
> archive
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