Health Care Will Cost $4 Trillion By 2017

[Guest guest]

Health Care Will Cost $4 Trillion by 2017

WASHINGTON,

Feb. 26, 2008

CBS News - AP

 

(AP) By 2017, total health care spending will double to more than $4

trillion a year, accounting for one of every $5 the nation spends,

the federal government projects.

 

The 6.7 percent annual increase in spending - nearly three times the

rate of inflation - will be largely driven by higher prices and an

increased demand for care, the Centers for Medicare and Medicaid

Services said Monday. Other factors in the mix include a growing and

aging population. The first wave of baby boomers become eligible for

Medicare beginning in 2011.

 

With the aging population, the federal government will be picking up

the tab for a growing share of the nation's medical expenses.

Overall, federal and state governments accounted for about 46 percent

of health expenditures in 2006. That percentage will increase to 49

percent over the next decade.

 

" Health is projected to consume an expanding share of the economy,

which means that policymakers, insurers and the public will face

increasingly difficult decisions about the way health care is

delivered and paid for, " CMS economists said.

 

Overall health care spending in 2017 was estimated to increase to

$4.3 trillion. That would be about 20 percent of U.S. gross domestic

product, or GDP, the total monetary value of all finished goods and

services produced in a country.

 

In 2006, people and the government spent $2.1 trillion on health

care, an average of $7,026 a person. In 2017, health spending will

cost an estimated $13,101 a person.

 

In his budget for next year, President Bush recommended slowing the

yearly growth of Medicare from about 7 percent to about 5 percent.

The slowdown would occur primarily by freezing reimbursement rates

for the next three years to scores of health care providers, such as

hospitals, nursing homes and home health centers. Bush also proposed

requiring wealthier Medicare beneficiaries to pay higher monthly

premiums when participating in Medicare's prescription drug coverage

plan.

 

Those recommendations would reduce spending by nearly $178 billion

over five years, but have little chance of passage in Congress.

Health and Human Services Secretary Mike Leavitt has acknowledged the

unpopularity of the recommendations, but he said politicians must

make some hard decisions. The longer lawmakers wait, the more

difficult the decisions will be.

 

" Medicare, on its current course, is not sustainable, " Leavitt

testified.

 

Democratic lawmakers also have proposed ways to slow health spending,

primarily by trimming payments to private insurers who oversee health

coverage for nearly 9 million Medicare beneficiaries. A growing

number of the nation's elderly and disabled are electing to get

health coverage through private plans that contract with the federal

government and government economists predicted that trend will

continue. Now, about one in six beneficiaries get their health

benefits through a private plan. By 2017, more than one in four

beneficiaries will get their coverage that way, Medicare officials

said.

 

Health experts tell Congress that Medicare pays much more for each

beneficiary who opts for a private plan than it would if they stayed

in the traditional Medicare program, which reimburses providers at a

set fee for a particular service. That difference increases the

burden on taxpayers as well as beneficiaries, because participants

pay higher monthly Medicare premiums.

 

The government economists say it's hardly a new trend that the health

care sector will grow more quickly than the overall economy. Over the

past 30 years, health spending has exceeded growth in the gross

domestic product by about 2.7 percentage points each year. Over the

coming decade, that difference is expected to narrow slightly. Still,

the continued gap is worrisome, said the agency's acting

administrator, Kerry Weems. He said consumers, particularly

businesses, need more information about the quality and cost of care.

 

" We have an approaching crisis in this country unless we change the

way we do business, " Weems said.

 

Within the health sector, economists project that spending on

hospital care will increase at rate of 6.9 percent a year over the

coming decade, spending on physician services will rise 5.9 percent

annually, and spending on nursing homes will grow 5.2 percent a year.

 

The economists' report will be published online by the journal Health

Affairs.

 

 

© MMVIII, The Associated Press

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