The Nation's Growing Fiscal Imbalance

THE NATION'S GROWING
Fiscal Imbalance (Updated)

The Nations's Growing Fiscal Imbalance

GAO'S Strategic Plan

Composition of Federal Spending

Federal Spending for Mandatory and Discretionary Programs

Selected Fiscal Exposures: Sources and Examples

Another Way to Think About These Numbers

Composition of Spending as a Share of GDP Under Baseline Extended

Composition of Spending as a Share of GDP Assuming Discretionary Spending Grows with GDP after 2004 and All Expiring Tax Provisions Are Extended

Social Security and Medicare’s Hospital Insurance Trust Funds Face Cash Deficits

Social Security, Medicare, and Medicaid Spending as a Percent of GDP

Current Fiscal Policy Is Unsustainable

We Need a 3-Pronged Approach

GAO Criteria for Evaluating Social Security Reform Proposals

Health Expenditures Will Continue to Absorb an Increasing Share of GDP

In 2001, 16 Percent of the Nonelderly Population was Uninsured

In Recent Years, Roughly 40 million Americans Have Been Uninsured

Simplified View of Access to and Gaps in Health Care Coverage

Simplified View of Coverage Gaps by Payer and Benefit Type

Need for Framework to Evaluate Health Care System Reforms

Health Care System Elements: Incentives, Transparency, and Accountability

The Way Forward

Illustrative Generic Re-examination Questions

Illustrative Generic Re-examination Questions cont'd

Illustrative Generic Re-examination Questions cont'd

Long-term Fiscal Challenges Demand New Metrics, Mechanisms, & Processes

Improved Metrics, Measures & Processes: Some Ideas

The Nations's Growing Fiscal Imbalance