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Medicaid: While We Focus on Federal Government Dynamics, It’s Notable
document IMAGES-006-HOUSE_OVERSIGHT_020891.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…me (like Mississippi) pay ~22%. - Onaverage, Medicaid accounted for 21% of total state spending in F2009 (ranging from Missouri at 35% to Alaska at 8%). Enrollment growth has been accelerating, in part, owing to more people losing employer-sponsored health insurance in the rece...

Restructure Medicare & Medicaid: Policy Option #4
document IMAGES-006-HOUSE_OVERSIGHT_021001.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Policy Option #4 Reducing Optional Services + Optional Beneficiary Groups' Could Save Up to ~60% of Annual Medicaid Cost, per Kaiser Family Foundation Note: 1) Medicaid is a jointly financed federal and state program that provides health and lon...

Medicaid: Facing Accelerating Cash Flow Deficits
document IMAGES-006-HOUSE_OVERSIGHT_020889.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicaid: Facing Accelerating Cash Flow Deficits e Social Welfare Program — Created in 1965 to provide health insurance to low-income population (2% of Americans under coverage then and 16% now’). e No Dedicated Funding — Federal funding comes from general revenue (all forms of...

Medicaid: Enrollment Is Up 12x to 49 Million While Annual Payments per
document IMAGES-006-HOUSE_OVERSIGHT_020890.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicaid: Enrollment Is Up 12x to 49 Million While Annual Payments per Beneficiary Are Up 4x to $5K From 1966 to 2009 Real Annual Medicaid Payments per Beneficiary & Enrollment, 1966 - 2009 EE wm mw me ms te cn i en en hs = = 50 $4,500 ---- mm Enrolment: © = er ene an an a Te...

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document TEXT-001-HOUSE_OVERSIGHT_021718.txt Jul 29, 2013 House Oversight Committee — Epstein Estate Records (Nov 2025)

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Restructure Medicare & Medicaid
document IMAGES-006-HOUSE_OVERSIGHT_020976.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Observations About America’s Healthcare System 1) High Expenses — however measured, the costs are high: a) total dollars; b) share of GDP relative to other countries; c) cost relative to ability to pay (government, business, or individual), and...

Entitlement Spending: Medicare & Medicaid Payments per Beneficiary
document IMAGES-006-HOUSE_OVERSIGHT_020884.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Entitlement Spending: Medicare & Medicaid Payments per Beneficiary Have Risen Faster than Social Security Payments Owing to Rising Healthcare Costs + Expanded Coverage Percent Change in Real* Annual Social Security / Medicare / Medicaid 1966-2009 Payments per Beneficiary From 1...

Restructure Medicare & Medicaid: Economic Factors —
document IMAGES-006-HOUSE_OVERSIGHT_020989.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Economic Factors — Employer and Government Funding System Separates Consumers from True Costs of Healthcare e When one doesn’t pay directly and gets an expensive good / service for free (or well below cost), one tends to consume more - it’s basi...

Restructure Medicare & Medicaid: Variables in Restructuring Medicare &
document IMAGES-006-HOUSE_OVERSIGHT_020977.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Variables in Restructuring Medicare & Medicaid to Reduce Material Impact on USA Inc.’s Expenses Mathematical Illustrations* Slide 273-274 1) Medicare benefits — reduce them by 53% (or cap them)? or 2) Medicare tax rate — increase it by 4 percen...

Millions of Americans have come to rely on Medicare and Medicaid — and spending has
document IMAGES-006-HOUSE_OVERSIGHT_020833.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Millions of Americans have come to rely on Medicare and Medicaid — and spending has skyrocketed, to 21% of USA Inc.’s total expenses (or $724B) in F2010, up from 5% forty years ago. Together, Medicaid and Medicare — the programs providing health insurance to low-income household...

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which sugges
document IMAGES-010-HOUSE_OVERSIGHT_028634.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which suggests that the difference in the amount of saline infused, typically less than a liter, could alone account for several hundred dollars. Tricia O’Malley, a spokeswoman for the hospit...

Restructure Medicare & Medicaid: Economic Factors—
document IMAGES-006-HOUSE_OVERSIGHT_020988.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Economic Factors— Rise in Usage of “Open Access” Healthcare Plans Makes It Harder to Control Patient Choices...Subsequently, Cost of Care Increases Societal demand for less restrictive health insurance has driven a gradual switch to open access...

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which sugges
document IMAGES-005-HOUSE_OVERSIGHT_019425.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which suggests that the difference in the amount of saline infused, typically less than a liter, could alone account for several hundred dollars. Tricia O’Malley, a spokeswoman for the hospit...

At the same time, however, these numbers don’t lie. With our demographics and our
document IMAGES-006-HOUSE_OVERSIGHT_020838.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

At the same time, however, these numbers don’t lie. With our demographics and our debts, we’re on a collision course with the future. The good news: Although time is growing short, we still have the capacity to create positive outcomes. Even though USA Inc. can print money and r...

Unfunded Entitlement (Medicare + Social Security) + Underfunded
document IMAGES-006-HOUSE_OVERSIGHT_020965.txt Nov 10, 2009 House Oversight Committee — Epstein Estate Records (Nov 2025)

Unfunded Entitlement (Medicare + Social Security) + Underfunded Entitlement Expenditures (Medicaid) = Among Largest Long-Term Liabilities on USA Inc.'s Balance Sheet USA Balance Sheet Liabilities Composition, F2010 Unfunded Medicaid* Medicare $35.3T Unfunded $22.8T All se Vete...