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Entitlement Spending: While Beneficiaries From Aging Population
document IMAGES-006-HOUSE_OVERSIGHT_020885.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…o 2009, Beneficiaries From Expanded Eligibility (Low-Income / Disabled) Rose 10x Combined Social Security + Medicare + Medicaid Enrollment by Old Age Group vs. Expanded Eligibility Group, 1966 - 2009 mas Expanded Eligibility (Low Income / Disabled) 140 --- MmmOldAge nn nee en e...

Entitlement Spending: Expenses Up 169%
document IMAGES-006-HOUSE_OVERSIGHT_020879.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…4% 73% 73% 73% 73% 73% 73% Medicare $96 $136 $166 $177 $185 $194 $191 $180 % of Revenue 20% 21% 21% 21% 21% 22% 21% 21% Medicaid $0 $0 $0 $0 $0 $0 $0 $0 <+ Unemployment Insurance $29 $28 $42 $43 $41 $40 $38 $45 % of Revenue 6% 4% 5% 5% 5% 4% 4% 5% Other* $8 $9 $9 $9 $9 $9 $8 $8 %...

Drilldown on USA Inc. Financials
document IMAGES-006-HOUSE_OVERSIGHT_020849.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ls... e To analysts looking at USA Inc. as a public corporation, the financials are challenged - Excluding Medicare / Medicaid spending and one-time charges, USA Inc. has supported a 4% average net margin’ over 15 years, but cash flow is deep in the red by negative $1.3 trillio...

Restructure Medicare & Medicaid: In Addition to Life Expectancy, USA Falls
document IMAGES-006-HOUSE_OVERSIGHT_021000.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: In Addition to Life Expectancy, USA Falls Behind OECD Averages in Many Other Health Indicators OECD USA Ranking 2007 Health Indicators USA Median (1 = Best, 30 = Worst) RED = Below Average Obesity (% of total population) 34 15 30 Infant Mortali...

40-Year USA Inc. Data Points and Trends
document IMAGES-006-HOUSE_OVERSIGHT_020865.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

… % of GDP -0.2 > -3 - Note: 1) Includes all government and private spending. 2) Includes federal spending on Medicare, Medicaid and other healthcare programs, excludes state spending on Medicaid. 3) % of Americans receiving government subsidy include ail recipients of Social Se...

Drilldown on USA Inc. Financials
document IMAGES-006-HOUSE_OVERSIGHT_021061.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ls... e To analysts looking at USA Inc. as a public corporation, the financials are challenged - Excluding Medicare / Medicaid spending and one-time charges, USA Inc. has supported a 4% average net margin’ over 15 years, but cash flow is deep in the red by negative $1.3 trillio...

The Challenge Before Us
document IMAGES-006-HOUSE_OVERSIGHT_021065.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…redit card. USA Inc. must address the problem. ° In 2009, 64% of America’s revenue went to Social Security, Medicare & Medicaid, compared with 31% in 1980 and 20% in 1970. ¢ Using current projections, 100% of America’s revenue in 2025 will go to Social Security, Medicare, Medic...

Underfunded entitlements are among the most severe financial burdens USA Inc. faces
document IMAGES-006-HOUSE_OVERSIGHT_020832.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ent (Medicare + Social Security) + Underfunded F2010 USA Inc. Revenues + Expenses At A Glance Entitlement Expenditures (Medicaid) = Among Largest Long-Term Liabilities on USA Inc.'s Balance Sheet F2010 F2010 USA Inc. Expenses = USA Balance Sheet Liabilities Composition, F2010 R...

e Total government spending on healthcare (including Medicare, Medicaid and
document IMAGES-006-HOUSE_OVERSIGHT_020895.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Think About That... e Total government spending on healthcare (including Medicare, Medicaid and other programs) has risen 7x from 1.2% of GDP in 1960 to 8.2% in 2009 while total government spending on education has risen only 0.6x from 4% of GDP in 1960 to 6% in 2009. e Medicar...

USA Inc. Next 80 Years (1931-2010) = Era of Expansion
document IMAGES-006-HOUSE_OVERSIGHT_020862.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…rking lots / museums / street repairs Grant* (1974) 4 oa Provide medical insurance program for the elderly Medicare / Medicaid . : Healthcare 724 (Medicare) and welfare program for low-income (1965) : —_ population (Medicaid) Federal Subsidies for Provide federal subsidies for...