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Overview of USA Inc.’s Key Financial Challenges
document IMAGES-006-HOUSE_OVERSIGHT_021064.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ctivity of healthcare system ¢ Reduce coverage for optional benefits & optional enrollees « Reduce benefits ¢ Increase Medicare tax rate : Metis ce en eee Isolate and address the drivers of medical cost inflation ¢ Improve efficiency / productivity of healthcare system * Raise...

There are two caveats. First, we do not make policy recommendations. We try to help clarify
document IMAGES-006-HOUSE_OVERSIGHT_020831.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…SA Inc.’s financials are discouraging. True, USA Inc. has many fundamental strengths. On an operating basis (excluding Medicare and Medicaid spending and one-time charges), the federal government’s profit & loss statement is solid, with a 4% median net margin over the last 15 ye...

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)

…help the nation’s poorest, the electorate must understand the full dimensions of the challenges. Unfunded Entitlement (Medicare + Social Security) + Underfunded F2010 USA Inc. Revenues + Expenses At A Glance Entitlement Expenditures (Medicaid) = Among Largest Long-Term Liabiliti...

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...

Overview of USA Inc.’s Key Financial Challenges
document IMAGES-006-HOUSE_OVERSIGHT_020852.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ctivity of healthcare system ¢ Reduce coverage for optional benefits & optional enrollees ¢ Reduce benefits « Increase Medicare tax rate : Metis pe SOMUUESLE SES L Isolate and address the drivers of medical cost inflation * Improve efficiency / productivity of healthcare system...

prescription drug costs during the temporary “gap” from Medicare coverage until their
document IMAGES-007-HOUSE_OVERSIGHT_024072.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

prescription drug costs during the temporary “gap” from Medicare coverage until their prescription drug costs reach the threshold for catastrophic coverage by Medicare), (iii) an approval process for generic biologics and granting exclusive marketing rights to original manufactur...

Article 1. Wall Street Journal
document TEXT-001-HOUSE_OVERSIGHT_023458.txt Apr 16, 2011 House Oversight Committee — Epstein Estate Records (Nov 2025)

… at least, it is liberals who are on the defensive. The aging of the baby boom generation and the costs of maintaining Medicare and Social Security have put the two pillars of the social welfare system on the table for re-examination. The growing weight of the national debt has...

And — You Guessed It — Here’s the Punch Line
document IMAGES-006-HOUSE_OVERSIGHT_020928.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…Term Budget Outlook (6/10). Note that entitlement spending includes federal government expenditures on Social Security, Medicare and Medicaid. Data in our chart is based on CBO’s ‘alternative fiscal scenario’ forecast, which assumes a continuation of today’s underlying fiscal pol...

(-$273B Net Loss*)
document IMAGES-006-HOUSE_OVERSIGHT_020914.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Entitlement Spending Medicaid (-$273B Net Loss*) Medicare (-$272B Net Loss*") Unemployment Benefits (-$115B Net Loss*) Social Security (-$75B Net Loss*') Rising Debt Level & Interest Payments Effective Interest Rates (2.2%) Debt Composition Periodic Large One-Time Charges...

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)

…cts like parking 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 su...