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Important Caveats on F2010 Medicare Liability Improvement
document IMAGES-006-HOUSE_OVERSIGHT_020949.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Important Caveats on F2010 Medicare Liability Improvement e Medicare Part A and Part B unfunded liability improved to -$16 trillion in F2010, up 47% from -$31 trillion in F2009, per the Board of Medicare Trustees. e The improvement was driven primarily by downward revisions of...

Medicare: Complex Social Insurance Program
document IMAGES-006-HOUSE_OVERSIGHT_020892.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicare: Complex Social Insurance Program With Insufficient Funding e Social Insurance Program — Created in 1965 to provide health insurance to the elderly (65+). e Four Parts — A) Hospital Insurance (to cover inpatient expenses, introduced in 1965); B) Medical Insurance (opt...

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...

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

…% 6% 4% 4% -1% -3% Social Security $351 $481 $577 $608 $635 $658 $654 $632 % of Revenue 72% 74% 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...

Medicare: Enrollment Up 2x to 46 Million While Annual Payments per
document IMAGES-006-HOUSE_OVERSIGHT_020893.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicare: Enrollment Up 2x to 46 Million While Annual Payments per Beneficiary Up 26x to $8,325 From 1966 to 2009 Real Annual Medicare Payments per Beneficiary & Enrollment, 1966 — 2009 Em = m= me mm mo me mi i = eS =H = et 50 S ge Enrollment —— Annual Per Cap Benefits (in 200...

There Is Potential for ‘Unintended’ Consequences
document IMAGES-006-HOUSE_OVERSIGHT_020900.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…cb.com USA Inc. | Income Statement Drilldown 117 Historical Anecdote — “An Accurate Economic Forecast Might Have Sunk Medicare & Medicaid [in 1965]” * In 1965, the official estimate of Medicare’s costs was $500 million per year, roughly $3 billion in 2005 dollars.* * The actu...

If History is a Guide, There is Potential for Estimates to Understate
document IMAGES-006-HOUSE_OVERSIGHT_020901.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

If History is a Guide, There is Potential for Estimates to Understate Eventual Costs — Medicare Is 10x Higher Than Spending Forecast Actual vs. Estimated Spending on Medicare In reality, total 420 spending increased 61.1x — Re} 100 2) J zs © = QQ = - se so oe se we oe ee eee e...

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...

Balance Sheet: USA Inc. Total Liabilities*: $47 Trillion in F2010
document IMAGES-006-HOUSE_OVERSIGHT_020948.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

… 6 O 6 $50 === er ee ER RD SE SE OS Su Sa me 0. a Sh E mami Total Assets O. 2 0} i= Nene es Se a -$60 —e—Net Worth Medicare liabilities down sharply owing to slower 2) healthcare cost growth assumptions associated 7 $70 fee with 2010 Healthcare reform == o im «° 2 2 = a se...

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...

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_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...

A Senate version (S. 2680) prompted Democratic
document IMAGES-006-HOUSE_OVERSIGHT_022384.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…limited time available. Another outstanding year-end issue for Congressional leaders is whether to address the pending Medicare Part- B premium increases facing new and some existing Medicare enrollees caused by a smaller annual Social Security cost-of-living adjustment (COLA)....

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)

…bilities are not legal contracts. Congress has the authority to change the level and conditions for Social Security and Medicare benefits; the federal government, together with the states, can also alter eligibility and benefit levels for Medicaid. Options for entitlement reform...

Times Square Tower
document TEXT-001-HOUSE_OVERSIGHT_024003.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

… counterparts in developed economies. The size of the middle 21 CMS, OECD, Eurostat 22 Historical data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group 23 U.S. Census Bureau 24 Alvarez & Marsal healthcare, getting much close...