"Please sit tight while I walk you through the math of Medicare.
...The infinite-horizon present discounted value of the unfunded liability for Medicare A
is $34.4 trillion.
The unfunded liability of Medicare B is an additional $34 trillion.
The shortfall for Medicare D adds another $17.2 trillion.
...If you wanted to cover the unfunded liability of all three programs today,
you would be stuck with an $85.6 trillion bill.
That is more than six times as large as the bill for Social Security.
It is more than six times the annual output of the entire U.S. economy.
I want to remind you
that I am only talking about the unfunded portions of Social Security and Medicare.
It is what the current payment scheme of Social Security payroll taxes,
Medicare payroll taxes, membership fees for Medicare B, copays, deductibles
and all other revenue currently channeled to our entitlement system
will not cover under current rules.
These existing revenue streams must remain in place in perpetuity
to handle the “funded” entitlement liabilities.
Reduce or eliminate this income and the unfunded liability grows.
Increase benefits and the liability grows as well.
To solve the entitlement deficit problem,
discretionary spending would have to be reduced by 97 percent
not only for our generation, but for our children and their children
and every generation of children to come.
And similarly on the taxation side,
income tax revenue would have to rise 68 percent
and remain that high forever.
...For the existing unfunded liabilities to be covered in the end,
someone must pay $99.2 trillion more or receive $99.2 trillion less
than they have been currently promised.
This is a cold, hard fact."
Richard W. Fisher
Dallas Federal Reserve