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Trustees extend estimate of Medicare solvency

Medicare's financially troubled Hospital Insurance Trust Fund will remain solvent until the year 2023, eight years longer than projected last year, the program's trustees reported Thursday. Trustees cited a combination of factors, including higher receipts from payroll taxes and lower spending due to fraud-fighting efforts and cuts imposed by the 1997 Balanced Budget Act, with the increased solvency projection. The estimate represents the longest period of projected solvency since 1974.

Noting that when the Clinton Administration took office in 1993, the trust fund was scheduled for exhaustion in 1999, Health and Human Services Secretary Donna Shalala said, "if Medicare were a person instead of a program, this year it would be quoting Mark Twain's famous line: Reports of my death are greatly exaggerated."

Both Shalala and Treasury Lawrence Summers, however, said that Congress should not use the good financial news about Medicare as an excuse not to act to shore up the program's long-term financial situation. "This news, welcome as it is, does not eliminate the challenge of an aging society," Summers said. That sentiment was echoed on Capitol Hill, where members of Congress said they remain determined to try to address both structural Medicare issues as well as finding a way to add an outpatient prescription drug benefit to the program. "We cannot -- and must not -- let this good news make us complacent in our efforts to improve the ability of Social Security and Medicare to meet the needs of seniors," said Senate Finance Committee Chairman Bill Roth (R-DE).

Said House Ways and Means ranking Democrat Charles Rangel (D-NY), "The Medicare trustees report also proves that we can provide a decent Medicare prescription drug benefit to our seniors without any delay. There is no excuse now for inaction on prescription drugs."


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