但年度赤字的长期性上涨 — — 由于人口老龄化、医疗技术不断提升和利率上升 — — 以及因此导致的债务相对GDP比率上升是无可避免的（国会预算办公室和其他机构对此已有明确预测 ） 。
But the longer-term rise in the annual deficits – owing to an aging population, changing medical technology, and rising interest rates – and the resulting increase in the debt-to-GDP ratio were inevitable (and were clearly predicted by the CBO and others).