各项主要联邦医疗保健计划的成本从现在相对GDP5.5％上涨至2046年的8.9 ％ ， 一半归因于受益人寿命和人数的双双提升，另一半归因于为治疗他们而产生的额外医疗技术费用。
Half of the rise in the cost of the major federal health-care programs, from 5.5% of GDP now to 8.9% in 2046, will result from the increased number of older beneficiaries, with the other half caused by the technologically-driven extra cost of treating them.