WASHINGTON - The nation's respite from troublesome health
care inflation is ending, the government said Wednesday in a report that renews
a crucial budget challenge for lawmakers, taxpayers and patients.
Economic recovery, an aging society, and more people insured
under the new health-care law are driving the longterm trend.
Projections by nonpartisan experts with the federal Health
and Human Services Department indicate the pace of health-care spending will
pick up starting this year and beyond. The introduction of expensive new drugs
for the liver-wasting disease hepatitis C also contributes to the speed-up in
the short run.
The report from the Office of the Actuary projects that
spending will grow by an average of 6 percent a year from 2015-2023. That's a
notable acceleration after five consecutive years, through 2013, of annual growth
below 4 percent.
Although the coming bout of health-cost inflation is not
expected to be as aggressive as in the 1980s and 1990s, it will still pose a
dilemma for President Obama's successor. Long term, much of the growth comes
from Medicare and Medicaid, two giant government programs now covering more
than 100 million people.
The United States is expected to spend more than $3 trillion
on health care this year, far above any other economically advanced country.
Yet Americans are not appreciably healthier, and much what they spend appears
to go for tests and treatments of questionable value. Fraud also siphons off
tens of billions of dollars a year.
Because health-care spending is so high, shifts of a couple
of percentage points have significant economic consequences. Health-care
inflation has recently been in line with overall economic growth, keeping
things manageable.
As spending rebounds, health care again will start consuming
a growing share of the economic pie, crowding out other worthy priorities. From
17.2 percent of the economy in 2012, health care is expected to grow to a 19.3
percent share by 2023, the report said.
"The period in which health care has accounted for a
stable share of economic output is expected to end in 2014, primarily because
of the (health-care law's) coverage expansions," it concluded.
Source: Philly.com
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