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. Author manuscript; available in PMC: 2013 Jul 1.
Published in final edited form as: J Health Econ. 2012 May 9;31(4):630–643. doi: 10.1016/j.jhealeco.2012.04.006

Table 4.

Current Eligibility Population Estimates 2004–2050

Relative
Change to
Status Quo
Absolute
Change to
Status Quo
Year Year
2030 2050 2030 2050


Population size (Million) 0.4% 1.0% 0.47 1.51
Population 65+ (Million) 0.6% 1.8% 0.42 1.44
Prevalence of selected conditions
    Obese 3 (BMI >=40) (%) −73.6% −76.1% −0.08 −0.12
    Obese 2 (35 <= BMI < 40)(%) −43.0% −45.2% −0.06 −0.07
    Obese 1 (30 <= BMI < 35)(%) 10.1% 20.8% 0.03 0.05
    Overweight (25<=BMI<30) (%) 31.0% 45.0% 0.10 0.12
    Diabetes −5.4% −7.5% −0.02 −0.02
    Heart disease −1.6% −2.2% 0.00 −0.01
    Hypertension −0.6% −0.7% 0.00 0.00
Public revenues from age 51+ ($bn) 0.00 0.00
    Federal personal income taxes 0.4% 0.5% 1.11 2.01
    Social security payroll taxes 0.3% 0.5% 0.35 0.59
    Medicare payroll taxes 0.3% 0.5% 0.08 0.14
    Total Revenue Effect 0.4% 0.5% 1.54 2.73
Public expenses from age 51+ ($bn)
    Old Age and Survivors Insurance (OASI) 0.4% 1.3% 5.37 22.54
    Disability Insurance benefits (DI) −1.3% −1.7% −0.69 −1.36
    Supplementary Security Income (SSI) 0.6% 1.8% 0.23 1.07
    Medicare costs −1.2% −1.1% −11.35 −16.27
    Medicaid costs −1.0% −0.4% −3.37 −2.31
    Medicare + Medicaid −1.1% −0.9% −14.72 −18.58
    Total Expenditure Effect −0.4% 0.1% −9.82 3.67
Net revenue effect ($bn) 0.5% 0.0% 11.37 −0.94
    Total medical cost for age 51+ ($bn) −0.9% −0.7% −21.56 −24.80
Net social value ($bn) 63.3 245.7

Notes: Table reports the effect relative to status quo for the current eligibility scenario in 2030 and 2050. Both relative (%) and absolute ($) changes reported. The net revenue effect is defined as the change in total revenue minus the change in total public expenditures (excluding private medical expenditures). The net social value is defined in the text and takes account of the value of life extension.