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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 5.

Extended 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% 1.2% 0.51 1.77
Population 65+ (Million) 0.7% 2.1% 0.47 1.71
Prevalence of selected conditions
    Obese 3 (BMI >=40) (%) −78.1% −79.6% −0.08 −0.12
    Obese 2 (35 <= BMI < 40)(%) −67.7% −68.5% −0.09 −0.10
    Obese 1 (30 <= BMI < 35)(%) −26.3% −19.2% −0.07 −0.05
    Overweight (25<=BMI<30) (%) 33.4% 47.8% 0.10 0.13
    Diabetes −9.8% −12.8% −0.03 −0.04
    Heart disease −2.1% −3.0% −0.01 −0.01
    Hypertension −1.7% −2.0% −0.01 −0.01
Public revenues from age 51+ ($bn)
    Federal personal income taxes 0.4% 0.6% 1.31 2.27
    Social security payroll taxes 0.4% 0.5% 0.40 0.65
    Medicare payroll taxes 0.4% 0.5% 0.09 0.15
    Total Revenue Effect 0.4% 0.6% 1.80 3.07
Public expenses from age 51+ ($bn)
    Old Age and Survivors Insurance benefits (OASI) 0.5% 1.6% 5.90 27.05
    Disability Insurance benefits (DI) −1.3% −1.7% −0.70 −1.36
    Supplementary Security Income (SSI) 0.3% 1.6% 0.11 0.96
    Medicare costs% −1.8% −1.9% −17.65 −28.51
    Medicaid costs% −1.4% −0.6% −4.72 −3.67
    Medicare + Medicaid −1.7% −1.5% −22.37 −32.17
    Total Exependiture Effect −0.7% −0.1% −17.06 −5.53
Net Revenue Effect 0.9% 0.3% 18.86 8.60
    Total medical cost for age 51+ ($bn) −1.4% −1.2% −34.07 −45.02
Net social value ($bn) 53.5 283.7

Notes: Table reports the effect relative to status quo for the extended eligibility scenario. Both relative (%) and absolute ($) changes reported. The net fiscal effect is defined as the change in total revenue minus the change in total public expenditures (excluding private medical expenditures)