Four Long-Term Fiscal Realities

Abstract

The United States faces a long-run fiscal imbalance because of rapid projected growth in Social Security, Medicare, and Medicaid spending. The policy response to the imbalance will be shaped by four long-term fiscal realities. First, revenue will rise as a share of GDP. Second, entitlement spending will be reduced, relative to current policies. Third, the middle class, broadly defined, will bear much of the burden of addressing the fiscal imbalance. Fourth, consumption taxation is likely to become a significant part of the federal tax system, probably through the partial replacement of the income tax by a value added tax.