Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Exhibit 1 Steady U.S. Economic Growth After a Severe Recession Inflation-adjusted GDP (billions) $17,000 $16,000 $15,000 13.8% $14,000 Cumulative growth 2009 to Q3 2015 $13,000 $12,000 $11,000 15 20 14 Q 3 20 13 20 12 20 11 20 10 20 09 20 08 20 07 20 06 20 05 20 04 20 03 20 02 20 01 20 20 00 $10,000 Data Source: Bureau of Economic Analysis, Annual to Q3 2015 revised Dec 22, 2015 Exhibit 2 Annual Inflation-Adjusted Growth in U.S. Economy and Private Investment, 2010 to 2015 Inflation-adjusted growth (percent) 14.0% Real GDP Real private domestic investment 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 2010 2011 2012 2013 Source: U.S. Bureau of Economic Analysis. Inflation-adjusted. Dec. 22, 2015. Notes: GDP = gross domestic product. Annual rate 2010 to 2014; Q3/Q3 2014/15 annual. 2014 Q3 2015 Exhibit 3 U.S. Economic Growth Rivals or Exceeds Other High-Income Countries Real GDP growth rates, 2011–14 2011–12 2012–13 France 2013–14 2011 to 2014 Japan Germany UK Canada US -2.0% 0.0% 2.0% 4.0% 6.0% Source: World Bank database; accessed Sept. 2015. Real GDP = Inflation-adjusted gross domestic product. U.S. GDP is revised. 8.0% Exhibit 4 U.S. Jobs Up More than 13 Million Since 2010, 5 Million Above Pre-Recession Peak Total nonfarm employment to December 2015 (millions) 2015 143.2 150 2008 145 138.0 140 135 130 125 2010 120 129.8 115 110 105 Source: U.S. Bureau of Labor Statistics. Seasonally adjusted. Establishment, Release 1/8/16. 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 100 Exhibit 5 Unemployment Rate Drops from 9.9% to 5% by 2015 U.S. unemployment rate (percent) 10% 8% 6% 4% 01/05 01/06 01/07 01/08 01/09 01/10 01/11 01/12 01/13 01/14 01/15 Source: U.S. Bureau of Labor Statistics. Monthly seasonally adjusted household to Dec. 2015. Released Jan. 8, 2015. Figure generated online, http://www.bls.gov/ces/data.htm. Exhibit 6 U.S. Private Jobs Increased by Nearly 14 Million, While Public Employment Declined Change in employment, March 2010 to December 2015 (millions) 15 13 13.4 12.0 11 9 7 5 3 1 1.9 -1 Private goods Private services -0.5 Government Total Source: U.S. Bureau of Labor Statistics. Nonfarm employment, seasonally adjusted. Released Jan 8, 2016. Exhibit 7 Full-Time Jobs Account for All Net Job Growth from March 2010 to End of 2015 People employed (millions) Full time Part time, choice Part time, economic reason 150 120 125 119 122 19.4 19.9 9.1 6.7 5.9 March 2010 December 2014 December 2015 107 100 75 50 25 0 19.1 4.8 March 2008 19.9 Source: U.S. Bureau of Labor Statistics. Household series, nonfarm employment, seasonally adjusted, Release Jan 2016. Notes: Part-time work is 34 hours or less. “Part-time economic reason” includes unable to find full-time work or poor business conditions. Exhibit 8 Job Growth Has Been Similar for Firms of All Sizes Percent distribution of private jobs, by number of employees Employees 100% 250+ 90% 100–249 80% 70% 52.5 53.7 10.3 10.2 7.9 7.9 29.3 28.1 2010 2015 50–99 1–49 60% 50% 40% 30% 20% 10% 0% Source: U.S. Bureau of Labor Statistics. Business Employment Dynamics through Q1 2015. Modified Nov 2015. Distribution of private sector employees by firm size. Exhibit 9 Little Growth Seen in Inflation-Adjusted Average Weekly Wages, but 2015 Pace Picks Up Change in real weekly wages (percent) 4.5% 4.0% 3.5% 3.9% 3.0% 2.5% 2.0% 1.8% 1.5% 2.1% 1.0% 0.5% 0.0% Cumulative March 2010– October 2015 March 2010– October 2014 October 2014– October 2015 Source: U.S. Bureau of Labor Statistics. Real weekly earnings, seasonally adjusted for private nonfarm employment. Series uses urban consumer price index to adjust wages for inflation. Data released Nov. 17, 2015. Exhibit 10 Annual Health Spending Growth Slows to Rate of GDP Growth for Four Years (2010–13), But Rises in 2014 Percent change (annual) NHE GDP 10 8 6 4 2 0 -2 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 NHE = national health expenditures. Source: Centers for Medicare and Medicaid Services, Historic and Projected National Health Expenditures. Updated July 2015. Exhibit 11 Lower 10-Year CBO Medicare Projections, August 2015 vs. January 2010 Projected Medicare spending (millions) January 2010 August 2015 2020 $1,200 $1,038 $1,000 $800 2020 $600 $400 $200 $852 $186 billion Cumulative difference 2010–2020: $1 trillion Difference in 2020 projected Medicare spending: 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Sources: Congressional Budget Office (CBO), The Budget and Economic Outlook: 2010 to 2020, Jan. 2010; CBO, An Update to the Budget and Economic Outlook: 2015 to 2025, updated Aug. 25, 2015. Exhibit 12 Marked Slowdown in Medicare and Private Spending Growth per Enrollee Medicare Percent change in spending growth per enrollee 7 6.5 6 5 Privately insured 4.7 5.1 5.4 5.8 5.4 5.4 4.4 4 3.7 3.7 3 2.7 2.2 2 2.1 1.5 1 0 0 2007 2008 2009 2010 2011 2012 0.2 2013 Source: Centers for Medicare and Medicaid Services, Office of the Actuary, Table 17, July 30, 2015, with projections. 2014 Exhibit 13 Medicare Hospital Admissions for Potentially Preventable Conditions Down 25 Percent Ambulatory care–sensitive hospital admissions per 1,000 beneficiaries Age 75+ ACS ages 65 to 75 90.0 87.2 70.0 66.0 50.0 36.8 30.0 26.9 10.0 2007 2008 2009 Source: Centers for Medicare and Medicaid Services, Public Use File. 2010 2011 2012 2013 Exhibit 14 Health Care Sector Gained 1.4 Million Jobs Since March 2010, Mainly in Ambulatory Care Ambulatory 5.1 March 2005 1.5 3.0 Nursing and residential 2.8 4.7 6.9 June 2015 0.0 4.3 5.9 March 2010 Hospital 3.1 4.9 4.5 6.0 7.5 9.0 3.3 10.5 12.0 13.5 15.0 Jobs (millions) Source: U.S. Bureau of Labor Statistics. Seasonally adjusted establishment, June 2015 Preliminary, July 5, 2015. Exhibit 15 Sharp Drop in Uninsured in All Nonelderly Age Groups Following Affordable Care Act’s Insurance Expansions 2013 2014 18.5% 15.3% 14.3% 12.0% 7.5% 6.2% All Under 65 Under 19 19-64 Source: U.S. Bureau of the Census, Health Insurance Coverage in the U.S.: 2014, Current Population Reports, Sept. 2015. Exhibit 16 What if Future Increases in U.S. National Health Expenditures Are Limited to Rate of Economic Growth? National health expenditures (trillions) Health spending growth, 2014–2024: $42.4 trillion if same as GDP growth rate; $45.3 trillion if same as CMS projections. 19.6% of GDP Cumulative difference: $2.9 trillion $5.0 17.4% $4.5 of GDP $4.0 Based on CMS NHE projection $3.5 IF NHE growth at same rate as GDP $3.0 $2.5 Actual 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 $2.0 Source: Author’s analysis based on data from Centers for Medicare and Medicaid Services (CMS), Office of the Actuary, 2014-2024 National Health Expenditures (NHE), projected July 2015; http://cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ NationalHealthExpendData/NationalHealthAccountsProjected.html.