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    Averting a Fiscal CrisisThe Committee for a Responsible Federal Budget

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    Deficit Projections

    -4%

    -2%

    0%

    2%

    4%

    6%

    8%

    10%

    12%

    Current Policy Current Law

    Note: Estimates based on CRFB Realistic Baseline.

    (Percent of GDP)

    1992-2012 Average Deficit:2.9%

    2012-2022 Average Current Policy Deficit: 4.7%

    1

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    10%

    12%

    14%

    16%

    18%

    20%

    22%

    24%

    26%

    2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022

    Current Law Spending Current Law RevenuesCRFB Realistic Spending CRFB Realistic Revenues

    Actual Projected

    Gap Between Revenue and Spending

    Note: Estimates based on CRFB Realistic Baseline.

    (Percent of GDP)

    Avg. Historical Spending (1972-2011): 21.0%

    2

    Avg. Historical Revenues (1972-2011): 17.9%

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    Components of Revenue and Spending

    Revenues and Financing

    Outlays

    Total Outlays = $3.627 Trillion

    2012

    3

    Total Revenues = $2.456 Trillion

    Total Financing = $3.627 Trillion

    Individual Income

    Tax27%

    Corporate Tax

    5%

    Social Insurance

    Taxes

    23%

    Other

    6%

    Borrowing

    32%

    Medicare

    15%

    Medicaid &

    Other Health8%

    Social Security

    23%

    Other Mandatory

    18%

    Defense

    21%

    Non-

    Defense

    7%

    Interest

    7%

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    -50%

    0%

    50%

    100%

    150%

    200%

    250%

    300%

    350%

    400%

    Current Law

    Debt Projections

    Note: Estimates based on CRFB Realistic Baseline.

    (Percent of GDP)

    Realistic Projections

    2010: 63%

    2025: 92%

    2040: 147%

    2080: 384%

    4

    What the Debt Will

    Realistically Look Like

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    Consequences of Debt

    Crowding Out of public sector

    investment leading to slower economic

    growth

    Higher Interest Payments displacing

    other government priorities

    Intergenerational Inequity as future

    generations pay for current

    government spending

    Unsustainable Promises of high

    spending and low taxes

    Uncertain Environment for businesses

    to invest and households to plan

    Eventual Fiscal Crisis if changes are not

    made

    5

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    The Risk of Fiscal Crisis

    Rising Debt increases the likelihood of a fiscal crisis during which investors would

    lose confidence in the government's ability to manage its budget and thegovernment would lose its ability to borrow at affordable rates.

    -Doug Elmendorf, Director of the Congressional Budget Office

    Our national debt is our biggest national security threat.

    -Admiral Mike Mullen, Chairman of the Joint Chiefs of Staff

    One way or another, fiscal adjustments to stabilize the federal budget must occur

    [if we dont act in advance] the needed fiscal adjustments will be a rapid and

    painful response to a looming or actual fiscal crisis.

    -Ben Bernanke, Chairman of the Federal Reserve

    6

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    Debt Drivers

    7

    Short-Term Long-Term

    Economic Crisis(lost revenue and increased spending fromautomatic stabilizers)

    Economic Response(stimulus spending/tax breaks andfinancial sector rescue policies)

    Tax Cuts(in 2001, 2003, and 2010)

    War Spending(in Iraq and Afghanistan)

    Rapid Health Care Cost Growth(causing Medicare and Medicaid costs

    to rise)

    Population Aging

    (causing Social Security and Medicarecosts to rise, and revenue to fall)

    Growing Interest Costs(from continued debt accumulation)

    Insufficient Revenue

    (to meet the costs of funding government)

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    Federal Spending and Revenues (Percent of GDP)

    Growing Entitlement Spending

    Note: Estimates based on CRFB Realistic Baseline.

    8

    0%

    5%

    10%

    15%

    20%

    25%

    30%

    35%

    40%

    45%

    50%Actual Projected

    Revenues

    Interest

    Health Care

    Other Spending

    Social Security

    Average Historical

    Revenues

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    Why Is Entitlement Spending Growing?

    8%

    10%

    12%

    14%

    16%

    18%

    20%

    22%

    24%

    26%

    Aging

    Excess Health Care

    Cost Growth

    Drivers of Entitlement Spending Growth (Percent of GDP)

    9

    36%

    64%

    56%

    44%

    Source: CBO Long-term Budget Outlook, 2011.

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    Why Is Federal Health Spending Increasing?

    The Population Is Aging due to increased life

    expectancy and retirement of the baby boom

    generation, adding more beneficiaries toMedicare and Medicaid

    Per Beneficiary Costs Are Growing faster than

    the economy in both the public and private

    sector. Causes of this excess cost growth include:

    Americans Are Unhealthy when compared to

    populations in similar economies

    Americans Are Wealthy and Willing to Pay More

    Fragmentation and Complexity between insurers,

    providers, and consumers make normal marketcompetition difficult

    Incentives Are Backwards by hiding true costs of

    care through insurance and by hiding costs of

    insurance enrollment through employer

    sponsorship, incentivizing overspending

    10

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    Health Care Spending by Country

    Percent of GDP (2008)

    Source: 2008 Data from the Organization for Economic Cooperation and Development.

    11

    0%

    2%

    4%

    6%

    8%

    10%

    12%

    14%

    16%

    18%

    Public Private

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    Number of Workers for Every Social Security Retiree Is Falling

    Source: 2011 Social Security Trustees Report.

    12

    1950 1960 2011 2035

    16:1 5:1 3:1 2:1

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    Living Longer, Retiring Earlier

    40

    45

    50

    55

    60

    65

    70

    75

    80

    85

    90

    Life Expectancy

    Average Age of Retirement

    Normal Retirement Age

    Early Retirement Age

    Source: Social Security Administration and U.S. Census Bureau.

    13

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    Looming Social Security Insolvency

    6%

    8%

    10%

    12%

    14%

    16%

    18%

    20%

    Social Security Costs and Revenues (Percent of Taxable Payroll)

    Source: 2011 Social Security Trustees Report.

    14

    Payable Benefits

    Revenues

    Scheduled Benefits

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    Interest as a Share of the Budget

    (Percent of GDP)

    Note: Estimates based on CRFB Realistic Projections.

    15

    Total Spending = 24% of GDP Total Spending = 27% of GDP Total Spending = 34% of GDP

    2010 2030 2050

    Interest

    6%

    Primary

    Spending

    94%

    Interest

    19%Primary

    Spending

    81%

    Interest27%

    Primary

    Spending

    73%

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    Insufficient Revenue

    Unpaid for Tax Cuts in 2001, 2003, and

    2010 lowered revenue collection without

    making corresponding spending cuts ortax increases to offset the budgetary

    effect

    Spending in the Tax Code Costs $1 Trillion

    annually in lost revenues through so called"tax expenditures," which make the tax

    code more complicated, less efficient, and

    force higher rates

    16

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    Excessive Spending Through the Tax Code (Tax Expenditures)Tax Expenditures as a Percent of Primary

    Spending if Included in the BudgetLarge Tax Expenditures

    and Their 2011 Costs (billions)

    Employer Health Insurance Exclusion $174

    Mortgage Interest Deduction $89

    401(k)s and IRAs $77

    Earned Income Tax Credit $62Special Rates for Capital Gains and

    Dividends $61

    State & Local Tax Deduction $57Charitable Deduction $49Child Tax Credit $45

    Source: Joint Committee on Taxation.

    Source: Office of Management and Budget.

    Tax

    Expenditures24%

    Health Spending

    18%

    Other Mandatory

    12%

    Social Secutity

    16%

    Non-Defense

    Discretionary

    15%

    Defense

    Discretionary

    16%

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    How to Reduce the Deficit

    Domestic Discretionary Cuts

    Defense Spending Cuts

    Health Care Cost Containment

    Social Security Reform

    Other Spending Cuts

    Tax Reform and Tax Expenditure

    Cuts

    Budget Process Reform

    18

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    The Bowles-Simpson Fiscal Commission Plan

    Discretionary Spending

    Equal cuts to defense and non-defense in

    2013 totaling $1.2 trillion.

    Social Security

    Progressive benefit changes, retirement

    age increase, tax increase for high earners

    totaling $300 billion.

    Health Care Spending

    Cuts to providers, lawyers, drug companies,

    & beneficiaries totaling $400 billion.

    Other Mandatory Programs

    Reforms to farm, civilian/military retirement,

    & other programs saving $290 billion.

    Tax Reform and Revenue

    Comprehensive reform to lower tax rates,

    broaden the base, and raise $1.2 trillion.

    19

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    The Bowles-Simpson Fiscal Commission Plan

    20

    (Deficits as Percent of GDP)

    0%

    1%

    2%

    3%

    4%

    5%6%

    7%

    8%

    9%

    10%

    0%

    2%

    4%

    6%

    8%

    10%

    12%

    14%

    16%

    18%

    Plausible Baseline Commission Plan

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    Its Time for a Fiscal Reform Plan

    21

    Reasons to Enact a PlanSooner Rather than Later

    Size of Adjustment to Close 25-year Fiscal Gap,Depending on Start Year (Percent of GDP)

    Allows for gradual phase in

    Improves generational fairness

    Gives taxpayers businesses,

    and entitlement beneficiaries

    time to plan

    Creates announcement

    effect to improve growth

    Reduces size of necessary

    adjustment

    Source: Congressional Budget Office

    9.7%

    6.8%

    5.2%

    4.8%

    0% 2% 4% 6% 8% 10% 12%

    2025

    2020

    2015

    2013

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    Whats in the Fiscal Cliff?

    At the end of 2012, the following is scheduled to occur:

    All of the 2001/2003/2010 tax cuts will expire at once

    The sequester will immediately cut defense by 10%, non-defense

    discretionary by 8%, and other spending across-the-board

    The payroll tax holiday and extended unemployment benefits will

    expire

    The AMT will hit 30 million taxpayers instead of 4 million

    All the tax extenders will expire

    Physicians will see a 30% cut in their Medicare payments Tax increases from the Affordable Care Act will begin

    The country will once again hit the debt celling

    22

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    How Big Is the Fiscal Cliff?

    23

    Policy 2013

    Fiscal Impact

    2013-2022

    Fiscal Impact

    2001/2003/2010 Income and Estate Tax

    Cuts$110 billion $2.8 trillion

    AMT Patches (w/ Tax Cut Interactions) $125 billion $1.7 trillion

    Sequester $65 billion $980 billion

    Doc Fixes $10 billion $270 billion

    Jobs Measures $115 billion $150 billion

    Various Tax Extenders $30 billion $455 billion

    Taxes from the Affordable Care Act $25 billion $420 billion

    Total Fiscal Impact ~$500 billion $8.1 trillionTotal Economic Impact (% GDP) ~2% N/A

    Note: Congressional Budget Office estimates and CRFB

    calculations. 2013-2022 estimates include interest.

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    The Time For Action Is Now

    If not addressed, burgeoning deficits

    will eventually lead to afiscal crisis, at

    which point the bond markets will

    force decisions upon us. If we do not

    act soon to reassure the markets, the

    risk of a crisis will increase, and the

    options available to avertorremedy

    the crisis will both narrowand

    become more stringent.

    -Erskine Bowles and Sen. Alan Simpson, Former

    co-chairs of the National Commission on Fiscal

    Responsibility and Reform