So far, the only US presidential candidate who has recognized the need for such a future-oriented approach is former Florida Governor Jeb Bush, who has proposed modernizing reforms of Social Security and Medicare that avoid imposing high costs on middle-income Americans and a heavier debt burden on future generations. Two other Republican candidates, Ohio Governor John Kasich and Florida Senator Marco Rubio, have also raised constructive reform ideas.
目前，在美国总统候选人中，认识到需要采取这一未来导向方针的只有前佛罗里达州州长杰布·布什，他提出要对社会安全与医疗保险进行现代化改革，以避免给中等收入美国人带来巨大的成本、让子孙后代背上沉重的债务负担。其他两名共和党候选人，俄亥俄州州长约翰·卡西奇（John Kasich）和佛罗里达州参议员马可·卢比奥（Marco Rubio）也提出了建设性改革概念。