Looking further ahead, the CBO warns that the combination of a rapidly aging population and the increase in medical costs will cause the deficit to rise rapidly, driven by the higher costs of pension and health-care benefits for middle-income retirees. According to the CBO, without legislative changes, the fiscal deficit in 2037 will be 17% of GDP, while the national debt will increase to more than 195% of GDP.
方言未来，CBO警告快速老龄化的人口和医疗成本的上升相结合将导致赤字快速增加，其推动力来自退休成本和中产阶级退休者医疗福利成本的增加。据CBO的数字，若无立法变化，2037年财政赤字将为GDP的1.7%，而国民债务将升至GDP的195%以上。