Baseline Extended Social Security Medicare (net) Medicaid Net Interest All other spending Revenue Total federal spending Unified surplus/deficit Debt held by the public Percent of GDP 2008 4.3 2.7 1.4 1.8 10.8 17.7 21.0 -3.2 40.8 2009 4.8 3.0 1.8 1.2 16.6 15.6 27.4 -11.9 54.8 2010 4.9 3.0 2.0 1.2 13.1 16.2 24.1 -7.9 60.1 2011 4.8 3.2 1.8 1.3 11.9 18.5 23.1 -4.6 62.0 2012 4.8 3.1 1.7 1.6 10.5 19.6 21.7 -2.1 61.6 2013 4.8 3.2 1.7 1.9 10.0 19.9 21.7 -1.8 60.7 2014 4.8 3.4 1.8 2.2 9.5 19.9 21.7 -1.8 60.2 2015 4.8 3.4 1.8 2.4 9.2 20.1 21.7 -1.6 59.5 2016 4.9 3.6 1.9 2.5 9.0 20.1 21.9 -1.7 59.0 2017 5.0 3.6 1.9 2.5 8.8 20.2 21.8 -1.6 58.5 2018 5.1 3.6 2.0 2.6 8.6 20.2 21.8 -1.6 56.1 2019 5.2 3.8 2.0 2.7 8.5 20.3 22.3 -2.0 56.1 2020 5.3 4.0 2.1 2.7 8.5 20.3 22.6 -2.4 56.3 2021 5.4 4.1 2.1 2.7 8.5 20.3 22.8 -2.6 56.7 2022 5.5 4.3 2.2 2.7 8.5 20.3 23.2 -2.9 57.5 2023 5.5 4.5 2.2 2.8 8.5 20.3 23.5 -3.3 58.7 2024 5.6 4.6 2.3 2.8 8.5 20.3 23.8 -3.6 60.1 2025 5.7 4.8 2.3 2.9 8.5 20.3 24.2 -3.9 61.8 2026 5.7 5.0 2.3 3.0 8.5 20.3 24.5 -4.3 63.8 2027 5.8 5.2 2.4 3.1 8.5 20.3 25.0 -4.7 66.3 2028 5.9 5.4 2.4 3.2 8.5 20.3 25.4 -5.1 69.1 2029 5.9 5.6 2.4 3.3 8.5 20.3 25.8 -5.5 72.2 2030 6.0 5.8 2.5 3.5 8.5 20.3 26.3 -6.0 75.6 2031 6.0 5.9 2.5 3.6 8.5 20.3 26.6 -6.4 79.4 2032 6.1 6.1 2.6 3.8 8.5 20.3 27.1 -6.8 83.5 2033 6.1 6.3 2.6 4.0 8.5 20.3 27.5 -7.3 87.8 2034 6.1 6.5 2.6 4.2 8.5 20.3 28.0 -7.7 92.5 2035 6.1 6.7 2.7 4.5 8.5 20.3 28.5 -8.2 97.5 2036 6.1 6.9 2.7 4.7 8.5 20.3 28.9 -8.7 102.8 2037 6.1 7.0 2.7 5.0 8.5 20.3 29.3 -9.0 108.3 2038 6.1 7.2 2.8 5.2 8.5 20.3 29.8 -9.5 114.1 2039 6.1 7.4 2.8 5.5 8.5 20.3 30.3 -10.0 120.2 2040 6.0 7.5 2.8 5.8 8.5 20.3 30.7 -10.4 126.5 2041 6.0 7.7 2.9 6.1 8.5 20.3 31.2 -10.9 133.2 2042 6.0 7.8 2.9 6.4 8.5 20.3 31.6 -11.4 140.0 2043 5.9 8.0 2.9 6.8 8.5 20.3 32.1 -11.9 147.1 2044 5.9 8.2 3.0 7.1 8.5 20.3 32.7 -12.4 154.6 2045 5.9 8.3 3.0 7.5 8.5 20.3 33.2 -12.9 162.2 2046 5.9 8.5 3.0 7.8 8.5 20.3 33.7 -13.4 170.2 2047 5.8 8.6 3.0 8.2 8.5 20.3 34.2 -13.9 178.4 2048 5.8 8.8 3.1 8.6 8.5 20.3 34.8 -14.6 187.0 2049 5.8 8.9 3.1 9.0 8.5 20.3 35.4 -15.1 195.9 2050 5.8 9.1 3.1 9.5 8.5 20.3 36.0 -15.8 205.2 2051 5.8 9.2 3.1 9.9 8.5 20.3 36.6 -16.3 214.7 2052 5.8 9.4 3.2 10.4 8.5 20.3 37.3 -17.0 224.6 2053 5.8 9.6 3.2 10.8 8.5 20.3 38.0 -17.7 234.9 2054 5.8 9.7 3.2 11.3 8.5 20.3 38.6 -18.3 245.5 2055 5.8 9.9 3.2 11.9 8.5 20.3 39.3 -19.0 256.4 2056 5.8 10.0 3.3 12.4 8.5 20.3 40.0 -19.8 267.6 2057 5.8 10.2 3.3 12.9 8.5 20.3 40.7 -20.5 279.3 2058 5.8 10.4 3.3 13.5 8.5 20.3 41.5 -21.3 291.3 2059 5.8 10.6 3.3 14.1 8.5 20.3 42.3 -22.0 303.7 2060 5.8 10.8 3.3 14.7 8.5 20.3 43.1 -22.9 316.5 2061 5.8 11.0 3.4 15.3 8.5 20.3 44.0 -23.8 329.7 2062 5.9 11.1 3.4 15.9 8.5 20.3 44.8 -24.6 343.3 2063 5.8 11.3 3.4 16.6 8.5 20.3 45.6 -25.4 357.3 2064 5.8 11.5 3.4 17.3 8.5 20.3 46.5 -26.3 371.7 2065 5.8 11.7 3.4 17.9 8.5 20.3 47.4 -27.1 386.5 2066 5.8 11.9 3.5 18.7 8.5 20.3 48.4 -28.1 401.7 2067 5.8 12.1 3.5 19.4 8.5 20.3 49.3 -29.1 417.4 2068 5.8 12.3 3.5 20.2 8.5 20.3 50.3 -30.0 433.5 2069 5.8 12.5 3.5 20.9 8.5 20.3 51.3 -31.0 450.1 2070 5.8 12.7 3.5 21.7 8.5 20.3 52.3 -32.0 467.1 2071 5.9 12.8 3.5 22.5 8.5 20.3 53.2 -33.0 484.5 2072 5.9 13.0 3.6 23.4 8.5 20.3 54.4 -34.1 502.3 2073 5.9 13.2 3.6 24.2 8.5 20.3 55.5 -35.2 520.7 2074 5.9 13.4 3.6 25.1 8.5 20.3 56.5 -36.3 539.5 2075 5.9 13.6 3.6 26.0 8.5 20.3 57.7 -37.4 558.8 2076 5.9 13.8 3.6 27.0 8.5 20.3 58.8 -38.5 578.6 2077 5.9 14.0 3.7 27.9 8.5 20.3 60.0 -39.8 598.9 2078 5.9 14.2 3.7 28.9 8.5 20.3 61.3 -41.0 619.7 2079 5.9 14.4 3.7 29.9 8.5 20.3 62.5 -42.2 641.0 2080 6.0 14.6 3.7 30.9 8.5 20.3 63.7 -43.4 662.8 2081 6.0 14.8 3.7 32.0 8.5 20.3 65.0 -44.7 685.1 2082 6.0 15.0 3.7 33.1 8.5 20.3 66.3 -46.0 708.0 2083 6.0 15.2 3.7 34.2 8.5 20.3 67.6 -47.3 731.3 "Source: GAO's March 2009 analysis using CBO's long-term projections for Social Security, Medicare and Medicaid"