Alternative Net Interest Social Security "Medicare (net)a, Medicaid, CHIP & exchange subsidies" All other spending Revenue Fiscal Year Percent of GDP 2010 1.4 4.9 5.1 12.8 15.1 2020 3.0 5.3 6.3 8.7 18.5 2030 6.4 6.2 8.2 9.6 17.9 2040 10.9 6.3 9.7 9.9 17.9 Source: GAO's Fall 2012 analysis based on the Trustees’ assumptions for Social Security and the CMS Office of the Actuary's alternative assumptions for Medicare. "aMedicare spending includes offsetting receipts from premium payments and from payments by states from savings on Medicaid prescription drug costs, which reduce spending."