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Our charts frame the fiscal outlook of the U.S. government within a broad economic, political, and demographic context.
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Our polling tracks the public’s views about our fiscal and economic condition and the progress elected leaders are making in addressing it.
Latest Articles
Budget Basics: Federal Trust Funds
Federal trust funds bear little resemblance to their private-sector counterparts.
Where the American Healthcare System Underperforms
Healthcare in the United States is very expensive — but we don’t get what we pay for.
10 Largest Budget Functions
Here are the top ten spending categories for the federal budget.
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Aug 22, 2025
Where the American Healthcare System Underperforms
Healthcare in the United States is very expensive — but we don’t get what we pay for.
Aug 12, 2025
Why Are Americans Paying More for Healthcare?
High healthcare spending is not necessarily a bad thing, especially if it leads to better health outcomes. However, that is not the case in the United States.
Aug 11, 2025
How Does the Aging of the Population Affect Our Fiscal Health?
As a large portion of the American population lives well beyond retirement age, the total cost of providing healthcare will grow as well.
Aug 11, 2025
Chart Pack: Healthcare
These charts illustrate the growth in U.S. healthcare spending and how it affects the federal budget.
Jul 2, 2025
Healthcare Costs Are a Major Driver of the National Debt and Here’s the Biggest Reason Why
Improving the U.S. healthcare system will be crucial to providing quality, affordable healthcare and to bettering our nation’s long-term economic and fiscal well-being.
Jun 30, 2025
U.S. Healthcare System Ranks Seventh Worldwide — Innovative but Fiscally Unsustainable
Spending on healthcare in the United States has far outpaced other major healthcare systems without yielding better outcomes.
Jun 24, 2025
Medicare’s Hospital Insurance Trust Fund Could Be Exhausted In 8 Years
Without reform, Medicare spending will continue to rise over the coming years — threatening the HI Trust Fund and placing immense pressure on the federal budget.