Edward Conard

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New evidence on the benefits and costs of an expanded child tax credit

Scott Winship American Enterprise Institute
Date Posted:
October 11, 2021
Is Database:
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Research by @SWinshi suggests the expanded Child Tax Credit will lead to 1.5m individuals exiting the workforce, reversing past employment gains & undermining long-term poverty alleviation efforts.

The expanded Child Tax Credit (CTC) is projected to significantly reduce employment, particularly among low-income, single-parent families. Research by CMSW indicates that the work disincentives from the expanded CTC could reverse employment gains achieved through welfare reform and the Earned Income Tax Credit (EITC) in the 1990s. The study finds that the return to work decreases by 7-10% for families earning under $60,000, potentially leading 1.5m individuals to exit the workforce. This reduction in employment is expected to lower the child poverty reduction impact from 34% to 22%, with no effect on deep child poverty. The findings suggest that while the CTC expansion provides immediate financial relief, it may inadvertently discourage workforce participation, undermining long-term poverty alleviation efforts and reversing past employment gains.

Scott Winship on Bruce Meyer's Research (attached), "...But in an explosive new working paper from the University of Chicago’s Becker Friedman Institute, Kevin Corinth, Bruce Meyer, Matthew Stadnicki, and Derek Wu (henceforth, CMSW) demonstrate that the behavioral effects of the expanded CTC are a much bigger issue than previously documented. They do so using new, improved data and correcting inconsistencies in the modeling conducted by the NAS committee. CMSW find that the work disincentives created by the expanded CTC are larger than previous researchers have claimed — perhaps sizable enough to reverse the employment gains caused by welfare reform and the EITC in the 1990s — and primarily impact single parent families.As a result, existing studies have overstated the short-term poverty-reduction impact of the policy by a third. Notably, the NAS committee failed to model the primary behavioral response to the new CTC that would be expected to reduce employment. In contrast, the committee did include such a response in its modeling of an Earned Income Tax Credit (EITC) expansion, when the financial incentives involved would be expected to increase employment....But by demonstrating the importance of short-term work disincentives (and the blind spot that many researchers have regarding behavioral effects), CMSW have strengthened the case that child allowances might have precisely the unintended consequences that conservative critics fear...."

Scott Winship, "New evidence on the benefits and costs of an expanded child tax credit," American Enterprise Institute, October 7, 2021, https://www.aei.org/poverty-studies/new-evidence-on-the-benefits-and-costs-of-an-expanded-child-tax-credit/

New evidence on the benefits and costs of an expanded child tax credit

Good intentions cannot be the measure of a policy’s merit. The case for expanding the child tax credit (CTC) has always been disarmingly simple: Giving parents money will reduce hardship among children. The American Rescue Plan Act (ARPA) temporarily made the CTC more generous for all but the richest families — especially to those with little to no earnings. Unlike the old CTC, the newly expanded version — which Democrats are trying to extend via the budget reconciliation bill — provides the full credit amount to families even if they owe no income tax or have no earnings. Estimates of the effect of the expansion have ranged from a drop in poverty of one-third to 46 percent. These estimates simply add the new CTC benefits to families’ incomes and re-calculate whether they are poor. Unsurprisingly, when poverty is defined as having too little income, giving more income to more families means that fewer fall below the poverty threshold.

Critics of the CTC expansion have offered a number of objections, including its $1.6 trillion cost over a decade.

An important criticism stems from concerns that the larger CTC will lead some parents to behave in ways that will counter the immediate (mechanical) poverty-reducing effect of the benefits. For example, if some parents react to having more purchasing power by working fewer hours, leaving the workforce, or not entering it in the first place, that will negate (at least partly) the short-term effects on poverty of the more generous CTC.

Advocates of the CTC expansion have downplayed the importance of such behavioral effects, pointing to (among other studies) the work of a recent National Academies of Sciences, Engineering, and Medicine (NAS) committee examining strategies to reduce child poverty. But in an explosive new working paper from the University of Chicago’s Becker Friedman Institute, Kevin Corinth, Bruce Meyer, Matthew Stadnicki, and Derek Wu (henceforth, CMSW) demonstrate that the behavioral effects of the expanded CTC are a much bigger issue than previously documented. They do so using new, improved data and correcting inconsistencies in the modeling conducted by the NAS committee.

CMSW find that the work disincentives created by the expanded CTC are larger than previous researchers have claimed — perhaps sizable enough to reverse the employment gains caused by welfare reform and the EITC in the 1990s — and primarily impact single parent families. As a result, existing studies have overstated the short-term poverty-reduction impact of the policy by a third. Notably, the NAS committee failed to model the primary behavioral response to the new CTC that would be expected to reduce employment. In contrast, the committee did include such a response in its modeling of an Earned Income Tax Credit (EITC) expansion, when the financial incentives involved would be expected to increase employment.

The CMSW paper does not model all of the potential short-term work disincentives embedded in the new CTC, nor does it model short-term incentives that would be expected to increase the share of children living with single parents, nor any long-term incentives on work, living arrangements, marriage, or fertility that might be expected to work against poverty reduction even more. It does not examine the potentially negative impact of the expanded CTC on other outcomes, such as intergenerational mobility. But by demonstrating the importance of short-term work disincentives (and the blind spot that many researchers have regarding behavioral effects), CMSW have strengthened the case that child allowances might have precisely the unintended consequences that conservative critics fear.

Policy Incentives, Work, and Poverty

CMSW rely on a restricted-use dataset that combines data from the widely used Current Population Survey with administrative data on earnings, retirement income, federal benefit programs, and taxes. The merger of the two datasets allows the authors to correct for substantial underreporting of income.

The Chicago team first analyzes the effect of the expanded CTC using the same conventions as previous researchers, ignoring potential behavioral responses. It finds that the expanded CTC reduces child poverty by 34 percent. In fact, the expansion of the CTC — the new part alone — reduces child poverty more than any other existing antipoverty program.

CMSW then consider how the work-reducing incentives embedded in the CTC expansion might change that conclusion. Specifically, they consider how those incentives might cause some adults who would have been employed without the expanded CTC to decide not to work. CMSW find that with an expanded CTC, the return to working falls by about 7 percent among families earning under $10,000, by about 10 percent among families earning between $10,000 and $40,000, and by between 7 and 9 percent among those earning between $40,000 and $60,000.

To illustrate how sizable this reduction in the return to work is, CMSW compare it with what would happen if the EITC were eliminated. The EITC is one of the largest antipoverty programs, and it is explicitly designed to incentivize work. For families with under $10,000, eliminating the EITC would reduce the payoff to working by nearly 30 percent. Thus, the work disincentive from expanding the CTC is about one-fourth as large for these earners as the work disincentive that would be created by eliminating the EITC.

However, there are nearly twice as many earners in families making $30,000 to $40,000 as there are in families making less than $10,000. For them, the expanded CTC reduces the incentive to work by more than eliminating the EITC would.

CMSW take the percent changes in the return to work for families in their data and multiply them by labor supply elasticities drawn from the literature, which give the percentage decline in employment for a 1 percent change in the return to work. They also multiply the percent changes in income represented by the expanded CTC for families in their data by income elasticities from the literature, which provide the percentage decline in employment for a 1 percent increase in income. (Additional income affords more people the ability not to work.) Together, and applied across families, these calculations yield an estimate of the decline in employment due to the CTC expansion, through its reduction of the return to work and its increase in income. Finally, CMSW model the change in the child poverty rate resulting from not only the more generous CTC benefits enacted in ARPA, but the reduced earnings that those benefits produce.

Incorporating the work-reducing incentives embedded in the CTC expansion, CMSW find that child poverty is reduced not by 34 percent, but by just 22 percent. More dramatically, while conventional estimates suggest the expanded CTC would lower deep child poverty — being under half the poverty line — by 39 percent, with behavioral effects modeled there is no impact whatsoever on deep child poverty. (The authors suggest that this probably understates somewhat the true impact on deep child poverty due to the way they implement their modeling.)

Revisiting the National Academies Study

The impact on poverty that CMSW report is lower than that found by the widely-cited NAS committee, which modeled the impact on child poverty of an expanded CTC similar to the one that was included in ARPA. The committee included behavioral effects on work in their modeling and found that an expanded CTC would lower child poverty by 41 percent.

In large part, the NAS estimate was higher than CMSW’s because the committee found that just 149,000 people would be induced to stop working by an expanded CTC. CMSW find that the work-reducing effects of the expanded CTC are ten times as large — 1.5 million would leave the workforce. What accounts for the difference?

The NAS committee modeled two “income effects” on labor supply — two ways that the increased income provided by an expanded CTC might cause people to work less. It modeled an income effect on the participation margin (the decision to work or not work) and an income effect on the hours margin (whether to work more or less, conditional on working at all). Its modeling assumed relatively small income effects. The Chicago researchers model effects very similar to NAS’s on the participation margin, as their assumptions are explicitly informed by the NAS study.

However, the NAS committee did not model any “substitution effects” on labor supply — changes in work due to the return to work declining. In a report from earlier in the year, I noted this issue, but I highlighted the less important hours margin. Since the old CTC phased in, it incentivized additional work by increasing the CTC amount as earnings rose until it reached the maximum of $2,000 per child. The expanded CTC is available to even non-workers, so it eliminates the pro-work phase-in, and this would be expected to reduce labor supply by lowering the return to working additional hours. CMSW do not model this effect either.

But as the Chicago researchers note, substitution effects are not confined to workers whose earnings put them on the old CTC phase-in, nor to the hours margin. The expanded CTC reduces the return to work across nearly the entire income distribution and therefore affects participation decisions across the distribution. This effect is the focus of the CMSW study. The NAS committee’s omission of any substitution effect on the participation margin in its CTC modeling has more serious consequences than ignoring substitution along the hours margin.

The omission is also curious because the committee’s modeling of an EITC expansion did include such substitution effects. The primary difference between the two policy modeling cases is that the substitution response when expanding the EITC would be expected to increase employment and thereby reduce poverty, while the response in moving from the old phased-in CTC to a child allowance would be expected to reduce employment and thereby increase poverty.

One worries that the NAS committee — even if subconsciously — might have been “rooting” for a more favorable CTC modeling result. At least three of the 15 members of the committee wrote in support of expanding the CTC to resemble a child allowance prior to the NAS report being published. Another committee member recently co-led the development and circulation of an open letter to policymakers for economists to sign supporting a permanent extension of the new CTC. Of the six economists on the NAS committee, five signed the letter. Ironically, that letter cited the NAS committee’s finding that the expansion would not reduce work significantly, which may have contributed to their subsequent advocacy. The modeling oversight uncovered by CMSW should remind us of the importance of including diverse perspectives on government panels examining important policy questions.

Reversing Welfare Reform

The CMSW study should give policymakers pause as they contemplate extending the newly expanded CTC. It identifies significant short-term effects on employment, even without looking at how the expanded CTC might cause some workers to reduce their hours while still remaining employed. Nor does it look at the effect on non-workers’ likelihood of choosing to enter work. So it only partly gets at the labor supply response to an expanded CTC.

The negative effects on work that the study does estimate would be heavily concentrated among low-earning families, who are disproportionately headed by a single parent. Roughly half of the families leaving employment in the CMSW modeling would come from families earning under $30,000. Over 80 percent of families leaving employment in their model switch from one worker to no workers (rather than from two workers to no workers — their model does not allow for two-worker-to-one-worker switches). In other words, the paper’s results are not driven by married mothers (or fathers) leaving the workforce to have a single-breadwinner family.

New evidence on the benefits and costs of an expanded child tax credit: Extended Excerpt Image 1


CMSW compare their findings to the literature on the effects of the 1990s expansion of the EITC and welfare reforms on the employment of single mothers. They conclude that, “the CTC expansion should be expected to reverse at least most or all of the employment gains of the 1990s.”

Neither does the paper look at the response to the expanded CTC in terms of marriage, living arrangements, and fertility. In the same way that safety net benefits make it possible to work less, additional income from the CTC makes it more feasible to raise children outside of marriage. In response to more income and declining returns to having earnings, some parents (disproportionately mothers) will choose to leave their marriage and take their children with them, while some (disproportionately fathers) will choose to leave and to leave the parenting to their ex. Other couples will find out-of-wedlock childbearing marginally easier: Either the mother, the father, or both may feel the mother has less need of the father’s support. More couples will find themselves with nonmarital, often unplanned, pregnancies and choose not to marry in the first place.

Finally, the CMSW paper is unable to consider whether the long-term effects of the policy might be understated by these short-term effects. Most narrowly, the longer-term effects on work might be understated. In the negative income tax experiments of the 1970s, one group of single mothers was assigned to receive a UBI-like benefit (but taxed away as earnings rose) for 20 years. After receiving benefits for three years, the decline in hours worked was twice as large as it was after receiving benefits for one year. (The experiment prematurely ended soon thereafter.) Thus, the long-term impact on child poverty of an expanded CTC might be significantly smaller than CMSW estimate.

More broadly, an expanded CTC might have other negative consequences over the long-run. As I wrote in my March report: "Child allowances run a very real risk of encouraging more single parenthood and more no-worker families, both of which could worsen entrenched poverty in the long run — an overreliance on government transfers, poverty over longer stretches of childhood, intergenerational poverty, and geographically concentrated poverty. And the concern is about not only material poverty but also the social poverty that comes from growing up in non-intact families or communities with limited social capital and a dearth of meaningful roles for members to fill."

Advocates of the CTC expansion point to research suggesting that safety net expansions have improved various long-term outcomes. This research is often non-experimental and ill-equipped to rigorously answer the policy questions of interest. It often comes from older expansions of a relatively threadbare safety net, calling into question its relevance for new safety net expansions when child poverty is at an all-time low. It is also often ambiguous in another way; if transfer income improves outcomes, it stands to reason that income from employment or from marrying someone with earnings might as well. Indeed, many results cited by advocates come from EITC research, which involves not just additional federal benefits but additional work.

To the extent that working increases parents’ skills and social capital, it would be expected to raise their future earning potential, and thus have a bigger impact on lifetime income. Working may also provide beneficial role-modeling for children. While greater work might mean less time for parents to invest in their children, providing better child care opportunities while parents work might improve the cognitive and socioemotional environments of many children, especially those whose parents struggle to provide healthy environments. Growing up with both biological parents is also associated with a variety of improved outcomes. Perhaps it is for these and other reasons that, in the past three months alone, two studies found that welfare reform improved living standards among single-mother families and reduced the adulthood poverty of children affected by it. (Meyer was a coauthor of the former.)

In truth, almost everyone involved in anti-poverty debates has good intentions. No one favors increasing child poverty as a policy goal. We should all rely on evidence as best we can to guide our policy positions, but evidence is almost always more ambiguous than the staunchest advocates of safety net expansions believe. Ambiguity calls for caution and for the kind of experimentation that informed welfare reform. Jumping hastily into a dramatic transformation of the safety net without worrying about unintended consequences may be soft-hearted, but researchers and policymakers must take care to be hard-headed as well — because we are trying to help today’s and tomorrow’s children.

  • Government Spending
  • Fiscal Policy
  • Workforce
    • Poverty/Crime
    • Unemployment/Participation
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Showing 193 database articles primarily about Government Spending

The Fairest Way to Reform Social Security May Also Be the Worst Way to Grow the Economy

AI Summary. Raising payroll taxes to fix Social Security's funding gap preserves earned benefits but reduces take-home pay without added compensation, shrinking labor supply and slowing economic growth.

Andrew Biggs American Enterprise Institute
Date Posted:
May 28, 2026
Is Database:
Database
Is Important:
Important

Biggs argues that “fair” approaches to restoring Social Security solvency – those that do not cut already accrued benefits – are less effective than “unfair” ones that do, because the latter incentivize increased work effort, raising growth and revenue.

Biggs argues that “fair” approaches to restoring Social Security solvency – those that do not cut already accrued...

Does preserving Social Security benefits require sacrificing economic growth?

Core argument: A 5.2 pts payroll tax increase to 17.6% drives reduced labor supply and slower economic growth vs. the status quo.

Imagine that Social Security reform follows the fairness model, in which accrued benefits are paid in full but the rate at which future benefits are earned is reduced. A simple way to do this is to increase the payroll tax rate To keep Social Security permanently solvent, meaning through 75 years and beyond, would require an immediate and permanent increase in the payroll tax rate [from] 12.4% to 17.6%. The higher rate would decrease labor supply and reduce economic growth. [Consider] an alternate reform, which looks clearly unfair: fix Social Security’s funding gap entirely by reducing accrued benefits that Americans already have earned. As of 2025, Americans had accrued $54 trillion in Social Security benefits. Social Security’s unfunded obligation as of 2025 was $26 trillion. So, roughly, this means cutting Americans’ “earned benefits” in half. [Analyzing the 1977 reform that undid the notorious 1972 “double-indexing” of benefits, a group of economists], using SSA earnings data, found that, for every dollar of lost benefits, the affected Americans increased their earnings by 61 cents. Moreover, these additional earnings would be taxed by Social Security, further strengthening the program’s finances. In effect, this makes cutting benefits a “cheaper” way to fix Social Security than raising taxes, because people respond in ways that also increase tax revenues.

Takeaways by Macro Roundup® AI

  1. A 5.2 pts payroll tax increase to 17.6% drives reduced labor supply and slower economic growth vs. the status quo.
  2. $54 trillion in accrued Social Security benefits vs. the unfunded obligation reveals that benefit cuts would reduce growth drag but.

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  • How Federal Spending is Distributed by Age — Retirees receive 62 cents of every age-assignable federal dollar, driven primarily by Social Security and Medicare, which together account for 80% of all federal spending directed at adults over 65.
  • The Great “Transfer”-mation — Transfer payments made up 18% of all US personal income in 2022, up from 8% in 1970. Social Security/Medicare made up 56% of the increase from 1970 to 2022…
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The World’s Most Surprising Capitalist Makeover Is Under Way in Sweden

AI Summary. Sweden has privatized nearly half of primary healthcare and one in three public high schools, shrinking public social spending to 24% of GDP — comparable to the U.S. and well below France and Italy — while projecting ~2% annual growth through 2030, double the rate of France and Germany.

Tom Fairless Wall Street Journal
Date Posted:
May 12, 2026
Is Database:
Database

Swedish public social spending is now 23.7% of GDP, just 1pp above that of the US and well under France’s 31.6%. Market-based reforms in the 1990s brought overall government spending down from 69.4% to 49.3% in 2024.

How is Sweden's shift to privatization impacting its economic growth?

Core argument: Sweden’s public social spending fell to 24% of GDP, matching the U.S. and 6+ pts below France/Italy, driving lower taxes.

For decades, Sweden was shorthand for the brand of high-tax, high-spend government that managed people’s lives from cradle to grave through state-run hospitals, schools and care homes. No longer. With little fanfare, this Nordic country of 11 million has embraced capitalism. Today, nearly half of primary healthcare clinics are privately owned, many by private-equity firms. One in three public high schools is privately run, up from 20% in 2011. School operators are listed on the stock exchange. The capitalist makeover has allowed Sweden to do what few industrialized countries have managed in recent years: shrink the size of the state. That has enabled the government to sharply lower taxes and, economists say, sparked a surge in entrepreneurship and economic growth. Its total public social spending bill—which includes healthcare, education and all welfare payments—has fallen to 24% of gross domestic product, similar to the U.S. and well below the over 30% for nations like France and Italy. Sweden’s economy is expected to grow by around 2% a year through 2030, roughly the same pace as the U.S. and double the growth rates of France and Germany, according to an April forecast by the International Monetary Fund.

Takeaways by Macro Roundup® AI

  1. Sweden’s public social spending fell to 24% of GDP, matching the U.S. and 6+ pts below France/Italy, driving lower taxes.
  2. Privately-run primary healthcare clinics reached nearly 50% of the market vs. 20% for high schools in 2011, demonstrating accelerating privatization.
  3. Sweden’s projected 2% annual GDP growth through 2030 doubles France and Germany’s rates, resulting from state downsizing and capitalist sector.

Related Articles:

  • How Sweden Overcame Socialism — Sweden’s market reforms: Govt spend cut 70% to <50% GDP, debt 80% to 41%, corp tax -6pts to 22%. Results: Growth +1pt vs EU since 1995, GDP/capita now at…
  • Reforming the Welfare State: Recovery and Beyond in Sweden — Sweden’s structural reforms, initiated in response to the 1990s crisis, included adopting flexible exchange rates & inflation targeting, leading to…
  • The US Has One of the Highest Fertility Rates Among Peer Countries — As of 2022, the US had a “tempo fertility rate,” which is adjusted for life-cycle effects, of 1.82 – among the highest of advanced economies, and ~ on…
  • Government Spending
  • Fiscal Policy
    • Fiscal Deficits
  • Politics

How Policy and Demographics Are Reshaping SNAP: From Families with Children to Older Adults

AI Summary. SNAP enrollment has doubled from 6% to 12% of the U.S. population since 2000, with real costs per capita rising 179% to $279 annually, driven by policy expansions and benefit increases that prevent costs from fully retreating after economic downturns.

Angela Rachidi American Enterprise Institute
Date Posted:
May 1, 2026
Is Database:
Database

About 40mm Americans, 12% of the population, receive SNAP benefits, up from 6% in 2000. In 2023, only 34% of these households included children, down from 49% in 2010, while 36% contained an elderly person, up from 16% in FY2010.

How Are Policy Changes and Demographic Shifts Impacting SNAP Enrollment?

Core argument: SNAP participation doubled from 6% to 12% of the population between FY2000–FY2025, driven by policy expansions and demographic shifts outpacing.

Comparing FY2000 with FY2025, the share of the population receiving SNAP doubled from 6% to 12%, while real SNAP costs per capita increased by 179%—from roughly $100 per year to $279 (in 2024 dollars). Despite this growth, per capita participation and costs in FY2025 remained below their pre-pandemic peak in 2013, which coincided with the aftermath of the Great Recession and changes in eligibility and other policies stemming from the 2008 Farm Bill. SNAP is countercyclical, meaning that all else equal, the number of people receiving SNAP should rise during recessions because of increased unemployment and decline as the economy recovers, [though] overall SNAP participation has grown faster than changes in the unemployment rate alone would predict. Over the long run, and especially since FY2020 (due to the Thrifty Food Plan’s increase in the maximum SNAP benefit), costs per capita have not returned to prerecession levels after a period of high unemployment. In FY2023, the share of SNAP households containing an elderly person (36%) exceeded the share containing a child (34%) for the first time. This was a sharp departure from the early 2000s, when more than half of SNAP households contained a child and less than 20% included an elderly person (Figure 2).

Takeaways by Macro Roundup® AI

  1. SNAP participation doubled from 6% to 12% of the population between FY2000–FY2025, driven by policy expansions and demographic shifts outpacing.
  2. Real per capita SNAP costs rose 179% from $100 to $279 (2024 dollars) over 25 years, with the Thrifty Food.
  3. FY2025 SNAP enrollment remains 8–12% below the FY2013 peak despite 25-year growth, indicating countercyclical policy design successfully targets recession-driven need.

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  • Government Spending
  • Fiscal Policy
  • Workforce
    • Poverty/Crime

Washington’s Growing Portfolio: Tracking U.S. Government Investments

AI Summary. The U.S. government has deployed $20.9bn across 16 direct equity deals, expanding beyond grants, loans, and tax incentives into direct ownership stakes. This approach has mobilized an additional $4.75bn in private co-investment alongside the government's positions.

Jonathan Hillman Council On Foreign Relations
Date Posted:
April 23, 2026
Is Database:
Database

Since January 2025, the USG has taken equity stakes totaling $20.9B in 16 American businesses. $8.6B, ~41% of the total, was invested in critical mineral miners and processors, while $8.9B, ~43% of the total, funded the government’s 10% stake in Intel.

Core argument: The U.S. government deployed $20.9bn in direct equity investments since January 2025, expanding beyond traditional grants and loans to drive.

Since January 2025, the U.S. government has invested $20.9 billion across sixteen deals involving direct ownership, broadening a toolkit that has traditionally focused on grants, loans, and tax incentives. The Department of Commerce has participated in six such deals, including taking a 10% stake in Intel. The Development Finance Corporation, the United States’ development bank, has executed three equity transactions in critical minerals, healthcare, and infrastructure. The Department of Defense leads the way with seven such deals. The U.S. government is also working with a range of partners and has mobilized an additional $4.75 billion in investment. Private co-investors include J.P. Morgan, Goldman Sachs, and others.

Takeaways by Macro Roundup® AI

  1. The U.S. government deployed $20.9bn in direct equity investments since January 2025, expanding beyond traditional grants and loans to drive.
  2. The Department of Defense leads with seven equity deals of the sixteen total, establishing direct ownership as a core national.
  3. Commerce Department’s 10% Intel stake exemplifies government equity participation in critical infrastructure, mobilizing private capital alongside public investment to strengthen.

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How Federal Spending is Distributed by Age

AI Summary. Retirees receive 62 cents of every age-assignable federal dollar, driven primarily by Social Security and Medicare, which together account for 80% of all federal spending directed at adults over 65.

Kent Smetters University of Pennsylvania
Date Posted:
April 2, 2026
Is Database:
Database
Is Important:
Important

In 2025, of the 62.5% of Federal spending that is age-assignable on a per-capita basis, US retirees aged 65+ were given $43,700, working-age adults 26–64 got $7,300, and children and young adults got $4,300.

Core argument: Federal spending heavily favors retirees, who receive 38.6 percent of total outlays through Social Security, Medicare, and related programs.

We trace spending items within 52 general spending categories, totalling $7T for the 2025 Fiscal Year. We are able to classify a total of $4.4T across three broad age categories and assign the remaining $2.6T to an all-ages residual. Retirees (adults age 65 and older) receive $2.7T, equal to 38.6% of total federal outlays and 61.9% of age-assignable spending. Working-age adults (ages 26-64) receive $1.2T (27.9% of age-assignable), and children and young adults (under age 26) receive $449B (10.3%). The dominance of the retiree category reflects two programs above all others: Social Security and Medicare. Social Security directs $1.3T to retirees, and Medicare sends $835B. Together, they account for 80% of all age-assignable spending on older adults. But the retiree total extends beyond these two entitlements. Federal employee retirement benefits ($169B), housing assistance for older households, Medicaid long-term-care spending, and VA medical care all contribute, making the federal budget more retiree-focused than a Social Security–only lens would suggest.

Takeaways by Macro Roundup® AI

  1. Federal spending heavily favors retirees, who receive 38.6 percent of total outlays through Social Security, Medicare, and related programs.
  2. Working-age adults and children combined receive less than half the spending directed to retirees despite representing larger population segments.
  3. Social Security and Medicare alone account for 80 percent of all federal spending on older Americans, dominating the retiree budget.

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Has the United States Bent the Health Care Cost Curve?

David Cutler and Lev Klarnet Brookings Papers On Economic Activity
Date Posted:
March 30, 2026
Is Database:
Database
Is Important:
Important

In 2024, medical spending as a share of GDP was just above its 2010 level and 15% ($977B) below its 2010 forecast; 21% of the gap was due to technology, 24% to price reductions, and 11–27% to reforms such as prior authorization and higher deductibles.

Five factors are important in the slowdown in spending [Figure 16]. The first is technology-associated changes in health and site of care. These correspond to the subsequent innovations in our model. Together, technologies along these lines account for 21% of the overall cost slowdown and double that in Medicare. Second, long-run supply is more elastic than short-run supply, which lowers spending over time. This is particularly apparent in the impact of patent expiration for pharmaceuticals and in relative declines in imaging reimbursement. We estimate that greater long-run supply explains 6% of the spending slowdown. Third, a variety of market changes contribute to reduced and more elastic demand, including increased cost sharing paid by consumers, physicians not paid as much for using technologies, and insurers imposing restrictions on technology use - a rough guess is that these account for 11 to 27% of the spending slowdown. Fourth, the population is healthier in ways that reduce spending. This includes fewer hospitalizations for smoking-related conditions and reduced need for formal home health care. The birth rate has fallen as well, which reduces the need for care. We estimate improved population health explains 7% of the spending slowdown. A major component is slower price growth. Net of upcoding, we estimate lower price growth explains 24% of the spending slowdown.

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