USA Entitlements = Medicare + Medicaid Driving Most Spending Growth… USA Entitlements by Category 1988 Entitlements* = 2018 Entitlements* = $367B / 34% of Expenses $2.2T / 54% of Expenses 30% 24% ts 20% en em tl nti E y 14% r 15% ato nd Ma 9% A 7% US 7% 3% 4% 0% Social Security Medicare Medicaid Income Security Medicare Medicaid 1988 2018 1988 2018 1988 2018 Source: Congressional Budget Office, White House Office of Management & Budget. *1988 Income Security programs defined as Food Stamps + SSI + Family Support + Child Nutrition + Earned Income Tax Credit + Other. 2018 Income Internet Trends Security defined as Earned Income Tax Credit + SNAP + SSI + Unemployment + Family Support + Child Nutrition. In 266 2019 2018, there was an additional ~$302B in mandatory spending, including Veterans’ pensions & ~$81B in 1988.