Health Care and Retirement | Twenty-First-Century Issues

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Health-care costs have spiraled out of control. Millions of Americans do not have any health insurance, and those who do are largely not willing to give up what they have in exchange for a more equitable system. For the most part, we believe that we have the best health care in the world, and we want to hang onto it at any cost.

Furthermore, the U.S. population is aging. Our medical care system will be crushed along with the national pension system, called Social Security, unless significant structural reform is achieved. By most estimates, the Social Security system will stop generating a surplus around 2020 and will exhaust its trust fund by the year 2034. Many Americans do not rely on Social Security, depending instead on privately funded pension plans. This means that the poor will by far bear the biggest share of this hardship.

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