Under the proposal, most elderly people would pay more for their health care than
they would pay under the current Medicare system. For a typical 65-year-old with
average health spending enrolled in a plan with benefits similar to those currently
provided by Medicare, CBO estimated the beneficiarys spending on premiums and
out-of-pocket expenditures as a share of a benchmark: what total health care spending
would be if a private insurer covered the beneficiary. By 2030, the beneficiarys spending would be 68 percent of that benchmark under the proposal, 25 percent under the
extended-baseline scenario, and 30 percent under the alternative fiscal scenario.