“Mandatory” federal health care spending under what the Congressional Budget Office calls “major health care programs” exceeded $1,000,000,000,000 for the first time in fiscal 2016, according to the latest historical data published by the CBO.

The “major health care programs” included in the CBO’s historical tables on annual “mandatory outlays” include Medicare, Medicaid, the Children’s Health Insurance Program and subsidies for people buying health insurance through the Obamacare exchanges.

“Mandatory” federal spending on these major health care programs, according to the CBO’s data, increased by 48.3 percent from fiscal 2008 to fiscal 2016, when measured in constant 2016 dollars.

According to the CBO’s data, this type of federal spending was more than 20 times greater in fiscal 2016 than it was in 1969–the year President Lyndon Johnson (who signed Medicare and Medicaid into law in 1965) was succeeded by President Richard Nixon.

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