Long-term simulations are useful for comparing the potential outcomes of alternative fiscal policies within a common economic framework. Such simulations can help the Congress assess the long-term costs and benefits of fiscal policy decisions that are made today. Adopting a long-term perspective is particularly important because the long-term consequences of today's actions are not as visible as their short-term effects, a point made vividly by the economist Charles Schultze when he compared budget deficits to "termites in the basement." Long-term modeling can help illuminate these consequences for policymakers faced with difficult budget choices. While long-term simulations provide a useful perspective that is often lacking in budget debates, they should be interpreted carefully. Given the range of uncertainty about future economic changes and the responses to those changes, these simulations should not be viewed as forecasts of budgetary or economic outcomes 50 years in the future. Rather, they should be seen only as illustrations of the budget or economic outcomes associated with alternative policy paths based on current information about demographic and budgetary trends and the functioning of the economy. While any long-term analysis is inherently uncertain, one thing is certain: the population is growing older. And this factor is a principal driver of our simulation results, as will be discussed below. In our simulations, we employ a model originally developed by economists at the Federal Reserve Bank of New York that relates long-term gross domestic product (GDP) growth to economic and budget factors. The key interaction between the budget and the economy is the effect of the federal deficit/surplus on the amount of national saving available for investment. In general, government budget deficits represent dissaving--they subtract from national saving by absorbing funds that otherwise could be used for investment. Conversely, government surpluses add to saving. For our budget assumptions, we incorporate CBO's most recent 10-year budget projections. After 10 years, we rely on the long-term actuarial assumptions for the Social Security and Medicare programs. For Medicaid, we use the growth rates assumed by CBO in its March 1997 report on long-term simulations. Interest spending is determined by interest rates--which are held constant over the long term--and the level of federal debt held by the public, which depends on the path of deficits/surpluses within each simulation. All other spending, along with federal revenue, is assumed to grow at essentially the same rate as the economy. Attachment I provides more details on the model and our assumptions, but one point bears further discussion. Recognizing the inherent uncertainties of long-term simulations, we have deliberately chosen conservative assumptions to estimate the economic consequences of federal fiscal policy. For example, we have held the interest rate and productivity growth constant over the long term, even for budget scenarios for which escalating deficits and declining national savings would imply a substantial worsening of these indicators. Similarly, the economic benefits derived from long-term budget balance scenarios would also tend to be understated due to our constant interest rate and productivity growth assumptions. In our October 1997 report to you and Chairman Kasich, we said that the long-term outlook has improved greatly from when we did our first report in 1992 and our update in 1995. Since our October report was issued, CBO's 10-year budget projections have shown continued improvement in the short term. CBO now projects that the budget is already virtually in balance and that, in a few years, we could experience a period of budget surpluses on a unified budget basis. At your request for this testimony, we updated our simulations to reflect CBO's new baseline. Our no action simulation assumes no changes in current policies. Since current policies include caps on discretionary spending, our no action path assumes compliance with these caps--a real cut in discretionary spending of 10 percent by 2002 assuming CBO's inflation projections. The budget surpluses that occur in the early years of the no action path are assumed to reduce debt held by the public as in CBO's baseline. The major improvement in the fiscal outlook discussed in our October 1997 report was due to both policy actions and the performance of the economy. Since then, the fiscal outlook has continued to improve due to the strong economy and the slower growth in health care costs that underlie the changes in CBO's baseline projections. Despite this improvement, our model shows that a fiscal policy of no action is still unsustainable over the long term due to the spending pressures caused by the retirement of the baby boom generation and growth in health care costs. Our February 1998 no action simulation is a "good news but" picture. Figure II.1 in attachment II illustrates both the good and bad news in our current no action simulation. It shows how our no action deficit path has changed since our initial report in 1992. Both our 1992 and 1995 no action simulations indicated that deficits would have reached 10 percent of GDP by 2016 at the latest. In contrast, our current no action simulation indicates that the federal budget would be in surplus in the early years of the 21st century and deficits would not reach the 10 percent level until about 2040. Despite this good news, under the current no action simulation, deficits would reemerge in 2015, less than a decade after the baby boom generation begins to retire. These deficits would then escalate quickly, reaching unsustainable levels as shown in figure II.1. The ratio of debt held by the public to GDP tells a similar story--near-term improvement followed by rapid deterioration to nearly 100 percent of GDP by 2040. Such deficits and debt imply a substantial reduction in national saving, private investment, and the capital stock. Assuming no policy change, GDP would inevitably begin to decline under this scenario. The no action simulation is neither plausible nor sustainable. The negative effects of rapidly increasing deficits and debt on the economy would force action at some point before the end of the simulation period. Policymakers would likely act before facing the probable consequences, such as rising inflation, higher interest rates, and the unwillingness of foreign investors to invest in a weakening American economy. Therefore, as we have noted in our past work, the no action simulation is not a prediction of what will happen in the future. Rather, it underscores the need for additional action to address the nation's long-term fiscal challenges. The primary causes of the large deficits in the no action simulation are (1) the aging of the U.S. population, which corresponds to slower growth in the labor force and federal revenues and faster growth in entitlement spending, and (2) the rising costs of providing federal health care benefits. Ten years from now, the first baby boomers will be eligible for early retirement benefits. As this relatively large generation retires, labor force growth is expected to slow considerably and, eventually, stop altogether. These demographic changes mean fewer workers to support each retiree. Between 1997 and 2030, the number of workers per Social Security beneficiary is projected to drop from 3.3 to 2.0, a decline of nearly 40 percent. Without a major increase in productivity, low labor force growth will inevitably lead to slower growth in the economy and in federal revenue. This slower revenue growth will come at the same time that a large retired population will place major expenditure demands on Social Security, Medicare, and Medicaid. In view of this combination of slower revenue growth and increased expenditure demands, the Social Security Trustees project that in less than 15 years the program's annual tax revenue would be insufficient to cover annual benefits and, in 2029, the program's balance would be exhausted. As Social Security and health spending rise, their share of GDP and of federal spending grows dramatically in our no action simulation. (See figure II.2 in attachment II.) These spending pressures cause large deficits to reemerge, adding substantially to the debt held by the public. Rising debt, in turn, increases spending on interest, which compounds the deficit problem, resulting in a vicious circle. By about 2040, spending for Social Security, health programs, and interest alone would consume more than 100 percent of federal revenues. We are not the only agency to call attention to these unsustainable long-term trends. CBO also conducts long-term simulations that produce similar results. As in our prior reports, we have simulated alternatives to the no action fiscal policy scenario, using the same underlying economic assumptions. However, unlike our prior reports, one of the simulations discussed here would actually worsen the long-term fiscal outlook. In our past work, the no action simulation always represented the least desirable fiscal path. We chose this approach because, in an era of large budget deficits, the fiscal policy debate usually centered on how to reduce these deficits. Policy alternatives that would have increased deficits received less attention, particularly after enactment of the Budget Enforcement Act of 1990, which set up procedural hurdles to deter such policies. Currently, however, the dramatic drop in the deficit and the expected budget surpluses for the near future have changed the fiscal policy climate. While our no action path remains an unsustainable policy over the long term, it does include a period of budget surpluses over the next 15 years, consistent with CBO's current baseline. Some recent policy proposals have suggested using at least part of these prospective surpluses to increase spending or cut taxes rather than to reduce the debt held by the public. Thus, as agreed with your office, we present two alternatives to the no action simulation in this testimony. The first alternative--no surplus--assumes that short-term surpluses are not achieved due to policy actions that permanently increase spending and/or reduce revenues. In this simulation, the budget would be in balance rather than surplus over the next decade. Thereafter, revenue and spending would grow according to the assumptions of the no action simulation, but from different baseline levels--that is, revenues would be lower and spending would be higher than in no action. As shown in figure II.3 in attachment II, the deficit would reach 10 percent of GDP under the no surplus scenario by 2033, or 8 years earlier than the no action scenario where the surpluses are used to reduce debt held by the public. The second alternative--maintain balance--assumes short-term budget surpluses are used to reduce debt held by the public as in the no action scenario, but then assumes policy actions are taken to prevent deficits from recurring. Beginning in 2015--when deficits reemerge in the no action path--the maintain balance simulation assumes that the budget is kept in balance through the end of the simulation period, as shown in figure II.3 in attachment II. Unlike no action and no surplus, the maintain balance simulation is one example of a sustainable fiscal path under which government activities can be maintained without a continual rise in the debt as a share of GDP. The maintain balance simulation would require some combination of policy or program changes that reduce spending and/or increase revenues. We make no assumptions about the mix of those changes in our analysis and recognize that such actions would not be taken without difficulty. They would require the nation to make choices resulting in a greater share of national income devoted to saving. While consumption would be reduced in the short term, it would be increased over the long term. Early action would permit changes to be phased in and so give those affected by changes in, for example, Social Security or health care benefits, time to adjust. For both the federal government and the economy, the no surplus path leads to the worst outcomes over the long term. As shown in figures II.4 and II.5 in attachment II, eliminating surpluses in the short term increases interest costs over time and ultimately leads to lower living standards when compared to either the no action or maintain balance paths. Over the longer term, maintaining budget balance yields a vast improvement over either the no action or no surplus paths. However, running a surplus in the short term under the no action scenario helps reduce the fiscal actions needed to maintain budget balance over the longer term, compared to the no surplus path. Sharply reduced interest costs provide the most striking budgetary benefit from following a sustainable policy. Currently, interest spending represents about 15 percent of federal spending, a relatively large share that is a consequence of the deficits of the 1980s and early 1990s. After shrinking in the early years of the no action simulation, interest costs increase sharply over the long term, reaching nearly 25 percent of spending in 2050. Interest costs become even more burdensome in our no surplus scenario, topping one-third of all spending in 2050. In contrast, maintaining a balanced budget after the projected surpluses would reduce interest costs well below where they are now--to a level less than 1 percent of all federal spending. Any path that reduces debt held by the public and associated interest costs would help promote increased flexibility for future budget policymakers. The economic benefits of a sustainable budget policy include increased saving and investment levels and faster economic growth, which results in higher living standards. For example, under the maintain balance simulation, per capita GDP would nearly double between 1997 and 2050. In contrast, under either the no surplus or no action simulations, growth in living standards slows considerably and living standards themselves would begin to decline in the 2040s, as shown by figure II.5 in attachment II. The differences graphically show the emerging gaps in long-term living standards that result from different fiscal policy paths. Although the maintain balance path would lead to higher living standards, the rate of growth would be significantly lower than that experienced over the past 50 years. Achieving and sustaining the historic growth rate would be extremely difficult given the slowdown in productivity growth that has occurred in recent decades. As shown in table 1, by 2050, living standards would be over 50 percent lower under no surplus and 25 percent lower under no action than under the maintain balance simulation. This difference results from a wide gap in private investment. Under either of the unsustainable simulations, large deficits eventually drive per capita private investment spending down sharply while a balanced budget policy could produce a near doubling of investment per capita. As we have said in our earlier work, the surest way to increase the resources available for investment is to increase national saving, and the most direct way for the federal government to increase national saving is to achieve and sustain a balanced budget. Running budget surpluses would further increase saving and allow the government to reduce the level of federal debt held by the public. To some degree, the long-term fiscal policy of the nation is determined by the spending or revenue paths inherent in the design of federal programs. Without adequate information about the long-term cost implications of specific program (or revenue) designs, fiscal policy may not follow the expected path. Just as the current long-term projections are driven by a combination of demographics and the design of Social Security and federal health care programs, so future projections may also be affected by the long-term costs of other programs. As the central process through which the President and the Congress select among and balance the competing demands for government activity in achieving various goals, the budget needs to provide more complete information on the costs of various alternatives--on a comparable basis--and on the nature of the government's commitment. Although the multiyear focus of the Budget Enforcement Act of 1990 represents significant progress in considering the longer term in budgeting, some programs require an even longer time horizon to understand the implications of commitments being made. The future implications of current policy decisions reflected in our simulations and in other financial reports are generally not captured in the budget process. This is because the budget is largely a short-term, cash-based spending plan focusing on the short- to medium-term cash implications of government obligations and fiscal decisions. Accordingly, it does not provide comprehensive information on the longer term cost implications stemming from the government's commitments. Of course, commitments the Congress created by statute may subsequently be changed by the Congress either modifying, amending, or repealing the underlying laws establishing the benefits. Nevertheless, a longer term perspective is necessary to understand the fiscal and spending implications of key government programs and commitments extending over a longer time horizon. As demonstrated by our simulations, the nation's economic future depends in part upon today's budget and fiscal policy decisions. In considering what fiscal adjustments to make, policymakers need to be presented with more complete information on the costs of the government's long-term commitments. The federal government's long-term commitments are wide-ranging and varied in nature. While the sustainability of the government's fiscal policy is driven primarily by future spending for Social Security and health care commitments, the federal government's commitments and responsibilities extend far beyond these programs. These commitments may themselves result in large costs that can encumber future fiscal resources and also constrain the government's future financial flexibility to meet all its commitments as well as any unanticipated or emerging needs. Although a portion of some of the government's commitments have already been recognized in the budget through appropriations for future costs there are others that are not recognized at all. In table 2, we show a number of federal liabilities and commitments whose total long-term costs have not been fully recognized in either the budget or in our long-term simulations. It must be noted that for some of these commitments, the budget has recognized a portion of the long-term costs. For example, for federal civilian employees hired since 1987, the full cost of pension benefits is recognized in the budget as they are earned over the working lives of the employees. While this list is not comprehensive and may not be universally agreed with, it provides some perspective on the range and magnitude of these commitments. Some of the federal government's liabilities are similar to those found on the balance sheet of a typical business, such as deferred compensation. Other commitments--not shown in this table--are of a different nature. For example, the table we constructed does not show the implied commitments for social insurance programs such as Unemployment Insurance, Black Lung benefits, Railroad Retirement, and Medicaid, nor does it show those programs which, in the absence of a change in law, would go on forever. In some of these cases, earmarked revenue, such as in the form of individual contributions, has helped build public perception of an enduring commitment by the government. Also, the federal government has other ongoing responsibilities, such as providing for the common defense of the nation, that are not shown in the table. Still another category of long-term commitments may arise from those programs or activities that commit the government to future operating and maintenance expenses or from the expectation that a partially funded capital project--such as the space station--will receive future funding to complete the project. The broad range of long-term federal commitments complicates the challenge of integrating more complete information on their expected future cost into the budget process. The diverse nature of the commitments, combined with the varying quality and amount of information available outside the budget process, suggests that across-the-board changes in budget reporting or process may not be the most effective way to proceed. We think that it may be more useful to look at different categories of the government's long-term commitments to identify the most useful approach for incorporating a longer term perspective into current policy actions affecting those commitments. Alternatives could range from enhancing the information available in the budget to developing new frameworks for budgetary incentives and control, as the Congress did for credit programs under the Federal Credit Reform Act of 1990. Thus, for different categories of commitments, changes in the information provided or in the existing incentives and controls could be selectively tailored to address specific problems. For some types of commitments, the problem may be a lack of information to judge the expected future costs of programs as they are created or modified. For other commitments, such as insurance, the problem may be that the incentives or signals provided by information reported in the budget are misleading. While there is a great deal of information available to decisionmakers on the future cost implications of the government's two largest commitments--Social Security and Medicare--long-term simulations like GAO's put the information in context by helping focus attention on the broader fiscal and economic implications of these commitments. These models can be updated periodically to help the Congress and the public assess the future consequences of current or proposed policies and programs. Such long-term simulation models could provide information to help judge the future implications of current or alternative fiscal policy paths. The effects of congressional budget resolutions could be simulated over the long term to gauge their potential impact on the long-term outlook. Thus, use of economic simulations could help establish a long-term framework linking budget planning and long-term fiscal policy goals. With regard to program categories for which the budget currently provides misleading or incorrect incentives and signals, we recently reported that the cash-based budget provides neither complete cost information for budget decision-making nor the incentives necessary to control costs for federal insurance programs. While smaller than the government's social insurance commitments, federal insurance is provided to individuals and businesses against a wide variety of risks, ranging from natural disasters under the flood and crop insurance programs to bank and employer bankruptcies under the deposit and pension insurance programs. These commitments could result in potentially large future obligations; however, their costs are not currently reflected in the budget at the time the government extends the insurance. Although it is often hard to predict the timing and magnitude of insured losses, estimates of the expected long-term costs of these future claims are available for many of the federal insurance programs. In our report, we recommended that the Office of Management and Budget work with the insurance program agencies to improve these estimates and report this supplemental information in the budget. Reporting of such accrual-based insurance costs would improve recognition of the government's commitments. Another area in which the budget provides incomplete cost information and misleading incentives is future civilian and military retiree health costs. None of the accruing costs of civilian or military retiree health benefits are recognized in the budget. The budgetary information and incentives to control costs for these programs could potentially be improved through the use of accrual concepts, which would recognize the full cost of these benefits in the budget as they are earned. The cost of environmental cleanup resulting from federal operations, which under federal accounting standards is reported as a liability on financial statements, represents another category of long-term costs, most of which have not been recognized in the budget. While it will be up to the Congress to decide on the most appropriate way to deal with this large accumulated liability, we believe that decisions to purchase capital assets should take into account the cost of any new environmental liabilities to be created with the operation or decommissioning of the asset. The cost of future environmental liabilities could be provided as supplemental information or recorded in budget authority before the asset is purchased. Information about the cost of some of these commitments will be increasingly available as agencies produce audited financial statements. Financial reports based on federal financial accounting standards will provide an additional perspective on the government's various long-term commitments and finances. The new standards require new reports on a broad range of liabilities and commitments. Liabilities such as deferred compensation and environmental costs will be reported on the balance sheet. Information on the government's commitments for programs like Social Security and Medicare, while not treated as balance sheet liabilities, will be presented in stewardship reports. These are new reports supplementing the basic financial statements that are intended to provide additional financial and nonfinancial information useful for assessing the government's stewardship over the resources entrusted to it and the responsibilities it has assumed. The economy and policy actions have combined to create a major change in the near-term deficit outlook. Current projections--assuming compliance with discretionary spending limits set in the Balanced Budget Act of 1997--are for surpluses through 2013. Although near-term budgetary improvement is a welcome achievement, unsustainable deficits nonetheless would reemerge over the longer term as a smaller generation of workers will be challenged to finance the costs of public programs for baby boom retirees. Our near-term fiscal policy will have a decided impact on the future budgets and economy inherited by the next generations. Our simulations suggest that preserving the anticipated budget surpluses now makes some tangible difference for the long term, most notably by reducing the burden of debt and interest passed on in future budgets. However, a sustainable policy will, at some point in the future, require further fiscal actions to avoid the vicious cycle of exploding deficits and debt--actions that could be more or less painful based on our decisions today. A budget reporting and accounting framework making the future implications of today's decisions more transparent would help the nation better understand the stakes underlying the choices it faces. Mr. Chairman, this concludes my written statement. I would be happy to answer any questions you or your colleagues may have. We look forward to working with you as you address the important long-term issues I have discussed today. This update of GAO's work on the long-term economic and budget outlook relies in large part on a model of economic growth developed by economists at the Federal Reserve Bank of New York (FRBNY). The major determinants of economic growth in the model include changes in the labor force, capital formation, and the growth in total factor productivity. To analyze the long-term effects of fiscal policy, we modified the FRBNY's model to include a set of relationships that describe the federal budget and its links to the economy, using the framework of the National Income and Product Accounts (NIPA). The simulations generated using the model provide illustrations, not forecasts, of the budget or economic outcomes associated with alternative policy paths. The model depicts the links between the budget and the economy over the long-term, and does not reflect their interrelationships during short-term business cycles. The main influence of budget policy on long-term economic performance in the model is through the effect of the federal deficit or surplus on national saving. Higher federal deficits or lower surpluses reduce national saving while lower deficits or higher surpluses increase national saving. The level of saving affects investment and, hence, GDP growth. GDP is determined by the labor force, capital stock, and total factor productivity. GDP in turn influences nonfederal saving, which consists of the saving of the private sector and state and local government surpluses or deficits. Through its effects on federal revenues and spending, GDP also helps determine the federal budget deficit or surplus. Nonfederal and federal saving together comprise national saving, which influences private investment and the next period's capital stock. Capital combines with labor and total factor productivity to determine GDP in the next period and the process continues. There are also important links between national saving and investment and the international sector. In an open economy such as the United States, a decrease in saving due to, for example, an increase in the federal budget deficit, does not require an equivalent decrease in investment. Instead, part of the saving shortfall may be filled by foreign capital inflows. A portion of the net income that results from such investments flows abroad. In this update, we retained the assumption in our prior work that net foreign capital inflows rise by one-third of any decrease in the national saving rate. Table I.1 lists the key assumptions incorporated in the model. The assumptions used tend to provide conservative estimates of the benefit of reducing deficits or running surpluses and of the harm of increasing deficits. The interest rate on the national debt is held constant, for example, even when deficits climb and the national saving rate plummets. Under such conditions, the more likely result would be a rise in the rate of interest and a more rapid increase in federal interest payments than our results display. Another conservative assumption is that the rate of total factor productivity growth is unaffected by the amount of investment. Productivity is assumed to advance 1 percent each year even if investment collapses. Such assumptions suggest that changes in deficits or surpluses could have greater effects than our results suggest. We have made several modifications to the model, but the model's essential structure remains the same as in our previous work. We have incorporated the change in the definition of government saving in the NIPAs adopted in late 1995 by adding a set of relationships determining government investment, capital stock, and the consumption of fixed capital. The more recent data prompted several parameter changes. For example, the long-term inflation rate is now assumed to be 2.5 percent, down from 2.7 in our October 1997 report, 3.4 percent in our 1995 report and 4.0 percent in our 1992 report. In this update, the average federal borrowing rate steadily declines to 5.1 percent, compared to our assumption of 7.2 percent in 1995 and 7.8 percent in 1992. Our work also incorporates the marked improvement in the economic and budget outlook reflected in the 10-year projections that CBO published in January 1998. As we use a broad NIPA framework for our long-term simulations, the presentation of the mandatory and discretionary spending trends implied by our results are only approximations. We adopted the NIPA-based budget assumptions from CBO's most recent 10-year economic and budget outlook, which reflect the assumption that discretionary spending equals the statutory caps from fiscal years 1998 through 2002 and increases at the rate of inflation from fiscal years 2003 through 2008. For the period following fiscal year 2008, we assumed that those NIPA categories broadly corresponding to discretionary spending would keep pace with GDP growth. Mandatory spending includes Health (Medicare and Medicaid), Old Age Survivors and Disability Insurance (OASDI, or Social Security), and a residual category covering other mandatory spending. Following NIPA definitions, we did not net out premiums and contributions from these categories. Medicare reflects CBO's assumptions through 2007, and increases at the Health Care Financing Administration's (HCFA) projected rate in subsequent years. Medicaid is based on CBO's January 1998 assumptions; thereafter it increases at the rates embodied in CBO's March 1997 report on the long-term budget outlook. OASDI reflects the April 1997 Social Security Trustees' Alternative II projections. Other mandatory spending is a residual category consisting of non-health, non-Social Security mandatory spending. It equals CBO's NIPA projection for Transfers, Grants, and Subsidies less Health, OASDI, and discretionary spending that is included in NIPA projections for these items. Through 2007, CBO assumptions are the main determinant of other mandatory spending, after which its growth is linked to that of GDP. The interest rates for 1997-2007 are consistent with the average effective rate implied by CBO's interest payment projections. We assume that the average rate remains at the 2007 rate of 5.1 percent for the rest of the simulation period. Receipts follow CBO's dollar projections through 2007. Thereafter, they continue at 20.5 percent of GAO's simulated GDP, which is the rate projected for 2007. As these assumptions differ somewhat from those used in our earlier reports, only general comparisons of the results can be made. Interest rate (average on the national debt) CBO through 2007; increases at the rate of economic growth thereafter CBO through 2007; increases at HCFA's projected rate thereafter CBO's projections and simulation Follows the Trustees' Alternative II projections CBO's assumed levels through 2007; in subsequent years receipts equal 20.5 percent of GDP (2007 ratio) The first copy of each GAO report and testimony is free. Additional copies are $2 each. Orders should be sent to the following address, accompanied by a check or money order made out to the Superintendent of Documents, when necessary. VISA and MasterCard credit cards are accepted, also. Orders for 100 or more copies to be mailed to a single address are discounted 25 percent. U.S. General Accounting Office P.O. Box 37050 Washington, DC 20013 Room 1100 700 4th St. NW (corner of 4th and G Sts. NW) U.S. General Accounting Office Washington, DC Orders may also be placed by calling (202) 512-6000 or by using fax number (202) 512-6061, or TDD (202) 512-2537. Each day, GAO issues a list of newly available reports and testimony. To receive facsimile copies of the daily list or any list from the past 30 days, please call (202) 512-6000 using a touchtone phone. A recorded menu will provide information on how to obtain these lists.

Summary:
GAO discussed its work on long-term budget issues, focusing on the: (1) results of GAO's simulations updated to incorporate the Congressional Budget Office's (CBO) new budget projections; and (2) programmatic composition and design of federal spending--for which policymakers need to consider the long-term fiscal and spending implications of the government's commitments. GAO noted that: (1) long-term simulations are useful for comparing outcomes of alternative fiscal policies within a common economic framework; (2) while long-term simulations provide a useful perspective that is often lacking in budget debates, they should be interpreted carefully; (3) since GAO's October 1997 report was issued, CBO's 10-year budget projections have shown continued improvement in the short term; (4) CBO now projects that the budget is already virtually in balance and that, in a few years, there could be a period of budget surpluses on a unified budget basis; (5) the dramatic drop in the deficit and the expected budget surpluses for the near future have changed the fiscal policy climate; (6) while GAO's no action path remains an unsustainable policy over the long term, it does include a period of budget surpluses over the next 15 years, consistent with CBO's current baseline; (7) GAO presents two alternatives to the no action simulation; (8) under the no surplus scenario, the deficit would reach 10 percent of the gross domestic product (GDP) 8 years earlier than the no action plan; (9) the maintain balance simulation is an example of a sustainable fiscal path under which government activities can be maintained without a continual rise in the debt as a share of GDP; (10) to some degree, the long-term fiscal policy of the nation is determined by the spending or revenue paths inherent in the design of federal programs; (11) without adequate information about the long-term cost implications of specific program designs, fiscal policy may not follow the expected path; (12) just as the current long-term projections are driven by a combination of demographics and the design of Social Security and federal health care programs, so future projections may also be affected by the long-term costs of other programs; (13) the broad range of long-term federal commitments complicates the challenge of integrating more complete information on their expected future cost into the budget process; and (14) the diverse nature of these commitments, combined with the varying quality and amount of information available outside the budget process, suggests that across-the-board changes in budget reporting or process may not be the most effective way to proceed.