An Employer Compensation Tax for Social Security and Medicare | Committee for a Responsible Federal Budget

Social Security and Medicare Trust Funds

The Social Security retirement and Medicare Hospital Insurance trust funds are approaching insolvency, with depletion expected in seven years.

Without action, retirees face a 24 percent benefit cut in 2032, and Medicare hospital payments would be cut by 12 percent.

Current Financing

The trust funds are financed primarily by a 15.3 percent payroll tax on wages, split between worker and employer.

Proposed Solution

A new alternative: replacing the employer side of the payroll tax with a flat Employer Compensation Tax (ECT) on all employer compensation costs.

Restoring solvency to these trust funds will require slowing benefit growth, lowering health care costs, increasing revenue, or some combination.

Author's summary: Employer Compensation Tax proposed to restore solvency.

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Committee for a Responsible Federal Budget Committee for a Responsible Federal Budget — 2025-10-17