Since Medicare’s creation in 1966, the Part A Hospital Insurance Trust Fund always has faced a projected shortfall. The insolvency date has been postponed a number of times, primarily due to legislative changes that have had the effect of restraining growth in program spending. A new report from the Congressional Research Service (CRS) provides historical accounts of various projections and actions that were taken to deal with them.
The report can be obtained at https://fas.org/sgp/crs/misc/RS20946.pdf.