Updated June 24, 2026

Social Security and Medicare in 2028

The future solvency and structure of the two largest federal entitlement programs for older Americans.

Why it matters in 2028

With the oldest Baby Boomers in their 80s and the trust-fund depletion date approaching, 2028 candidates may face a genuine near-term deadline to act. Older voters - who participate in elections at very high rates - will be watching closely for any hint of cuts, while younger voters will want reassurance that the programs will exist when they retire.

The two broad approaches

How each party frames social security and medicare

A neutral summary of each party's general governing approach. Individual 2028 candidates will differ - no nominee has been chosen yet.

Democratic approach

Democrats broadly oppose benefit cuts to Social Security or Medicare and favor addressing funding gaps by raising or eliminating the cap on income subject to the Social Security payroll tax. Many in the party also support expanding Medicare benefits, such as adding dental, vision, and hearing coverage. Democrats frequently frame any proposed changes to benefits as attacks on earned benefits that workers have paid into.

Republican approach

Republicans are divided on this issue. Some support structural changes such as raising the retirement age or introducing means-testing for higher-income beneficiaries. Others, particularly in recent elections, have pledged not to cut benefits. The party broadly supports market-based Medicare Advantage plans as an alternative to traditional Medicare. Fiscal conservatives in the party argue that the programs are a major driver of long-term debt.