On March 25, the Medicare Trustees released their annual report on the financial status of the Medicare program. The Trustees report that Medicare Hospital Insurance (HI) Trust Fund and Supplementary Medical Insurance Trust Fund expenditures were $432 billion in 2007, or 3.2% of gross domestic product (GDP), and are projected to increase to nearly 11% of GDP in 75 years. They also project that the HI Trust Fund will become insolvent earlier in 2019 than reported last year. On the other hand, expenditures for Part D continue to be lower than projected, primarily due to a significant reduction in bids, although costs are still expected to increase an average of about 11.1% annually through 2017.