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Social Security or Medicare: Which is the greater retirement risk?

Nov 3, 2026 | Blog

When it comes to retirement planning, Social Security tends to dominate the conversation, but it may not be the greatest financial threat your clients face in their later years. A new piece from J.P. Morgan Asset Management challenges advisors to take a closer look at Medicare and the escalating cost of healthcare in retirement. While Social Security headlines grab attention each year, healthcare expenses quietly erode retirement resources at an accelerating pace.

“Every year, the Social Security Trustees and Medicare Trustees Reports generate headlines about the long-term health of America’s primary retirement programs. This year was no exception, with much of the attention focused on Social Security’s long-term outlook.

Medicare, by contrast, tends to draw less scrutiny, even as escalating healthcare costs place increasing pressure on both federal finances and retirees’ budgets. While Social Security is a primary source of retirement income, healthcare is one of retirees’ largest expenses and may absorb an increasing portion of retirement resources over time.

Pamela Hess, Retirement Strategist, explains why these rising costs deserve greater attention from retirees, advisors, employers and the broader retirement industry.

Medicare is a growing fiscal story
Social Security remains the larger program today, but Medicare costs are growing more rapidly. As Medicare claims an increasing share of federal resources, beneficiaries may soon face higher premiums, greater cost sharing, or both.

The rising cost of coverage
As Medicare costs continue to rise, policymakers have several options, including increased Medicare payroll taxes, expanded income-based premiums, changes to provider or Medicare Advantage payments, or benefit modifications. Regardless of the path they choose, a growing share is likely to land on retirees.

It’s not just what retirees receive. It’s what they keep.
Medicare Part B and Part D premiums and average cost sharing are projected to consume a larger share of Social Security benefits, which means retirees will have less money left over to cover other retirement expenses. By 2050, an estimated 38 cents of each average Social Security dollar will go toward Medicare costs.

Retirement planning implications
Social Security should remain foundational. As discussed in our review of the 2026 Trustees Report, trust fund depletion does not mean Social Security disappears. Even without congressional action, ongoing payroll taxes would continue to fund a substantial majority of scheduled benefits.

Social Security will continue to draw attention on benefits and solvency. Medicare presents a different challenge: Who ultimately bears the cost of rising healthcare expenditures—taxpayers, retirees, providers or some combination?

While the policy response remains uncertain, retirees should view healthcare as an important and growing component of their retirement budget.”

Medicare open enrollment runs from October 15th – December 7th. Be sure you and your loved ones review your coverages. We have Medicare insurance experts that can help you make the smartest decisions. Reach out and we can connect you!

Click here to read the full article from JP Morgan.

Now is a great time to Schedule a complimentary review and review your options!

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