Below is Mary Meeker’s Bloomberg op-ed. Attached is the actual report.

“Let me share one statistic that shocked me, from the Long- Term Budget Outlook published last year by the nonpartisan Congressional Budget Office. If current trends continue, the CBO says, entitlement spending and net interest payments combined will equal all of federal revenue by 2025, just 14 years from now… Imagine: no Army, Navy, Air Force, Marine Corps, or Coast Guard, no federal courts or prisons, no National Park Service, no Food & Drug Administration, no embassies, no salaries for Congress. That’s what it would take to balance the budget by 2025 and still pay interest on America’s debts, without either raising revenue or reducing entitlement growth. That’s certainly not a recognizable America.”

USA Inc.’s ‘Shareholders’ Face $44 Trillion Hole, Meeker Says
2011-02-24 13:50:01.874 GMT

(Mary Meeker, a partner at Kleiner Perkins Caufield & Byers, studied the U.S. as a company with shareholders, a balance sheet and competitive pressures. She shared her conclusions in a letter to taxpayers published in Bloomberg Businessweek’s Feb. 28 edition.)

By Mary Meeker
Feb. 24 (Bloomberg) — Dear Shareholder,
You probably don’t think of yourself that way. Citizenship isn’t an investment, it’s a state of being. But by birth or naturalization, every American has more than just an emotional stake in the U.S. We have a financial one, too. And by any measure, that stake is at risk.
Two months ago the federal government issued a 268-page Financial Report of the United States Government. It doesn’t have a glossy cover with photos of smiling employees, and a lot of the numbers are in trillions. Except for that, it looks a lot like the corporate annual reports of the companies I have followed. You can see how the various lines of business are doing — Social Security, Medicare, etc. There’s even a mission
statement: “to form a more perfect union, establish justice, insure domestic tranquility, provide for the common defense, promote the general welfare and secure the blessings of liberty to ourselves and our posterity.”
The United States isn’t a corporation, of course. It can’t exit from underperforming territories (pick your state) or auction off lines of business (the Army, Medicare). And its “customers” can reward themselves with unaffordable services because they’re also the shareholders.

$2 Trillion Loss

Still, the idea of the U.S. as a corporation is more than a thought-experiment. It’s a way to reposition our approach to long-term problems. What would USA Inc. be worth? Who would want to buy its shares? And what would a turnaround expert recommend for a company that lost more than $2 trillion (“net operating
cost”) in 2010?
I took a deep dive into these questions a little more than a year ago, and I’m finally up for air. I reached three conclusions. First, USA Inc. has serious financial challenges.
Second, its problems are fixable. Third, clear communication with citizen-shareholders is essential. If the American people embrace the need for bold action, their political leaders should find the courage to do what’s right.
What you’ll see on the following pages is hard to
misinterpret: We have big issues, but the U.S. is in sounder shape than Apple Inc. was in 1997, when it lost a billion dollars. That’s the year Steve Jobs returned as chief executive officer and took extreme measures, including agreeing to make Internet Explorer the Mac’s default browser.

Apple’s Lifeline

Jobs also got Microsoft to buy $150 million in nonvoting Apple shares — a lifeline for a company that, according to Jobs himself, was 90 days from bankruptcy court. Apple is now the second-most valuable company in the world.
I’m the lady whom Barron’s called the Queen of the Net in 1998. Over the past quarter-century I’ve covered tech companies that have created more than 200,000 jobs worldwide, including Apple, Microsoft Corp., Dell Inc., Amazon.com Inc., Google Inc., and EBay Inc. I worked for Morgan Stanley from 1991 until November 2010, when I became a partner at the venture capital firm Kleiner Perkins Caufield & Byers.
I don’t pretend to be an expert on government finance, and I’m not interested in taking sides in the political debates over spending and taxes. Pragmatism is my trade, and information is my toolbox.

USA Inc.’s Origin

Since 2007 I had been salting my annual Internet forecasts with slides about trends in the broader U.S. economy.
(Occasionally Silicon Valley needs to be reminded that it’s not a sovereign nation.) For the Web 2.0 Summit in San Francisco in October 2009, I zeroed in on the financial health of the federal government and asked one of the savviest members of my research team, Liang Wu, to pull together a pro forma income statement for what we called USA Inc.
So began a moonlighting project that became an obsession and drew on the voluntary efforts of many Morgan Stanley experts as well as senior people in business and government. All of our information came from public data sources, including the Treasury Department, the White House Office of Management and Budget, and the Congressional Budget Office. Other key sources were the Organization for Economic Cooperation and Development, the International Monetary Fund and Morgan Stanley’s own published research. Wu and I brought the project along with us when we became partners at Kleiner Perkins.

The ‘Deliverable’

Now I’m ready to go public with what we in tech like to call the “deliverable.” In addition to what follows on these pages, there’s a 460-slide PowerPoint presentation. You can find it at www.businessweek.com/go/11/usainc/ or www.kpcb.com/usainc or get it in book form via Amazon.com.
The bottom line on USA Inc.? Cash flow and net worth are negative, profits are rare, and off-balance-sheet liabilities are enormous. The “company” has underinvested in productive capital, education, and technology — the very tools needed to compete in the global marketplace. Lenders have been patient so far, but the sky-high rates on the sovereign debt of Greece, Ireland and Portugal suggest what might lie ahead for USA Inc.
shareholders and our children.
By our rough estimate, USA Inc. has a net worth of negative
$44 trillion. That comes to $143,000 per capita. Negative. To be fair, the net worth calculation leaves out some assets, including, most importantly, the power to tax. Which simply means that the government can improve its own finances by worsening those of its citizen-shareholders.

Health Costs

Medicare and Medicaid are the crushers for USA Inc.
Excluding them and one-time charges, the “core business” shows a median net profit margin of 4 percent over the past 15 years.
USA Inc.’s core operations were in surplus nine of those years.
In the early years of the Republic, the only entitlements were military pensions. The big change came with the 1930s and World War II, when the federal government substantially expanded its role in the economy (in effect, its “business lines”).
Entitlements experienced a surge in the Great Society of the 1960s. Since 1965, the nation’s gross domestic product has increased about 2.7 times over, but entitlement expenses have increased 11.1 times over. What do Americans have to show for it? Evidence suggests that when the government provides, families do less for themselves: There is an 82 percent correlation between rising entitlement spending and falling personal savings rates. With the aging of my baby boom generation, things will get even worse.

Unsustainable Path

Let me share one statistic that shocked me, from the Long- Term Budget Outlook published last year by the nonpartisan Congressional Budget Office. If current trends continue, the CBO says, entitlement spending and net interest payments combined will equal all of federal revenue by 2025, just 14 years from now. (This is based on the CBO’s alternative fiscal scenario, which assumes extension of the Bush tax cuts and other actions, such as a gradual increase in Medicare payment rates to physicians, that are widely expected to occur.) Back in 1999, the crossover point was not supposed to happen until 2060.
Imagine: no Army, Navy, Air Force, Marine Corps, or Coast Guard, no federal courts or prisons, no National Park Service, no Food & Drug Administration, no embassies, no salaries for Congress. That’s what it would take to balance the budget by
2025 and still pay interest on America’s debts, without either raising revenue or reducing entitlement growth. That’s certainly not a recognizable America.
My point is not to scare people. To me, the first and most important step in solving a problem is communicating its severity. That’s what smart businesspeople do.

Cost Management

“If your organization is in trouble, be honest,” critical care physician Dr. Jon Meliones, then chief medical director at Duke Children’s Hospital & Health Center, wrote in a 2000 Harvard Business Review piece on how the hospital recovered from big losses. “Make it absolutely clear to everyone in the company that survival depends on cost management.”
Today’s political leaders could learn something about the fortitude that will be required from Stephen Elop, the former Microsoft executive who was hired last September by Nokia Oyj as its first non-Finnish CEO. Elop, a 47-year-old Canadian, realized that Nokia’s Symbian smartphone operating system was losing ground to Google’s Android and Apple’s iOS.
Instead of sticking with a failed strategy, he swallowed corporate pride and switched to Microsoft’s Windows as Nokia’s primary operating system. In his memo to employees he told the story of a man who saved his life by jumping into the frigid North Sea from an oil platform that caught fire. “Nokia,” he wrote, “our platform is burning.”

R&D Spending

When companies’ backs are to the wall, the knee-jerk reaction is to cut everything. But good business leaders preserve spending on research and development because eating one’s seed corn is self-defeating. The same goes for USA Inc.
Government spending to develop ARPANET in the 1970s led to the Internet. Without that, there might be no eBay, Facebook Inc., Google, or Yahoo! Inc. today.
In the 1980s the Defense Department set up the global positioning system network of satellites (GPS), which now helps parents get their kids to away games on time — and is still owned and operated by the federal government.
Social welfare spending and future-oriented spending are often presented as rival options. In the long run, they aren’t.
One of the best ways to ensure that the U.S. has the wherewithal to support its poor and elderly shareholders in the future is to invest now in R&D, infrastructure and educational support.

Global Competition

Such investments should enable USA Inc. to compete better with China Inc., Korea Inc., and India Inc., all of whom would love to eat our lunch. From 2000 to 2010, China’s GDP per capita rose 216 percent (based on the yuan’s actual buying power rather than exchange rates). India’s per capita output increased 117 percent; America’s, just 34 percent. Factoid: USA Inc.’s entitlement spending equals India’s entire GDP.
Right now we’re headed in the wrong direction on investment. By our calculations, an important crossover occurred around 1990: Combined federal, state and local spending on health care exceeded spending on education for the first time.
Since then the education funding deficit has steadily widened.
That may be one reason American students have fallen out of the lead on international standardized tests. In 2009, American 15- year-olds ranked 17th in science and 25th in math out of 34 OECD nations. (If it’s any consolation, they’re at or near the top in
self-confidence.) Any CEO will tell you that it’s impossible to be best in class with a workforce that’s outclassed.

Medicare Spending

The huge sums that the federal government lays out for Medicare and Medicaid would be easier to stomach if people believed the money was well spent; the evidence is that it’s not. By one measure, the correlation between life expectancy and per capita health-care spending, the U.S. is an extreme outlier, spending far more than any other country, with mediocre results for life expectancy. (See Fig. 3.) If the objective is to maximize bang for the buck — i.e., to produce healthy years of life with the greatest possible efficiency — then it’s worth questioning whether it makes sense to devote 28 percent of Medicare spending to recipients’ final year of life, as the U.S.
did in 2008.
Once you understand USA Inc.’s main problems, the solutions become almost self-evident. The PowerPoint version of our presentation contains dozens of ideas that seem worthy of consideration, even though we take no sides on particular legislative proposals. Nearly all of these ideas have been floated before by other groups, including the Congressional Budget Office and President Obama’s bipartisan National Commission on Fiscal Responsibility and Reform.

Entitlement Programs

Because Medicare and Medicaid are the biggest challenges to USA Inc.’s solvency, fixing their finances has to be at the top of the agenda. By the way, simply off-loading expenses from the government onto the citizenry doesn’t constitute a solution, because we are the government. Genuine improvement requires slowing, and in some cases reducing, combined public and private spending through efficiency and better incentives. That requires asking questions such as: Should government reduce the incentive for doctors to practice wasteful defensive medicine by capping noneconomic damage awards for malpractice? And should Medicare be allowed to consider cost-effectiveness in national coverage decisions, as it does not now?
Social Security has fewer moving parts, which makes it the easier entitlement to fix — at least conceptually. Again, we’re not making recommendations, but a further increase in the retirement age seems a likely part of any serious solution.
Since Social Security’s creation in 1935, life expectancy has increased 26 percent, to age 78, while the system’s normal retirement age has gone up just 3 percent, to 67.

Key Questions

There’s a lot that can be done to make USA Inc. operate like a well-run business. A corporate turnaround specialist would quickly hire an independent firm to conduct an audit of each business line. Is each line operating at maximum efficiency? Where should we invest and where should we scale back? Are good performance metrics and financial controls in place? Can more processes be automated and optimized? Should some assets be sold? Why not hire a compensation consultant to see whether federal workers are overpaid vs. private-sector counterparts? Why not pay bonuses to federal employees who meet deficit-reduction goals? Why not give the president the line- item veto, allowing him or her to carve the pork out of otherwise worthy legislation?
I hope it’s clear by now that USA Inc. has a spending problem, not a revenue problem. Simple math says that balancing the budget purely by raising taxes would require doubling rates across the board, which would kill growth. That said, tax revenues probably have to go up a little.

Tax Changes

Another option, again using simple math, would be to scale back deductions and tax credits, which cost nearly $1 trillion a year in forgone revenue. Reducing the deductibility of home mortgage interest, for example, would raise tax revenue without higher tax rates. As a form of investment with long-term payoffs, construction of houses does not rank particularly high.
There are compelling reasons we don’t tackle these questions regularly: The answers usually involve some form of political suicide. That’s a good argument for putting more energy into the very best way to fix USA Inc.’s finances — namely, by getting the economy to grow more rapidly. Instead of bickering about which deck chair to throw overboard to lighten the load, Congress should focus on getting USA Inc. growing again. The key to growth, in turn, is higher productivity through investment in technology, infrastructure and education.
Higher labor productivity means more useful output for the same
60 minutes of work. It’s the ultimate source of prosperity.

Stronger Growth

The Congressional Budget Office estimates that USA Inc.
could reach break-even without policy changes if economic growth were to average 6 percent to 7 percent in 2012-14 and 4 percent to 5 percent in 2015-20. That’s well above the 40-year average growth rate of 3 percent, and it simply won’t happen. But even a small jump in the growth rate would ease the pain of austerity.
We can take comfort as citizens and shareholders that USA Inc.’s asset base and entrepreneurial culture are strong. In 25 years of studying tech companies and working in financial services, I’ve discovered that people will sacrifice if they have a clear idea of what their sacrifices can accomplish. I think the same goes for USA Inc.
Earlier I mentioned Apple’s miraculous resurrection under Steve Jobs. We have a more recent, more unlikely comeback that can serve as an example for the future.

GM’s Rebirth

In 2009 General Motors Co., the largest U.S. automaker and an American icon, filed for bankruptcy. The federal government became the majority shareholder. GM killed or sold off Pontiac, Saab, Hummer, and Saturn, laid off thousands of workers, gave bondholders a haircut, and swapped stock for cash in the retiree health-care trust. The company got a new lease on life; it’s marketing smarter and introducing popular models like the Chevy Equinox and Cadillac SRX. This past November it floated a $20 billion IPO. It’s selling the electric Chevy Volt. And on Feb.
15, GM said it would roll out more than 20 new or upgraded models in China, where it’s the No. 1 foreign automaker.
No one would recommend that USA Inc. follow a similar course of slashing, burning, and stiffing bondholders. Still, it’s encouraging to see how a company that’s been given up for dead can come back strong. USA Inc. needs to prime itself for the same kind of renewal–and prepare for brutal decisions that change how we do business. In Democracy in America, published in 1835, the French observer Alexis de Tocqueville wrote: “The greatness of America lies not in being more enlightened than any other nation, but rather in her ability to repair her faults.”
Let the turnaround begin!

For Related News and Information:
For the federal deficit: FDEBTY <INDEX> <GO> Today’s U.S. budget stories NI BUDGET BN <GO> Stories on the U.S. economy: TNI US ECO <GO> U.S. Economic Snapshot: ESNP US <GO> U.S. Budget Outlays Menu: ALLX USBO <GO>

–Editors: Peter Coy, Brendan Murray