According to The Tax Foundation economist William McBride, healthcare entitlement spending is set to exceed discretionary spending in 2019 according to Congressional Budget Office (CBO) projections. McBride included this information as one of three reasons why Standard and Poors (S&P) was just in downgrading US Government debt from AAA to AA+. The decision by S&P to downgrade the US Government has come under great scrutiny from the Obama Administration and many economists.