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GAO Report: Persistent Fiscal Challenges Will Likely Emerge within the Next Decade Largely Due to Health Care Costs
U.S. Government Accountability Office [GAO] 
July 18, 2007
7 pages. "As is true for the federal sector, it is the growth in health-related costs that is a primary driver of the fiscal challenges facing the state and local government sector. In particular, two types of state and local expenditures will likely rise quickly because of escalating medical costs. The first is Medicaid expenditures, and the second is the cost of health insurance for state and local employees and retirees." [GAO-07-1080SP, Jul. 18, 2007]
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