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GAO Testimony: Rising Health Care Costs Drive Long-Term and Immediate Pressures on State and Local Governments
U.S. Government Accountability Office [GAO] 
Nov. 19, 2008
16 pages. "States and localities are facing increased demand for services during a period of declining revenues and reduced access to capital. In the midst of these challenges, the federal government continues to rely on this sector for delivery of services such as Medicaid.... Incorporation of August 2008 data shows that the position of the sector has worsened since our January 2008 report." [GAO-09-210T, Nov. 19, 2008]
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