Updates and expands the assessment of the long-term budgetary outlook, addressing such issues as the collapse of the congressional budgetary process and the threat posed by the termination of discretionary spending caps. Concludes with a look at how the nation's deficit will affect America now...

Authors suggest reforms in federal programs that have the potential to reduce the growth of spending for the entire health system, increase the efficiency and effectiveness of care provided, and enhance health outcomes and stress the need for innovative approaches and cooperation between the...