ABSTRACT
This chapter examines the implications of future population change for the demand and costs for services and for the revenue base to pay for such services. To determine the implications of population change for these services, it analyzes projections of school enrollment and of the likely incidences of diseases and disorders in the United States. The chapter examines the implications of these projections for the demand for service personnel and service costs. It then examines the implications of the changing demographic structure of America for federal tax revenues and expenditures. Education and health care services have been among the fastest-growing service segments in America. The growth of educational and health care services has been extensive in the past and promises to be affected substantially by the differential rates of population growth, population aging, and change in the racial/ethnic composition of the future population of the United States.
