Abstract
An examination of the demographic consequences of assumptions of declining mortality and slightly increasing fertility in the United States over the next 60 years is presented. The focus is on the implications of these changes with regard to health status use of health services and expenditures for health care. The authors suggest that recent trends in mortality fertility and immigration imply that by 2040 over 20 percent of the population will be over age 65. The inadequacy of current public programs to serve the aged is stressed. (ANNOTATION)
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