Problem
It appears that in the twenty-first century, by far the biggest increase in Federal spending will occur in increased medical care expenditures for the aged and the poor. If this does indeed turn out to be a political imperative, outline the changes you would take to keep productivity growth from declining, given these increased expenditures and the overall constraint of a balanced budget.
The response should include a reference list. Double-space, using Times New Roman 12 pnt font, one-inch margins, and APA style of writing and citations.