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The Congressional Budget Office says that federal spending for major health care programs and Social Security are on track to 14 percent of the gross domestic product by 2038, twice the 7 percent average of the past 40 years.
At the start of the decade, national health care expenditures are 4.5 percent of the Gross National Product. Attention turns to Korea and away from health reform; America will have a system of private insurance for those who can afford it and welfare services for the poor.