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National health spending is projected to contin- ue to grow faster than the economy, increasing from 18% to about 25% of the gross domestic product (GDP) by 2037.1 Federal health spending is projected to increase from 25% to approxi- mately 40% of total federal spending by 2037.1 These trends could squeeze out critical invest- ments in education and infrastructure, contrib- ute to unsustainable debt levels, and constrain wage increases for the middle class.2,3 Although the influx of baby b...