Our Nation's Long-Term Fiscal Challenge: State and Local Governments Will Likely Face Persistent Fiscal Challenges in the Next Decade

This is a Comptroller General presentation delivered to the National Press Club on July 18, 2007. Major topics of this presentation include: composition of federal spending, overview of state and local governments in U.S. federal system, services provided by state and local governments, state and local fiscal difficulties increasing from rising health costs, and state, local, and fiscal gaps.