icefreeze579
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Spending on medical programs such as Medicare and Medicaid has proven difficult to control because
-recipients of these programs frequently abuse them.
-spending on Social Security has declined so significantly.
-these programs are indexed to grow at two times the rate of inflation.
-state and local governments have refused to contribute to the costs of administering these programs.
-of the growing number of people eligible and because of rising health care costs.

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mrsedlack

D is the correct answer.

One of the biggest challenges that the United States is facing is the explosion of people born after World War II (aka Baby Boomers) who are now becoming eligible for medicare and medicaid. This is in combination with people living longer and the cost of health care rising, especially in the last six months of life.