As public expenditures on health, education and transfer programmes increase, demographic change has a growing impact on public expenditures, and the incentives for behaviour created by public transfer programs increase as well. The essays in this volume discuss such topics as: demographic change and the outlook for Social Security and Medicare in the United States; long-term decision making under uncertainty; the effect of changing family structure on government spending; how the structure of public retirement policies has encouraged early retirement in some countries and not others; the response of local community spending to demographic change; and related topics. Contributors include many of the world's leading public finance economists and economic demographers.

"I recommend this book to anyone interested in social insurance programs or fiscal policy. The papers cover a wide spectrum and address important contemporary issues." Eastern Economic Journal