This is the accessible text file for CG Presentation number GAO-08-
1017CG entitled 'Preparing the Accountability Profession for 21st 
Century Challenges' which was released on July 11, 2008. 

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United States Government Accountability Office: 
GAO: 

Preparing the Accountability Profession for 21st Century Challenges: 

The Institute of Internal Auditors: 
2008 International Conference: 
San Francisco, CA: 
July 8, 2008: 

Gene L. Dodaro: 
Acting Comptroller General of the United States: 

GAO-08-1017CG: 

Presentation Outline: 

Many dynamics shaping our environment: 
* Gauging current and emerging challenges. 

Strengthening the accountability profession to: 
* Enhance stewardship and; 
* Help transform organizations. 

Gauging Current and Emerging Challenges: 

* Escalating fiscal pressures; 

* Increasing critical infrastructure protection; 

* Strengthening homeland security capabilities; 

* Growing expectations for the accountability profession. 

Composition of Federal Spending: 

[See PDF for image] 

There are three pie charts, containing the following compositions of 
spending by category: 

Year: 1967;
Defense: 45%;
Social Security: 14%; 
Medicare and Medicaid: 2%; 
Net Interest: 7%; 
All Other: 32%. 

Year: 1987;
Defense: 28%;
Social Security: 21%; 
Medicare and Medicaid: 10%; 
Net Interest: 14%; 
All Other: 27%. 

Year: 2007;
Defense: 20%;
Social Security: 21%; 
Medicare and Medicaid: 21%; 
Net Interest: 9%; 
All Other: 29%. 

Source: GAO analysis of data from the Office of Management and Budget. 

[End of figure] 

Debt Held by the Public as a Share of GDP (1797-2007)[Expressed as a 
percent of GNP/GDP]: 

[See PDF for image] 

This figure is a graph illustrating the debt held by the public as a 
share of GDP(1797-2007). The vertical axis of the graph represents 
percent of GNP/GDP from 0 to 120. The horizontal axis of the graph 
represents years from 1797 to 2007. The following data is depicted: 

Year: 1797; 
Percent of GNP/GDP: 24.1. 

Year: 1800; 
Percent of GNP/GDP: 22.2. 

Year: 1810; 
Percent of GNP/GDP: 10.2. 

Year: 1820; 
Percent of GNP/GDP: 12.3. 

Year: 1830; 
Percent of GNP/GDP: 4.3. 

Year: 1840; 
Percent of GNP/GDP: 0.4. 

Year: 1850; 
Percent of GNP/GDP: 3. 

Year: 1860; 
Percent of GNP/GDP: 2.2. 

Year: 1870; 
Percent of GNP/GDP: 32.2. 

Year: 1880; 
Percent of GNP/GDP: 18. 

Year: 1890; 
Percent of GNP/GDP: 8. 

Year: 1900; 
Percent of GNP/GDP: 6.6. 

Year: 1910; 
Percent of GNP/GDP: 3.5. 

Year: 1920; 
Percent of GNP/GDP: 27.1. 

Year: 1930; 
Percent of GNP/GDP: 17.6. 

Year: 1940; 
Percent of GNP/GDP: 44.2. 

Year: 1950; 
Percent of GNP/GDP: 80.2. 

Year: 1960; 
Percent of GNP/GDP: 45.7. 

Year: 1970; 
Percent of GNP/GDP: 28; 

Year: 1980; 
Percent of GNP/GDP: 26.1; 

Year: 1990: 
Percent of GNP/GDP: 42. 

Year: 1991; 
Percent of GNP/GDP: 45.3. 

Year: 1992; 
Percent of GNP/GDP: 48.1. 

Year: 1993; 
Percent of GNP/GDP: 49.4. 

Year: 1994; 
Percent of GNP/GDP: 49.3. 

Year: 1995; 
Percent of GNP/GDP: 49.2. 

Year: 1996; 
Percent of GNP/GDP: 48.5. 

Year: 1997; 
Percent of GNP/GDP: 46.1. 

Year: 1998; 
Percent of GNP/GDP: 43.1; 

Year: 1999; 
Percent of GNP/GDP: 39.8. 

Year: 2000; 
Percent of GNP/GDP: 35.1. 

Year: 2001; 
Percent of GNP/GDP: 33. 

Year: 2002; 
Percent of GNP/GDP: 34.1. 

Year: 2003; 
Percent of GNP/GDP: 36.2. 

Year: 2004; 
Percent of GNP/GDP: 37.3. 

Year: 2005; 
Percent of GNP/GDP: 37.4. 

Year: 2006; 
Percent of GNP/GDP: 37.0. 

Year: 2007; 
Percent of GNP/GDP: 36.8. 

Note: Data until 1929 are shown as a percent of gross national product 
(GNP); data from 1930 to present are shown as a percent of GDP. 

Source: GAO analysis of data from the Department of Commerce, Office of 
Management and Budget, and Congressional Budget Office. 

[End of figure] 

State and Local Fiscal Challenges Add to the Federal Government’s 
Fiscal Challenge: 

[See PDF for image] 

This is a line graph with two lines (Federal Surplus/Deficit and 
Combined Surplus/Deficit). The vertical axis represents Percent of GDP 
from -20 to +5 and the horizontal axis represents fiscal years 2000 
through 2050. 

The following data is depicted: 

Fiscal year: 2000: 		
Federal Surplus/Deficit[A]: 2.4; 
Combined Surplus/Deficit: 2.1. 

Fiscal year: 2001: 	
Federal Surplus/Deficit[A]: 1.3; 
Combined Surplus/Deficit: 0.5. 

Fiscal year: 2002: 	
Federal Surplus/Deficit[A]: -1.5; 
Combined Surplus/Deficit: -2.7. 

Fiscal year: 2003: 	
Federal Surplus/Deficit[A]: -3.5; 
Combined Surplus/Deficit: -4.5. 

Fiscal year: 2004: 	
Federal Surplus/Deficit[A]: -3.6; 
Combined Surplus/Deficit: -4.4. 

Fiscal year: 2005: 	
Federal Surplus/Deficit[A]: -2.6; 
Combined Surplus/Deficit: -3.2. 

Fiscal year: 2006: 
Federal Surplus/Deficit[A]: -1.9; 
Combined Surplus/Deficit: -2.5. 

Fiscal year: 2007: 
Federal Surplus/Deficit[A]: -1.2; 
Combined Surplus/Deficit: -1.8. 

Fiscal year: 2008: 
Federal Surplus/Deficit[A]: -1.6; 
Combined Surplus/Deficit: -2.6. 

Fiscal year: 2009: 
Federal Surplus/Deficit[A]: -2.1; 
Combined Surplus/Deficit: -2.8. 

Fiscal year: 2010: 
Federal Surplus/Deficit[A]: -2.8; 
Combined Surplus/Deficit: -3.4. 

Fiscal year: 2011: 
Federal Surplus/Deficit[A]: -3.1; 
Combined Surplus/Deficit: -3.7. 

Fiscal year: 2012: 
Federal Surplus/Deficit[A]: -3;
Combined Surplus/Deficit: -3.6. 

Fiscal year: 2013: 
Federal Surplus/Deficit[A]: -3.6; 
Combined Surplus/Deficit: -4.2. 

Fiscal year: 2014: 
Federal Surplus/Deficit[A]: -3.7; 
Combined Surplus/Deficit: -4.3. 

Fiscal year: 2015: 
Federal Surplus/Deficit[A]: -4.1; 
Combined Surplus/Deficit: -4.7. 

Fiscal year: 2016: 
Federal Surplus/Deficit[A]: -4.5; 
Combined Surplus/Deficit: -5.2. 

Fiscal year: 2017: 
Federal Surplus/Deficit[A]: -4.6; 
Combined Surplus/Deficit: -5.4. 

Fiscal year: 2018: 
Federal Surplus/Deficit[A]: -5; 
Combined Surplus/Deficit: -5.7. 

Fiscal year: 2019: 
Federal Surplus/Deficit[A]: -5; 
Combined Surplus/Deficit: -5.8. 

Fiscal year: 2020: 
Federal Surplus/Deficit[A]: -5.2; 
Combined Surplus/Deficit: -5.9. 

Fiscal year: 2021: 
Federal Surplus/Deficit[A]: -5.6; 
Combined Surplus/Deficit: -6.4. 

Fiscal year: 2022: 
Federal Surplus/Deficit[A]: -6; 
Combined Surplus/Deficit: -6.9. 

Fiscal year: 2023: 
Federal Surplus/Deficit[A]: -6.5; 
Combined Surplus/Deficit: -7.5. 

Fiscal year: 2024: 
Federal Surplus/Deficit[A]: -7; 
Combined Surplus/Deficit: -8. 

Fiscal year: 2025: 
Federal Surplus/Deficit[A]: -7.5; 
Combined Surplus/Deficit: -8.6. 

Fiscal year: 2026: 
Federal Surplus/Deficit[A]: -8; 
Combined Surplus/Deficit: -9.2. 

Fiscal year: 2027: 
Federal Surplus/Deficit[A]: -8.5; 
Combined Surplus/Deficit: -9.8. 

Fiscal year: 2028: 
Federal Surplus/Deficit[A]: -9; 
Combined Surplus/Deficit: -10.4. 

Fiscal year: 2029: 
Federal Surplus/Deficit[A]: -9.6; 
Combined Surplus/Deficit: -11. 

Fiscal year: 2030: 
Federal Surplus/Deficit[A]: -10.1; 
Combined Surplus/Deficit: -111.6. 

Fiscal year: 2031: 
Federal Surplus/Deficit[A]: -10.7; 
Combined Surplus/Deficit: -12.3. 

Fiscal year: 2032: 
Federal Surplus/Deficit[A]: -11.3; 
Combined Surplus/Deficit: -13. 

Fiscal year: 2033: 
Federal Surplus/Deficit[A]: -11.8; 
Combined Surplus/Deficit:-13.6. 

Fiscal year: 2034: 
Federal Surplus/Deficit[A]: -12.4; 
Combined Surplus/Deficit: -14.3. 

Fiscal year: 2035: 
Federal Surplus/Deficit[A]: -12.9; 
Combined Surplus/Deficit: -14.9. 

Fiscal year: 2036: 
Federal Surplus/Deficit[A]: -13.5; 
Combined Surplus/Deficit: -15.6. 

Fiscal year: 2037: 
Federal Surplus/Deficit[A]: -14.1; 
Combined Surplus/Deficit: -16.3. 

Fiscal year: 2038: 
Federal Surplus/Deficit[A]: -14.6; 
Combined Surplus/Deficit: -16.9. 

Fiscal year: 2039: 
Federal Surplus/Deficit[A]: -15.2; 
Combined Surplus/Deficit: -17.6. 

Fiscal year: 2040: 
Federal Surplus/Deficit[A]: -15.7; 
Combined Surplus/Deficit: -18.2. 

Fiscal year: 2041: 
Federal Surplus/Deficit[A]: -16.3; 
Combined Surplus/Deficit: -18.9. 

Fiscal year: 2042: 
Federal Surplus/Deficit[A]: -16.8; 
Combined Surplus/Deficit: -19.5. 

Fiscal year: 2043: 
Federal Surplus/Deficit[A]: -17.4; 
Combined Surplus/Deficit: -20.2. 

Fiscal year: 2044: 
Federal Surplus/Deficit[A]: -18; 
Combined Surplus/Deficit: -20.9. 

Fiscal year: 2045: 
Federal Surplus/Deficit[A]: -18.6; 
Combined Surplus/Deficit: -21.5. 

Fiscal year: 2046: 
Federal Surplus/Deficit[A]: -19.2; 
Combined Surplus/Deficit: -22.2. 

Fiscal year: 2047: 
Federal Surplus/Deficit[A]: -19.7; 
Combined Surplus/Deficit: -22.9. 

Fiscal year: 2048: 
Federal Surplus/Deficit[A]: -20.4; 
Combined Surplus/Deficit: -23.6. 

Fiscal year: 2049: 
Federal Surplus/Deficit[A]: -20.9; 
Combined Surplus/Deficit: -24.3. 

Fiscal year: 2050: 
Federal Surplus/Deficit[A]: -21.6; 
Combined Surplus/Deficit: -25. 

Source: Historical data from National Income and Product Accounts, GAO 
Analysis. 

[A] Under GAO’s Alternative simulation. 

[End of graph] 

Potential Fiscal Outcomes Under Alternative Simulation; Revenues and 
Composition of Spending as a Share of GDP: 

[See PDF for image] 

This is a line/stacked bar graph with one line (revenue) and four 
stacked bars containing four spending items (Net interest, Social 
Security, Medicare and Medicaid, and All other spending). The vertical 
axis represents Percent of GDP and the horizontal axis represents 
fiscal years 2007, 2018, 2030, and 2040. 

The following data is depicted: 

Fiscal year 2007: 
Net interest: 1.7%; 
Social Security: 4.3%; 
Medicare & Medicaid: 4.1%; 
All other spending: 9.9%; 
Revenue: 18.8%. 

Fiscal year 2018: 
Net interest: 2.5%; 
Social Security: 4.9%; 
Medicare & Medicaid: 5.9%; 
All other spending: 9.7%; 
Revenue: 17.9%. 

Fiscal year 2030: 
Net interest: 5.2%; 
Social Security: 6.3%; 
Medicare & Medicaid: 8.3%; 
All other spending: 9.7%; 
Revenue: 18.6%. 

Fiscal year 2040: 
Net interest: 9.2%; 
Social Security: 6.6%; 
Medicare & Medicaid: 10.1%; 
All other spending: 9.7%; 
Revenue: 18.6%. 

Source: GAO’s January 2008 analysis. 

Note: Discretionary spending grows with GDP after 2008. AMT exemption 
amount is retained at the 2007 level through 2018 and expiring tax 
provisions are extended. After 2018, revenue as a share of GDP returns 
to its historical level of 18.3 percent of GDP plus expected revenues 
from deferred taxes, i.e. taxes on withdrawals from retirement 
accounts. Medicare spending is based on the Trustees April 2007 
projections adjusted for the Centers for Medicare and Medicaid Services 
alternative assumption that physician payments are not reduced as 
specified under current law. 

[End of graph] 

Public and Private Health Care Spending Exceeds Economic Growth: 

[See PDF for image] 

This figure is a multiple line graph depicting the following data: 

Year: 1960; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 0; 
Real GDP per capita (average annual growth rate of 2.3%): 0. 

Year: 1961; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 3.56%; 
Real GDP per capita (average annual growth rate of 2.3%): 0.7%. 

Year: 1962; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 10.08%; 
Real GDP per capita (average annual growth rate of 2.3%): 5.2%. 

Year: 1963; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 16.75%; 
Real GDP per capita (average annual growth rate of 2.3%): 8.3%. 

Year: 1964; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 25.91%; 
Real GDP per capita (average annual growth rate of 2.3%): 13.1%. 

Year: 1965; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 33.12%; 
Real GDP per capita (average annual growth rate of 2.3%): 18.9%. 

Year: 1966; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 41.09%; 
Real GDP per capita (average annual growth rate of 2.3%): 25.3%. 

Year: 1967; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 52.33%; 
Real GDP per capita (average annual growth rate of 2.3%): 27.3%. 

Year: 1968; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 63.78%; 
Real GDP per capita (average annual growth rate of 2.3%): 
32.2%.	 

Year: 1969; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 73.98%; 
Real GDP per capita (average annual growth rate of 2.3%): 35%. 

Year: 1970; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 83.82%; 
Real GDP per capita (average annual growth rate of 2.3%): 33.5%. 

Year: 1971; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 92.27%; 
Real GDP per capita (average annual growth rate of 2.3%): 36.4%. 

Year: 1972; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 104.07%; 
Real GDP per capita (average annual growth rate of 2.3%): 42.2%. 

Year: 1973; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 112.03%; 
Real GDP per capita (average annual growth rate of 2.3%): 49.1%. 

Year: 1974; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 119.04%; 
Real GDP per capita (average annual growth rate of 2.3%): 47.2%. 

Year: 1975; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 126.34%; 
Real GDP per capita (average annual growth rate of 2.3%): 45.7%. 

Year: 1976; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 142.98%; 
Real GDP per capita (average annual growth rate of 2.3%): 52.2%. 

Year: 1977; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 156.72%; 
Real GDP per capita (average annual growth rate of 2.3%): 58%. 

Year: 1978; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 167.52%; 
Real GDP per capita (average annual growth rate of 2.3%): 65.2%. 

Year: 1979; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 177.46%; 
Real GDP per capita (average annual growth rate of 2.3%): 68.8%. 

Year: 1980; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 189.9%; 
Real GDP per capita (average annual growth rate of 2.3%): 66.7%. 

Year: 1981; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 203.97%; 
Real GDP per capita (average annual growth rate of 2.3%): 69.3%. 

Year: 1982; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 218.9%; 
Real GDP per capita (average annual growth rate of 2.3%): 
64.3%;	 

Year: 1983; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 235.76%; 
Real GDP per capita (average annual growth rate of 2.3%): 70.2%. 

Year: 1984; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 253.03%; 
Real GDP per capita (average annual growth rate of 2.3%): 80.7%. 

Year: 1985; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 271.16%; 
Real GDP per capita (average annual growth rate of 2.3%): 86.5%. 

Year: 1986; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 285.9%; 
Real GDP per capita (average annual growth rate of 2.3%): 91.1%. 

Year: 1987; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 304.78%; 
Real GDP per capita (average annual growth rate of 2.3%): 95.8%. 

Year: 1988; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 333.87%; 
Real GDP per capita (average annual growth rate of 2.3%): 101.9%. 

Year: 1989; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 360.77%; 
Real GDP per capita (average annual growth rate of 2.3%): 107.1%. 

Year: 1990; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 390.16%; 
Real GDP per capita (average annual growth rate of 2.3%): 108.6%. 

Year: 1991; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 412.48%; 
Real GDP per capita (average annual growth rate of 2.3%): 107.1%. 

Year: 1992; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 437.5%; 
Real GDP per capita (average annual growth rate of 2.3%): 105.8%. 

Year: 1993; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 458.02%; 
Real GDP per capita (average annual growth rate of 2.3%): 113.1%. 

Year: 1994; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 469.88%; 
Real GDP per capita (average annual growth rate of 2.3%): 119.3%. 

Year: 1995; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 483.92%; 
Real GDP per capita (average annual growth rate of 2.3%): 122.5%. 

Year: 1996; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 496.54%; 
Real GDP per capita (average annual growth rate of 2.3%): 128.4%. 

Year: 1997; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 511.5%; 
Real GDP per capita (average annual growth rate of 2.3%): 136.2%. 

Year: 1998; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 533.54%; 
Real GDP per capita (average annual growth rate of 2.3%): 143.6%. 

Year: 1999; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 556.89%; 
Real GDP per capita (average annual growth rate of 2.3%): 151.9%. 

Year: 2000; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 580.99%; 
Real GDP per capita (average annual growth rate of 2.3%): 158.6%. 

Year: 2001; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 614.74%; 
Real GDP per capita (average annual growth rate of 2.3%): 157.8%. 

Year: 2002; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 658.56%; 
Real GDP per capita (average annual growth rate of 2.3%): 159.4%. 

Year: 2003; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 695.26%; 
Real GDP per capita (average annual growth rate of 2.3%): 163.3%. 

Year: 2004; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 718.37%; 
Real GDP per capita (average annual growth rate of 2.3%): 170.3%. 

Year: 2005; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 736.53%; 
Real GDP per capita (average annual growth rate of 2.3%): 175.9%. 

Year: 2006; 
Real health care spending per capita: (average annual growth rate of 
4.8%): 756.91%; 
Real GDP per capita (average annual growth rate of 2.3%): 181.1%. 

Source: GAO analysis of data from the Centers for Medicare & Medicaid 
Services, Office of the Actuary, and the Bureau of Economic Analysis. 

Note: The most current data available on health care spending per 
capita are for 2006. 

[End of figure] 

Earnings Keep up with Inflation—But not with Insurance Premiums: 

[See PDF for image] 

This figure is a multiple line graph depicting the following data: 

Year: 2000; 
Employer-sponsored health insurance premiums: 0; 
Workers' earnings: 0; 
Overall inflation: 0. 

Year: 2001; 
Employer-sponsored health insurance premiums: 20%; 
Workers' earnings: 8.1%; 
Overall inflation: 6.5%. 

Year: 2002; 
Employer-sponsored health insurance premiums: 35.5%; 
Workers' earnings: 10.9%; 
Overall inflation: 8.2%. 

Year: 2003; 
Employer-sponsored health insurance premiums: 54.3%; 
Workers' earnings: 14.2%; 
Overall inflation: 10.6%. 

Year: 2004; 
Employer-sponsored health insurance premiums: 71.6%; 
Workers' earnings: 16.6%; 
Overall inflation: 13.1%. 

Year: 2005; 
Employer-sponsored health insurance premiums: 87.4%; 
Workers' earnings: 19.7%; 
Overall inflation: 17.1%. 

Year: 2006; 
Employer-sponsored health insurance premiums: 101.8%; 
Workers' earnings: 24.3%; 
Overall inflation: 21.2%. 

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 
Bureau of Labor Statistics. 

Note: Data on premium increases reflect the employer’s and employee’s 
cost of health insurance premiums for a family of four. 

[End of figure] 

Aged Population as a Share of Total U.S. Population Will Continue to 
Increase: 

Population aged 65 and over: 
	
1950: 8.001%;
1951: 8.111%;	
1952: 8.246%;	
1953: 8.385%;	
1954: 8.522%;	
1955: 8.637%;	
1956: 8.708%;	
1957: 8.786%;	
1958: 8.894%;	
1959: 9%;	
1960: 9.085%;	
1961: 9.151%;	
1962: 9.209%;	
1963: 9.256%;	
1964: 9.304%;	
1965: 9.351%;	
1966: 9.409%;	
1967: 9.485%;	
1968: 9.56%;	
1969: 9.64%;	
1970: 9.731%;	
1971: 9.839%;	
1972: 9.951%;	
1973: 10.074%;	
1974: 10.205%;	
1975: 10.353%;	
1976: 10.523%;	
1977: 10.686%;	
1978: 10.842%;	
1979: 10.994%;	
1980: 11.136%;	
1981: 11.272%;	
1982: 11.412%;	
1983: 11.538%;	
1984: 11.648%;	
1985: 11.772%;	
1986: 11.906%;	
1987: 12.024%;	
1988: 12.117%;	
1989: 12.195%;	
1990: 12.279%;	
1991: 12.365%;	
1992: 12.431%;	
1993: 12.47%;	
1994: 12.489%;	
1995: 12.497%;	
1996: 12.489%;	
1997: 12.46%;	
1998: 12.411%;	
1999: 12.345%;	
2000: 12.305%;	
2001: 12.289%;	
2002: 12.274%;	
2003: 12.277%;	
2004: 12.296%;	
2005: 12.313%;	
2006: 12.332%;	
2007: 12.396%;	
2008: 12.508%;	
2009: 12.619%;	
2010: 12.71%;	
2011: 12.862;	
2012: 13.134%;	
2013: 13.441%;	
2014: 13.725%;	
2015: 14.01%;	
2016: 14.308%;	
2017: 14.624%;	
2018: 14.958%;	
2019: 15.308%;	
2020: 15.669%;	
2021: 16.039%;	
2022: 16.42%;	
2023: 16.795%;	
2024: 17.163%;	
2025: 17.522%;	
2026: 17.868%;	
2027: 18.193%;	
2028: 18.494%;	
2029: 18.765%;	
2030: 18.987%;	
2031: 19.155%;	
2032: 19.284%;	
2033: 19.395;
2034: 19.507%;	
2035: 19.626%;	
2036: 19.732%;	
2037: 19.789%;	
2038: 19.792%;	
2039: 19.768%;	
2040: 19.733%;	
2041: 19.693%;	
2042: 19.66%;	
2043: 19.634%;	
2044: 19.621%;	
2045: 19.625%;	
2046: 19.636%;	
2047: 19.651%;	
2048: 19.664%;	
2049: 19.673%;
2050: 19.686%;	
2051: 19.704%;	
2052: 19.727%;	
2053: 19.761%;	
2054: 19.817%;	
2055: 19.898%;	
2056: 19.99%;	
2057: 20.076%;	
2058: 20.153%;	
2059: 20.22%;	
2060: 20.278%;	
2061: 20.33%;	
2062: 20.381%;	
2063: 20.434%;	
2064: 20.493%;	
2065: 20.557%;	
2066: 20.617%;	
2067: 20.67%;	
2068: 20.726%;	
2069: 20.788%;	
2070: 20.851%;	
2071: 20.908%;	
2072: 20.962%;	
2073: 21.017%;	
2074: 21.074%;	
2075: 21.132%;	
2076: 21.192%;	
2077: 21.253%;	
2078: 21.315%;
2079: 21.379%;
2080: 21.443%;
2081: 21.508%;	
2082: 21.574%;	
2083: 21.64%;	
2084: 21.706%;	
2085: 21.772%. 

Source: Office of the Chief Actuary, Social Security Administration. 

Note: Projections based on the intermediate assumptions of the 2008 
Trustees’ Reports. 

[End of table] 

Examples of Critical Infrastructure Systems: 

* Power distribution; 
* Water supply; 
* Telecommunications; 
* National defense; 
* Emergency services. 

All rely on computerized information and electronic data. 

Federal Information Security Continues to be Weak: 

[See PDF for image] 

Access Control:	
Number of agencies: 23. 

Contingency Management:	
Number of agencies: 22. 

Segregation of Duties:	
Number of agencies: 18. 

Service Continuity: 
Number of agencies: 23. 

Entitywide Security Program: 
Number of agencies: 21. 

Source: GAO analysis of agency and IG reports for FY2007. 

[End of figure] 

Reported Security Incidents Are on the Rise: 

Denial of Service: 1%; 
Malicious Code: 12%; 
Scans/Probes/attempted access: 13%; 
Unauthorized Access: 18%; 
Improper Usage: 26%; 
Investigations: 30%. 

Number of incidents reported: 
Fiscal year 2005: 3,646; 
Fiscal year 2006: 5,503; 
Fiscal year 2007: 13,029. 

Source: GAO analysis of US-CERT data. 

Emergency Preparedness and Homeland Defense: 

* Role of the “new” FEMA; 
* NORTHCOM collaboration; 
* National Guard and Reserve readiness; 
* Public health systems and pandemic planning. 

The New FEMA: 

* FEMA given the lead to prepare for and respond to major disasters, 
including catastrophic disasters and terrorist incidents; 

* FEMA, rather than the Red Cross, designated as the lead for mass care 
and shelter; 

* FEMA to build robust partnerships with states, local governments, and 
nonprofit/private organizations. 

FEMA has enhanced its responsibilities for coordinating the activities 
of voluntary organizations: 

* established a national council and 10 regional advisory councils; 

* created regional planning positions to facilitate coordinated 
federal, state, and local emergency preparedness plans. 

However, GAO has found that FEMA needed more specialized staff to meet 
this responsibility. 

NORTHCOM’s Collaboration: 

* NORTHCOM officials need more involvement with states in developing 
homeland defense and civil support plans; 

* NORTHCOM officials need to be more familiar with state emergency 
response plans; 

* Existing agreement between NORTHCOM and National Guard Bureau needs 
to be better defined for roles and responsibilities. 

Public Health System and Pandemic Planning: 

* An integrated GAO effort intended to help the U.S. prepare for a 
pandemic in ways that are sustainable over the long-term; 

* Lessons learned from prior emergencies, such as Hurricanes Andrew and 
Katrina, Y2K, SARS, and 9/11; 

* Collaboration and partnership with international and state and local 
auditors that enhances knowledge in areas such as key intergovernmental 
issues and relationships. 

Growing Expectations on the Accountability Profession: 

To face current and emerging challenges, the accountability profession 
must: 

* Identify problem spots before crises emerge; 

* Recognize problems often need multiple organizations to work 
together; 

* Provide more detailed recommendations; 

* Add value by providing timely special products; 

* Cope with constrained resources. 

Ways to Strengthen the Accountability Profession: 

* Focusing on strategic planning; 
* Modernizing professional standards; 
* Leading the way on fiscal stewardship; 
* Helping identify needed transformations; 
* Building audit capacity. 

The Importance of Collaboration: 

Strengthen accountability and strategic planning on an international 
and domestic basis: 

* International Organization of Supreme Audit Institutions (INTOSAI); 

* National Intergovernmental Audit Forum (NIAF). 

INTOSAI Strategic Goals: 

First ever strategic plan adopted in 2004: 

* Promoting accountability and professional standards; 
* Building institutional capacity; 
* Sharing knowledge and collaborating; 
* Organizing and governing as a model international organization. 

INTOSAI: Promoting Professional Standards: 

Professional Standards Committee: strives to establish an effective 
framework for professional standards that correspond to the needs of 
member SAIs. 

Financial Audit Guidelines Subcommittee: develops high quality 
guidelines that are globally accepted for the audit of financial 
statements in the public sector. 

Accounting And Reporting Subcommittee: studies issues concerning public 
sector accounting and financial reporting. 

Internal Control Standards Subcommittee: provides standards and 
guidance on internal controls to strengthen financial management and 
accountability in the Public Sector. 

INTOSAI: Building Capacity: 

* Building capabilities and professional capacities of SAIs through: 
- Training; 
- Technical assistance; 
- Other development activities. 

* Efforts implemented by a main steering committee and 3 sub-committees 
(includes IDI and current bilateral cooperative projects) 

* Potential for a multi-lateral donor trust fund. 

INTOSAI and IIA Collaboration: 

* Memorandum of Understanding: 
- Important for SAIs to be able to rely on the work of internal 
auditors; 
- IIA representation on the INTOSAI committees; 
- INTOSAI representation on IIA’s Standards Board and other IIA 
professional committees. 

* The IIA is an Associate Member of INTOSAI: 
- Participate in INTOSAI events and programs and benefit from INTOSAI’s 
capabilities. 

NIAF Strategic Goals: 

* Foster networking, dialogue, and collaboration on current and 
emerging issues; 

* Enhance the capability, credibility, capacity, effectiveness, and 
professionalism of audit organizations; 

* Improve the Forum’s outreach, management, and impact. 

Illustrative Example: Partnering with the DWG on Pandemic Planning: 

GAO and other members of the DWG are partnering to enhance the tools of 
state and local audit offices to evaluate pandemic planning: 

* sharing information; 

* focusing on a set of common audit questions; 

* reminding auditors that they have an opportunity as well as a 
responsibility, to make sure that our communities are prepared. 

GAO’s Goals for Establishing Government Auditing Standards: 

* Develop high quality Government Auditing Standards that are well 
understood, highly regarded, widely used; 

* Provide leadership in modernizing and transforming the accountability 
profession; 

* Encourage the development of consistent, core auditing standards; 

* Provide a foundation for an accountability profession that is 
effective, ethical, and prepared for the challenges of the 21st 
century. 

Yellow Book Ethical Principles (Chapter 2): 

Five principles: 

* Public interest; 
* Integrity; 
* Objectivity; 
* Proper use of government information, resources, and position; 
* Professional behavior. 

Ethics: 

Yellow Book: 
* Ethical Principles: 
– Public interest; 
– Integrity; 
– Objectivity; 
– Proper use of government information, resources and position; 
– Professional Behavior. 

IIA: 
* Code of Ethics (Rules of Conduct); 
– Integrity; 
– Objectivity; 
– Confidentiality; 
– Competency. 
* Rules of conduct; 
- Norms expected of internal auditor 

[auditors may also be subject to professional ethics of other 
organizations or governments]. 

GAO and IIA Working Together: 

* August 2005: GAO adds a Certified Internal Auditor to its Yellow Book 
staff; 

* October 2007: GAP News: “Yellow Book and Red Books: Working Together 
for Strong Government Audits.” 

* January 2008: GAO/IIA Webcast: “Integrating IIA and GAO Auditing 
Standards.” 

* February 2008: GAO presentation to the DC chapter of IIA: “Government 
Auditing Standards and IIA Standards in Government Audits.” 

* GAO and IIA actively comment on the most recent proposed revisions of 
the other organization’s auditing standards. 

GAO’s Other Collaborations: 

Auditing Standards: 

* Creating the U.S Auditing Standards Coordinating Forum (i.e., GAO, 
PCAOB, ASB); 

* Providing technical and policy input (e.g., PCAOB, AICPA, IAASB, 
INTOSAI, IIA, US Intergovernmental Audit Forums). 

Enhancing Fiscal Stewardship and Education: 

Special GAO reports focus on: 

* The urgency and importance of fiscal stewardship; 

* Understanding basic budgeting concepts; 

* Deciphering the consolidated financial statements: [hyperlink, 
http://www.gao.gov/financial/fy2007financialreport.html]. 

Fiscal Outlook: 

* GAO maintains and updates a long-term simulation of federal budget 
trends. 

* The model’s results dramatically illustrate the need for action 
sooner rather than later to address a structural long-term fiscal 
imbalance. 

[hyperlink, http://www.gao.gov/special.pubs/longterm/]. 

High-Risk Program History: 

* Started in 1990 with focus on fraud, waste and abuse; 

* Evolved to include broad-based transformations; 

* Provided impetus for government-wide reform; 

* Promoted sustained congressional attention; 

* Influenced Presidents’ Management Agenda. 

Broad-based Transformations: 

* Providing strategic human capital management; 
* Protecting the nation’s critical infrastructures; 
* Financing the nation’s transportation system; 
* Ensuring the protection of critical technologies; 
* Transforming federal oversight of food safety; 
* Managing federal real property. 

Financing the Nation’s Transportation System: 

* An efficient transportation infrastructure is vital to our economy 
and quality of life; 

* Congestion is increasing while funds are more constrained; 

* Need to reassess the federal role, revenue streams and funding 
allocations. 

Ensuring the Effective Protection of Critical Technologies: 

* The U.S. spends billions annually on weaponry containing advanced 
technologies; 

* Many items are sold overseas and technologies are targets for theft, 
espionage, reverse engineering, and illegal export; 

* Existing programs to protect critical technologies, established 
decades ago, are ill-equipped to weigh competing U.S. interests; 

* Need for a strategic re-examination of existing programs to identify 
needed changes and ensure the advancement of U.S. interests. 

Transforming Federal Oversight of Food Safety: 

* Overall risks to the economy and to public health and safety; 

* Current oversight is fragmented—involving 15 agencies, at least 30 
laws; 

* Need for a fundamental re-examination of the system. 

Examples of GAO/CG Forums on Current and Emerging Challenges: 

* Trans-national terrorism; 
* Homeland security risk management; 
* Global competitiveness and higher education; 
* Tax gap. 

Looking Inward: Building GAO’s Institutional Capacity: 

GAO, like other audit entities, must strive to recruit and retain 
employees with the proper skill mix in order to deal effectively with 
current and emerging challenges: 

* Implementing core leadership training; 
* Growing faculty from within (“adjuncts”); 
* Contracting with the National Academy of Sciences (NAS), when needed; 
* Hiring a Chief Scientist; 
* Designing a state of the art computer lab. 

Key Elements: 

* Focus on strategic planning; 

* Modernize professional standards; 

* Lead the way on fiscal stewardship; 

* Help identify needed transformations; 

* Build audit capacity. 

[End of section] 

On the Web: 

Web site: [hyperlink, http://www.gao.gov/cghome.htm]. 

Contact: 

Chuck Young, Managing Director, Public Affairs: 
YoungC1@gao.gov: 
(202) 512-4800: 
U.S. Government Accountability Office: 
441 G Street NW, Room 7149: 
Washington, D.C. 20548: 

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other material, permission from the copyright holder may be necessary 
if you wish to reproduce this material separately. 

[End of presentation]