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This is a Comptroller General Presentation delivered to the Association of Government Accountants DC Chapter, in Washington, D.C. on September 12, 2013. Major topics of this presentation include: overall budget environment in the near and long term, daily average number of people turning 65 each year, debt limit: what it is and what it isn't, how the accountability community can help, and strategies that may help reduce Medicare fee-for-service improper payments.

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