This is a Comptroller General presentation delivered to the 9th Annual DHS OCFO Symposium in Washington D.C. on March 14, 2012. Major topics of this presentation include debt helt by the public as a percentage of GDP, recession affecting the federal budget, aging of the U.S. population as a long-term fiscal challenge, average number of baby boomers turning 65 each day, and growth in health care spending as a key driver of a long-term fiscal challenge.