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As a result of economic, demographic, and other developments, the United States is changing in ways that will require adjustments in our thinking and in our public policies. If this rethinking is not done, our political and economic position in the international arena will erode and our domestic living standards will suffer. Isabel Sawhill provides us with an overview of the problems that will confront us in the 1990s, and of the insights offered by the other contributors to the volume. Topics and authors include: living standards which are no longer improving at the same rate as in the past, by "Joseph J. Minarik"; what we can do to improve our long-term economic prospects, "Rudolph G. Penner"; the issues of trade and competitiveness that arise from living in a more economically-interdependent world, "Charles F. Stone"; changes in the family and how they affect child care, "Andrew Cherlin"; human health and life, especially the implications of AIDS and technologies that artificially extend human life, "Thomas C. Schelling"; the slow progress against poverty, "Isabel V. Sawhill"; the dilemmas of the aging American population, "John L. Palmer"; and options for reducing current budget deficits, "Joseph J. Minarik" and "Rudolph G. Penner."