Second, the prospects for major child health reform will diminish as resources become increasingly care spending that is already hitting the “high- water mark” of 16 percent of . gross domestic product (GDP) and predictably increasing in the face of the next wave of genomics-driven technological innova- tions will be swamped by the approaching “Silver Tsunami.” As baby boomers re- tire in larger numbers and use ever-greater amounts of health care, the Congres- sional Budget Office estimates health spending climbing well over 20 percent of GDP in the next decade. 18 Major reform of the overall health system could eventu- ally respond to or anticipate these demands; however, child.
