Description: Discusses the projected costs of social insurance programs in the U.S. and Canada, the experience of the British National Health Service on controlling costs versus providing quality service, the economic consequences of the projected high costs of social insurance and of the projected build-up and spend-down of the Old Age, Survivors, and Disability Insurance [OASDI] Trust Funds, and possible solutions to the financing of these programs. From the 1988 Record of Society of Actuaries, Vol. 14, No. 1.