This report examines some of the pressures on the federal budget that are likely to develop over the next 75 years. It is based on the Congressional Budget Office¿s (CBO) 10-year baseline projections of July 2000. Contents: Long-term Pressures on Spending; The Budgetary and Economic Implications of an Aging Population and Rising Health Costs; Conclusion; and Appendix: Details of the Assumptions Underlying CBO¿s Long-term Projections. Graphs and tables.