For many years, we have been warned that our nation is on an imprudent & unsustainable fiscal path. During the past three years, the Comptroller General has traveled to 25 states as part of the Fiscal Wake-Up Tour. Members of this diverse group of policy experts agree that finding solutions to the nation¿s long-term fiscal challenge will require bipartisan cooperation, a willingness to discuss all options, & the courage to make tough choices. In this testimony, the Comptroller General discusses the long-term fiscal outlook, our nation¿s huge health care challenge, & the shrinking window of opportunity for action. Illustrations.