Steadily increasing healthcare costs are driving state and local government deficits higher and are a big reason why they could double between now and 2064.

Slowing or reversing those deficits will require big changes in state taxing and spending policies, according to the Government Accountability Office.

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Federal budget deficit clocks in at $779B for 2018, largest since 2012

CBO: Taxes and spending to exceed historical levels over next decade