Counties in a graying demographic

What happens when a population ages, health care costs balloon, and a financial crisis continues to reverberate?  Here’s one scenario sketch about local government:

“I think you’ll see a dropping off of the programs that many counties now view as important — law enforcement, economic development, parks and recreation. Those kinds of programs will disappear. Counties will become welfare and Medicaid managers.”

Naturally there’s a political angle here:

C. Scott Vanderhoef, the Rockland County executive who was the Republican Party’s nominee for lieutenant governor in 2006…

But the scenario is plausible, given the drivers I identified.

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