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This work aims to examine social and domestic policy choices confronting the United States government. With governments facing large deficits and slowly growing revenues, and with public distrust in the efficiency of government at all-time highs, the authors focus on education and training, homelessness, crime, support for research and science, and investment in public works. They evaluate which current activities should be curtailed and which should be expanded, while providing estimates of the cost of doing so, and of the country's ability to pay.