"Turn and Face the Strain: Age Demographic Change and the Near Future of American Education" outlines a fierce battle looming between the needs of public health care and education. A crisis is fast approaching that makes comprehensive improvement of America's public schools more important than ever. Faced with rapidly expanding populations of the young and the old, working age taxpayers will experience the growing strain of insufficient tax revenue to fund public services from now until the foreseeable future. One solution to the crisis: an American education system that leads to a college and career-ready generation prepared for high-wage job earnings in a competitive global economy. Data tables and state-by-state analyses are appended. [For the policy brief, see ED574382.]