The document discusses the rising levels of public debt in advanced countries and the challenges this poses. It notes that debt levels above 100% of GDP were common after WWII but issues are more serious now due to aging populations. Modeling of debt projections for 30 years out shows debt could rise to 3 times current levels without policy changes to address aging populations and the associated rise in spending. Higher debt levels increase risks of unstable dynamics and lower long term growth. Action is needed now to address long term fiscal imbalances.