Wild-Card Trends Identified From the Scenario Process of the VOP Project

Societal changesLarge pandemic or major disease
World famine or drought
A disaster necessitating resettlement
War on US soil
Health advancesGene therapy able to provide true and effective cures
Change in birth rates
Universal health insurance
Cure for autism
EconomicsUS and global economies collapse
Greater disparities between rich and poor
Decline or exponential increase in cost of higher education
Work-life balanceAccess to high-quality child care with job security
Implementation of a 56-h week for residents
Changes in family-planning policies