Health care delivery services is changing as we speak. The world we live in is becoming smarter about their health and how you should take care of yourself. By more people becoming healthier about their health it change a lot of things that will take place in health care. Demographics and disease trends are likely to influence health care delivery services in the future by many things. Three thing that may stand out the most are age, obesity, and the future. I will cover how age will explain over the next 20 years. How obesity will change over 20 years, and how health care delivery will adapt in the future. The median age of the world's population is increasing because of a decline in fertility, and a 20-year increase in the average life span during the second half of the 20th century. These factors, combined with elevated fertility in many countries during the 2 decades after World War II which was called the Baby Boom, will result in increased numbers of persons aged 65 years old during 2010 to 2030. Worldwide the average life span is expected to extend another 10 years by 2050. The growing number of older adults increases demands on the public health system and on medical and social services. Chronic diseases, which affect older adults disproportionately, contribute to disability, diminish quality of life, and increased health and long term care costs. Increased life expectancy reflects, in part, the success of public health interventions, but public health programs must now respond to the challenges created by this achievement, including the growing burden of chronic illnesses, injuries, and disabilities and increasing concerns about future caregiving and health care costs. We are having people living longer than back in time because of the health care they are provide with. Environmental factors that play a part in aging would be one’s life style. People are choosing to live a healthier life style. Which would include exercise, eating healthier, and making better choices about life. For example, not smoking or drinking heavy can expand your life spam. One thing that have improve is the quality of health care that is offer. Many people are going to the doctor and making sure they get their check up and examine like they should. All these things are contribute to aging a living a longer life. The aging trend is likely to decrease some of the health issues covered in this course because people will start taking better care of their self, and jobs and other places would start having classes on prevention of diseases. There will be some aging trend that will likely to increase on some of the health issues covered in this course. The more people are aware of diseases the better they can prevent them self from getting sick. What can be done to reduce health complications related to aging is prepare people what to look for when aging. This will make it better to treat before it get to the point it’s nothing doctor can do. There are some things that come with aging, for example, eye sight, mental illness will be hard to stop. We can just prepare more home for elderly that will take good care of them. Obesity would change over the next 20 years. Really it have already started changing. By 2030, more than half of Americans could be obese, resulting in millions of new cases of diabetes, coronary heart disease, and stroke a constellation of illness that could cost the United States up to $66 billion in treatment and over $500 billion in lost economic productivity. With 6 million new cases of diabetes, 5 million cases of heart disease and stroke, and more than 400,000 cases of cancer in the next 20 years, we are on a tragic course that will have a horrible impact on the quality of life of millions of Americans and could overwhelm an already overburdened the health care system. Even with all the information we have out there about eating healthier, we will still be face will obesity in the next 20 to 30 years. The environmental