This follow-up to the 2001 landmark report, "Five Shoes Waiting to Drop on Arizona's Future," focuses on the projected future of the state if Arizona fails to address its Latino educational attainment gap. The publication is more of an economic impact statement than an education report, with indicators pointing out consequences and contributions, depending on action or inaction in closing the gap of Arizona's future workforce.

During the previous decade Arizona experienced a dramatic increase in the number of people receiving health insurance coverage through the Arizona Health Care Cost Containment System (AHCCCS). If criteria for AHCCCS eligibility don’t change, it is unlikely that this trend will be reversed in the coming decade. More positive trends include increased child immunization rates and decreased smoking rates.