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In page Paratransit:

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Since the passage of the ADA, paratransit service has grown rapidly as a mode of public transit in the United States. Continued growth can be expected due to the aging of baby boomers and disabled Iraq War veterans.[3] The growth of the number of people requiring paratransit has resulted in an increase in cost for the paratransit industry to maintain these services. The results of this rising cost are the paratransit industry trying to get individuals to move from a reliance on paratransit vehicles to fixed-route vehicles. Due to the push to have paratransit vehicles being the main method of transportation for disabled individuals prior to the passing of the ADA, the paratransit industry is finding it hard to get individuals to switch over to fixed route transportation.[4]