What is the fine-grained topic of the following text: But after factoring in population growth (1.6 million more Texas residents from 2011 to 2015) and inflation, much of it due to rising health care costs, real GR spending per school or college student, Medicaid beneficiary, or any other person served, would at best be flat. Only return the topic.
Impact of population growth and inflation on real GR spending per student or Medicaid beneficiary in Texas