Answer:
 242.0 billion dollars per year
Step-by-step explanation:
The rate of change of H(t) is the derivative of the function:
 H'(t) = 1500(0.053)e^(0.053t) = 79.5e^(0.053t)
Then, 21 years after 2000, the rate of change is expected to be ...
 H'(21) = 79.5e^(0.053·21) ≈ 242.0 . . . . billion dollars per year