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Previous Volume 352:415-416 January 27, 2005 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Ginsburg, P. B. Related Article by Newhouse, J. P. Related Article by Bush, G. W. PubMed Citation

To the Editor: In their recent articles on rising health care costs, economists Paul Ginsburg (Oct. 14 issue)¹ and Joseph Newhouse (Oct. 21 issue)² and presidential candidates John Kerry and George Bush (Oct. 28 issue)³ do not directly address the well-known fact that approximately 10 percent of patients account for 70 percent of costs.⁴ To control costs we must acknowledge this skewed distribution and honestly address the major factor driving costs: the growth of technology.⁵ Managed care's lack of candor undermined its efforts to control costs and led to patient backlash.⁶ Since rationing is politically untenable, government has retreated from . . . [Full Text of this Article]

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