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HEALTH CARE 2009 Volume 360:2593-2595 June 18, 2009 Number 25 Next

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The pursuit of health care reform continues to gather steam, as Democrats, with a nudge from President Barack Obama, set an ambitious target for action — House and Senate passage of measures by July 31. At the same time, legislators intensified their discussions about how far the government should extend its regulatory reach into the health care system, and two new reports underscored the necessity of embedding cost-cutting policies in any reform proposal. The reports document the deterioration of Medicare's financial condition and state government revenues — developments that complicate the challenges faced by Democrats, who are poised to spend . . . [Full Text of this Article]

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Mr. Iglehart is a national correspondent for the Journal.

This article (10.1056/NEJMp0904517) was published on May 20, 2009, at NEJM.org.

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