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Previous Volume 361:e106 November 12, 2009 Number 20 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.

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Underlying the debate over health care reform are two competing visions of medicine. According to one vision, medicine aims to care for people in their communities and to provide affordable health care that counterbalances the effects that inequities of income and opportunity have on populations' health. According to the other vision, medicine is a collection of technologies that bring longer, higher-quality life to those who can afford them.

If we choose this technological medicine, which is the direction an unregulated market is taking us, we are choosing a health care that focuses on individual health, a world in which we . . . [Full Text of this Article]

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