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Previous Volume 354:1327-1328 March 23, 2006 Number 12 Next

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By Henry J. Aaron and William B. Schwartz, with Melissa A. Cox. 199 pp. Washington, D.C., Brookings Institution Press, 2005. $44.95 (cloth); $18.95 (paper). ISBN 0-8157-0120-9 (cloth); 0-8157-0121-7 (paper).

More than 20 years ago, Henry Aaron and William Schwartz argued in The Painful Prescription: Rationing Hospital Care (Washington, D.C.: Brookings Institution Press, 1984) that the explosive rise in the cost of health care would eventually force the United States to find a way to ration care. By rationing, they meant saying no to care that benefited patients in cases in which that benefit was less than the cost. The past two decades have seen miraculous technical advances but little success in holding down costs, and the annual cost of U.S. health care is rapidly approaching $2 trillion. In this . . . [Full Text of this Article]

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