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In 2007, spending on health care represented 16% of the U.S. economy — a much greater percentage than that spent in nations with universal access to health care services — while at the same time nearly 50 million Americans were uninsured. These imbalances affect not only those without health insurance but also the federal budget, our entire health care system, and Medicare in particular. Unlike the potential "fixes" that are available to solve the expected shortfalls in the Social Security pension system, there are no ready solutions to shore up Medicare financing. Over and above these issues are concerns about
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