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Previous Volume 361:1131-1133 September 17, 2009 Number 12 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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Successful health care reform requires effective control of health care spending — without it, rising costs will continue to strain federal and state budgets, businesses, and families, jeopardizing gains in insurance coverage. The reform legislation now before Congress, however, cannot be relied on to control spending.

The Obama administration and others have emphasized the cost-saving potential of prevention, comparative-effectiveness research, disease management, and health information technology. But there is little evidence that these worthwhile measures would produce meaningful cost control over the next decade.¹ The Congressional Budget Office (CBO) has consequently forecast scant savings from these sources, fueling debate about . . . [Full Text of this Article]

Source Information

From the University of North Carolina, Chapel Hill (J.O.); and Case Western Reserve University, Cleveland (J.W.).

This article (10.1056/NEJMp0907487) was published on September 2, 2009, at NEJM.org.

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