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Perspective
Published at www.nejm.org August 26, 2009 (10.1056/NEJMp0906503)

Fiscal Responsibility and Health Care Reform
Robert A. Levine, M.D.

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It has been clear for some time that the primary hurdle to enacting health care reform is figuring out how to pay for it. Virtually all Republicans and some Democrats have been unwilling to sign on to increasing taxes on high-income Americans as a partial answer. The idea of taxing the most generous health insurance benefits has met with resistance as well. The use of electronic health records and an emphasis on prevention and early treatment of illnesses have been ballyhooed as ways to generate savings to help pay for reform, but there is no solid evidence that these measures . . . [Full Text of this Article]


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From Norwalk Hospital, Norwalk, CT.

This article (10.1056/NEJMp0906503) was published on August 26, 2009, at NEJM.org.




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