Conclusion

HEALTH CARE IS ON A collision course with patient needs and economic reality. Without significant changes, the scale of the problem will only get worse. Rising costs, mounting evidence of quality problems, and increasing numbers of Americans without insurance are unacceptable and unsustainable. The escalating problems with the U.S. health care system seem imponderable and even insurmountable to many observers. Many have come to believe that, like it or not, government management of the health care system is inevitable. We too suspect that, absent a new approach, the system will evolve toward more arbitrary budget cuts, price controls, rationing, and a single payer. Sadly, none of this will be a solution, but an admission of failure. ...

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