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Managing Medical Care, Part I: The Dilemma

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Our side needed to win last night's vote on health care financing reform to stave off short-term political disaster.  But now that we're past that hurdle, we can and must start on the real task, the long-term, real-world, task at hand, and come up with a plan to reform, not just how we pay for health care in this country, but how that care itself is delivered and managed.  We need to do this because that plan we passed last night has no chance whatsoever of working, in any terms, because it does not even begin to address the causes of the health care financing crisis, much less the underlying problems of health care delivery itself.


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