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July 28, 2010

Miracles, Choices, and JusticeTragedy of the Future Commons

Author Affiliations

Author Affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles.

JAMA. 2010;304(4):467-468. doi:10.1001/jama.2010.1048

The landmark Patient Protection and Affordable Care Act of 2010 will soon extend insurance coverage to millions more individuals in the United States. Simultaneously, the first of the baby boom generation will reach age 65 years and enter the age group that has the highest rates of health care use. Meanwhile, technological advances in medicine continue to proliferate. As these trends intersect, difficult questions will arise about the who, what, and for how long of health care. The stories of 2 patients provide insights into the present and future states of health care in the United States.

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