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Comment & Response
November 8, 2016

Health Care Reform in the United States

Author Affiliations
  • 1Duke Center for Research on Personalized Health Care, Duke University Medical Center, Durham, North Carolina
JAMA. 2016;316(18):1923-1924. doi:10.1001/jama.2016.15237

To the Editor President Obama’s Special Communication1 described his views of the progress made by the Affordable Care Act (ACA) and outlined steps needed to enable further success of the legislation’s reforms. Despite accomplishments in improving coverage and access to care, the ACA cannot achieve its goal of substantially improving the nation’s health without changes in how care is delivered.

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