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Editorial
Health Care Reform
November 9, 2009

Controlling Health Care Costs in Massachusetts After Health Care ReformThere Is No Silver Bullet

Arch Intern Med. 2009;169(20):1833-1835. doi:10.1001/archinternmed.2009.335

As the public debate about national health reform rages on, the estimated cost of $1 trillion over 10 years threatens to stop reform dead in its tracks. The stewards of health care reform noted from the beginning that providing more Americans with coverage requires cost savings. This is not a message that most Americans want to hear. If they like the coverage they have, they want to keep it. People who are uninsured or underinsured want comprehensive coverage. Since Washington decided to take on coverage and health care costs simultaneously, the messages to the public are complicated.

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