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JAMA Forum

The Stark Choices Ahead on the Future of Health Care

The economy might trump health care in the minds of most Americans as they enter voting booths this November, but there are far-reaching implications for the future of the health system that turn on who wins control of the Presidency, Congress, and state houses across the country. In fact, policy decisions made over the next few years may be among the most consequential for health policy than in any other period since the creation of Medicare and Medicaid in 1965.

Election campaigns are about as predictable as the NCAA college basketball tournament going on right now. Although we may not be able to anticipate all the twists and turns that could emerge between now and November, we do know that Democrats and Republicans are sharply split on health care issues, offering clear and competing visions on a range of policy questions.

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