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U.S. Health Care Reform: Universal Insurance or Affordable Care? Open Access

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The U.S. leads the world in scientific discovery and medical innovation, and recent studies suggest that for many clinical conditions, U.S. patients have outcomes superior to or equivalent to those in other industrialized countries. However, U.S health insurance and medical care are very expensive, and Americans may be spending more on health care than is necessary to achieve the highest quality. While there are undoubtedly many reasons that insurance and care are expensive, present federal and state policies appear to be important factors.

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