Health Care Reform — Past and Future

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Abstract
The demise of federal legislation to reform our health care system has frustrated the hopes (or quieted the fears) of millions of Americans. Nevertheless, the problems of our health care system persist, and efforts to reform it will proceed at several levels.1 In the aftermath of the Republicans' resounding victory in the 1994 congressional elections, the private marketplace and, to a lesser extent, state governments seem likely to lead such efforts, but their ability to address problems of access to care — and its costs — is limited. The important role of the federal government in health care reform is . . .

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