Abstract
More than 30 million Americans lack health insurance. There is no disagreement that this is a grave national problem; virtually everyone recognizes our need for a workable health care system that can provide medical care for all Americans. But even amid increasingly intense concern about care for the uninsured, no national policy—or even consensus—has emerged about what to do. The major barrier to decision and change is fear: fear that the price tag to cover medical care for the uninsured will be too high and impossible to control.

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