Abstract
Hardly a day goes by now without at least one story in a major newspaper about the importance of controlling soaring health care costs. The issue is not just the magnitude of health care spending or the rate of increase. There is also increasing skepticism about whether the American public is getting its money's worth, particularly from spending on new forms of technology. Despite this concern, the public and the medical profession remain enamored of the sometimes dazzling advances in medical technology. There is thus great reluctance to restrain the diffusion of expensive new techniques in their early stages of . . .

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