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Curing Health Care

By England, Mary Jane
Publication: Government Executive
Date: Friday, October 1 2004
HEADNOTE

PUBLIC ADMINISTRATION

HEADNOTE

Health care and governance: Big issues, practical responses.

New ideas for reforming health

care are a staple of presidential election campaign promises as candidates grab for headlines and try to focus voters' attention on their proposals. The major health-care issues Americans face have remained the same since the early 19905 and, in fact, have deepened in scope. Chief among these issues is balancing care and costs, which are directly affected by changing populations and outmoded systems of health-care delivery.

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A 2001 report by the Institute of Medicine states: "Americans should be able to count on receiving care that meets their needs and is based on the best scientific knowledge," but quality problems everywhere affect many patients. The report concludes: "Between the health care we have and the care we could have lies not just a gap, but a chasm."

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