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And serious cost control would change everything, not just for health care, but for America's fiscal future.
Health reform will fail unless we get serious cost control — and we won't get that kind of control unless we fundamentally change the way the insurance industry, in particular, behaves.
But if Anthem was the whipping boy the White House needed, the confrontation has also reinforced an emerging shift of focus in Washington from the need for universal coverage to the need for serious cost control.
Brooks's argument in the piece is that instead of pushing for incremental reform, the Obama Administration should be pushing for fundamental reform, and particularly that it should be pushing for the kinds of reforms that can bring about serious cost control in the health-care industry.
With both, serious cost control, standardization of high quality, and much greater equity are desperately needed.
Unless we can do so, without wielding the R word against leaders who speak frankly about these choices, serious cost control will not be sustainable.
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If, for instance, he were to offer a proposal to take on tort reform, an issue popular with Republicans but ignored by the lawyer-stuffed Democratic Congress and insist on more serious cost controls, he might be able to build a new coalition for eventual reform.
Second, the proposed health care reform links the expansion of coverage to serious cost-control measures for Medicare.
The GAO issued a report in September 2000 charging serious cost-control problems in Bosnia, but KBR retains the contract to this day.
The Obama health care plan didn't envision any government takeover, was small-business-oriented and contained a few serious cost-control measures, incurring the displeasure of liberal Democrats and the party's labor supporters.
But Davis noticed what wasn't there: serious cost-control systems.
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