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EVEN more important than these pay-fors are measures that slow cost growth.
Their voices will become only more strident if something is not done soon to slow cost growth.
Providing everyone with access to a primary care medical home has been demonstrated to slow cost increases while improving quality.
The Bush team argue that "fairer" tax treatment will slow cost rises and enable more people to get basic insurance.
Although single payer enables universal care without additional cost, Dr. Relman notes that it will not slow cost increases.
The left argues that the solution is more government intervention; the right espouses deregulation and consumer choice to slow cost increases and so make insurance more affordable.
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He put Social Security on the table, advancing a Boehner-approved proposal to slow cost-of-living increases.
The slower rise of the chained index would slow cost-of-living adjustments of Social Security benefits and some other programs, saving $130 billion over a decade.
In fact, Mr. Ryan would scrap the common-sense attempts to slow costs in last year's health bill, like the baby steps to base Medicare coverage decisions more on medical evidence.
Democrats have been forceful in explaining that if the federal contribution is limited and competition doesn't magically slow costs commensurately, individuals and states will have to pay more.
Helping to slow costs, the German government has for a number of years nudged its citizens into the public system by raising the income threshold (at least $70,000 a year for three consecutive years) for private insurance.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com