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Abstract

Confident predictions about the future of health care are notoriously unreliable, be it the surefire status of single-payer (c.1973) or the unstoppable march of “managed competition” (c. 1993). Yet, while the noisy 50-year war over the design of the ideal health insurance system continues to command headlines, a quiet consensus has developed that is beginning to shape the future of actual patient care.



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