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PerspectiveHealth Care 2009

Slowing the Growth of Health Care Costs — Lessons from Regional Variation

List of authors.
  • Elliott S. Fisher, M.D., M.P.H.,
  • Julie P. Bynum, M.D., M.P.H.,
  • and Jonathan S. Skinner, Ph.D.

The expansion of health insurance coverage in the United States is likely to be on the front burner of health care reform efforts in the new presidential administration. But boiling on the back burner is perhaps the most serious threat to Americans' access to care: rapid growth in health care costs.Pessimism abounds. Most observers see rising costs as an inexorable force, blame advancing technology, and conclude that only by rationing beneficial care or making draconian price cuts can we slow the growth of health care costs.But a careful look at variations in spending growth and spending patterns among . . .

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Funding and Disclosures

No potential conflict of interest relevant to this article was reported.

Author Affiliations

Dr. Fisher is a professor of medicine and of community and family medicine, Dr. Bynum an assistant professor of medicine and of community and family medicine, and Dr. Skinner a professor of economics and of community and family medicine at Dartmouth Medical School, Lebanon, NH, where Dr. Fisher also directs the Center for Health Policy Research, Dartmouth Institute for Health Policy and Clinical Practice.

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