demanded that the committee stay within the specific mandate of the contract and not try to cover all possible related topics.

Although the principal intent of the report is to address the specific concerns of Congress as defined in its mandate, the committee believes that the report will provide guidance to a wider audience responsible for organization, delivery, and financing of health care and for federal health care policy.

Finally, when the study originally was requested, the national debate on health reform was under way. Since then many changes have occurred and many others are under consideration. Because the complexity of the various issues are so great and volatile, the committee made a decision not to speculate outcomes but to conduct its study based on objective and scientific evidence available to it.



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