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Pages 4-5

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From page 4...
... He is very concerned about what he calls a crisis on the challenges facing health care and is particularly concerned about the underlying factors that are causing the system failures: namely, the lack of an information technology infrastructure; excessive cost of administration and regulation; and the burden of malpractice liability. During Secretary Thompson's initial discussion with the committee, the basic feeling was that some radical and bold solutions must be developed, and that they should be implemented at the state level before they are generalized to the entire country.
From page 5...
... If they fit together and you are able to make the demonstrations work across the country, then the package has the synergy that could result in substantial reform. We are proposing a large number of projects: 10 to 12 chronic care demonstrations in 10 to 12 communities; primary care demonstrations in 40 different practice settings; information and communications technology demonstrations in 8 or 10 states; health insurance coverage proposals in 3 to 5 states; and liability in 4 to 5 states.


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