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ALTH CARE SYSTEM IS rich in resources. Hospitals and sophisticated equipment abound, with even many rural areas boasting well-equipped facilities. Most physicians and nurses are superbly trained, and dedication to patients is the norm. Our research output is prodigious, and we fund health care far more generously than any other nation. Yet despite medical abundance, health care is too often meager because of the irrationality of the current health care system. More than 41 million Americans have.

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