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Letters Obama’s team on health care

Rationing is needed in the US

BMJ 2009; 338 doi: (Published 12 May 2009) Cite this as: BMJ 2009;338:b1903
  1. Adam M Ali, Frank Knox fellow1
  1. 1Harvard University, Cambridge, MA 02138, USA
  1. adamali{at}

    A public plan by President Obama’s team may reduce the number of uninsured people in the United States but seems unlikely to curb rising healthcare costs.1 Indeed, Medicare is a federal programme whose escalating costs are as unsustainable as the private sector’s. The problem lies deeper: an unwillingness to accept the need for rationing.

    When …

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