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PROLOGUECosts In Context
PROLOGUE: The issue of drug spending has climbed back to prominence on the national agenda in a remarkably short time. Spectacular innovations, international pricing controversies, the question of Medicare coverage, direct-to-consumer advertising, and rapid drug spending increases at a time when other health cost growth was in check have all contributed to the galloping escalation of public policy interest.
The learning curve for complex health system issues is always steep, but the rapid emergence of concern about drug spending puts policymakers and the public even further behind the curve than usual. Because so many are affected so deeply, the tendency
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