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Reform Before Calamity
Victor Fuchs and Ezekiel Emanuels discussion of health care reform (Nov/Dec 05) calls prospects for comprehensive reform "dim" in the near term. They write that reform prospects could be advanced by "a major war, a depression, or large-scale civil unrest"or, they add, a "national health care crisis, such as a flu pandemic," also might suffice.
For readers dismayed by that menu of catalysts, they offer up another scenario: that reform might be impelled by a combination of factors, such as widespread unhappiness in the business community with the trajectory of employer-sponsored coverage; states inability to keep up with the budgetary
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