I did not know this but Germany has a very similar health care system with the same issues - trying to reduce costs. We are busy thinking we are doing something new but we aren't. Except for a few differences, it already exists pretty much.
I am not saying the German system is perfect. But if you read about it, there are some key similarities.
My point is that while we are trying to reinvent the wheel we can learn from others who have already done so.
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