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much of their budt is devoted to identifying who will be care and didn t take the steps to exclude those people from their policy roles. anothe major part of their budget is based on aggressive efforts to deny reimbursement plans. so if you do have a policy enkidu get a procedure and you seek reimbursement for it, they have experts who get bonuses if they deny your claim. they get extras out if they do not higher proportion of claim their . . a public plan that will take all-comers. it will be a public plan that you can carry with you wherever you go. it will be a public plan that will not charge you a heavy premium if you have previous conditions. and so if people have access to that plan and for reasons of their own choose, not buy it be well and good. but as long as that part of the mix, then i think the healthcare reform effort can be said to have done its job. can it cut costs? i think it can. we provide care in the least efficient way of any modern industrial country.