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Are possible. The president s own council of economic advisors some years ago estimated that we could do savings of 700 billion a year without affecting the quality of care in any way for the worse. The National Institutes of medicine have made several regular projections on this. The most recent one is at 75 750 billion a year. Well, the institutes of medicine are pretty serious folks and theyre entitled to respect when they say that we can have those kind of savings. Rand corporation a lot of people know a lot about. Its a very, very expert organization. They actually have done two things. Theyve looked at what we can snaif Health Care Save in health care and then theyve looked at what we can save in Health Care Plus an additional bit for dealing with waste and fraud. And they gave ranges for the two. The midpoint of the range for savings is about 730 billion. And if you add their suggestions on waste and fraud, the midpoint of their range goes to about 910 billion a year. And the le

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