The United States is standing at a critical juncture in its fiscal outlook. After experiencing a brief period of budget surpluses at the turn of the century, the federal government will run deficits that add about 4 trillion to the national debt over the next decade. Substantial deficits will...

Authors suggest reforms in federal programs that have the potential to reduce the growth of spending for the entire health system, increase the efficiency and effectiveness of care provided, and enhance health outcomes and stress the need for innovative approaches and cooperation between the...