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all of the excesses and over use are there to see in the Dartmouth Atlas. Here is how to fix medicare: 1. take the median rate for elective procedures across the nation or regions. Give hospitals 2 years to come down to that rate of use and after that medicare will not pay for that procedure in that hospital 2. Calculate the mean mortality rate for the big procedures. Give hospitals 2 years to achieve the mean mortality rate. After 2 years medicare would not pay for that procedure. This is fair and it will save lives and money.
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