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Medicare at 50 — Moving Forward

The New England Journal of Medicine: Health Policy Report
David Blumenthal, M.D., M.P.P., Karen Davis, Ph.D., and Stuart Guterman, M.A.

As Medicare enters its 50th year, this popular federal program faces profound challenges to itseffectiveness and sustainability in future decades. In this report, we review these problems, building on the issues raised in our earlier article. 1 We also review several options to strengthen the program and enhance its viability.

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