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Response to Senator George J. Mitchell
Pages 6-9

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From page 6...
... He has stressed the need to set priorities and has suggested the need to expand and extend Medicaid, to strengthen our employment-based insurance system, and to forge new partnerships between government at both state and federal levels and the private sector. He has indicated his own concerns with two target population groups: those who would receive maternal and child health services and the chronically ill.
From page 7...
... Time does not permit me to present a comprehensive set of remarks. I simply note that the answers are many: yes, there is a massive budget deficit; yes, an increasing share of our tax revenues goes and will continue to go to service our debt; yes, we wait anxiously to find out whether Japanese banks will buy U.S.
From page 8...
... Our states have administrative resources and capabilities that exceed those of the federal government. Many of them have wrestled with the problems of rate setting, costcontrol, uncompensated care, regional planning, and the other microaspects of the health care system and have learned how to balance conflicting demands.
From page 9...
... To address it will require a change in our perception of ourselves and that will not come overnight or in a hundred days. Until that occurs there will be much that we can do to better the human condition within the limits of existing capabilities.


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