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Health reform raises deep questions about the size and scope of government, about progressive taxation, about the individual mandate and more. It's easy to forget that cost control will be a huge challenge, no matter how these ideological matters are resolved. Finding the right combination of humanity and restraint will be particularly hard in addressing life-threatening or life-ending illness.

The real problem facing our emergency care system is not overuse, it's the lack of a financial and administrative infrastructure to properly support it.