However, I've not yet heard anything about any of that in this discussion of substituting Medicare and Medicaid for a new public option. I will continue to keep an open ear and an open mind. But we don't want to end up with a situation in which a large share of Americans are "dumped" into a second-class system, with no significant controls on costs in any part of the system, which everyone is paying for -- a significant share of the costs perhaps even shifted, via Medicaid, onto the already budget-strained states.
In short, we need real health care reform, not "No Patient Left Behind."
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