President Obama addresses the AMA

Health system reform was a key issue of his remarks at the AMA's Annual Meeting.

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ON HEALTH CARE SPENDING: After discussing how information technology and preventive care would cut health spending, Obama identified what he said is the biggest challenge: "The nature of our health care delivery system itself." He said the problem is a philosophy that more-expensive care is better care. Obama, quoted, as his budget director has frequently done, the Dartmouth Atlas Project, which concluded that Medicare patients in higher-spending areas didn't necessarily get better care than those in lower-spending regions.

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Photo by Ted Grudzinski / AMA