The most provocative remarks, however, came from Dr. Joanne Lynn, who has been an outspoken advocate for a fully integrated health system that incorporates both medical and personal care.

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At issue is how best to reduce the cost and increase the reach of the health care system, which officials say is draining personal, corporate and government budgets while leaving 46 million Americans without health insurance.

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As a purely personal opinion I think that health care reform should have moved to something more like the Singapore system.

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