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For instance, thousands of kidney dialysis patients have been given dangerous overdoses of epoiten because dialysis centers and drug companies have made huge profits from this drug. Similarly, about half of all cardiac stents are unnecessary, leaving the patient no better off, but gaining the hospital about $20,000 per patient. Eliminating HMOs from Medicare, reorienting Medicare payments to minimize incentives for over-treatment (as well as under-treatment), and encouraging primary and preventive care would go far to assuring the long-term viability of the program.

Assuring coverage for people under 65 would also save Medicare money. When the uninsured turn 65, their Medicare bills are far higher because they failed to get timely care. Financing Medicare by a much more progressive tax, and improving Medicare coverage to eliminate current co-payments and gaps in coverage for prescription drugs would also broaden support for the program. Canada’s

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