Choice and efficiency: fundamental needs for health care reform

I recently returned to Guam after visiting several medical facilities including a 900 000-square-foot children's hospital a 15-bed general hospital in a small rural community a 250-bed hospital with an integrated treatment and research cancer center a 400-bed general and specialty hospital a diabetes institute an eye and ear institute and a specialty hospital with a heart center vascular surgery center digestive disorder center and a heart center all under one roof . . .

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