Review Article| Volume 45, ISSUE 1, P63-82, September 2011

Geographic Variation in Health Care and the Affluence-Poverty Nexus

      On March 30, 2010, President Obama signed the Patient Protection and Affordable Care Act into law. While many conceptual themes contributed to its formulation, none was more pervasive than the notion of geographic variation in health care, which was fostered by researchers associated with the Dartmouth Atlas. It has been taken as “proof” that health care spending is wasted in regions that spend more and that if practices everywhere were as efficient as those in regions that spend the least, 30% of health care expenditures could be saved, enough to finance health care reform: the “30% solution.”
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