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As policymakers continue to debate comprehensive reform of the nation’s health care system, a new report commissioned by the Robert Wood Johnson Foundation (RWJF) projects that if federal reform efforts are not enacted, the cost of failure would be substantial. In every state, the number of uninsured will increase, employer–sponsored insurance (ESI) coverage will continue to erode, spending on public programs will balloon and out–of–pocket health care costs for individuals and families could increase by more than 35 percent over the next decade.

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