Health Affairs, February 26, 2013

A bureaucracy-centric governing philosophy is spreading in healthcare, and with it comes heavy reliance on "experts" to determine how to curb costs outside the normal legislative and democratic process. This was embodied at the national level by the Affordable Care Act, and most recently at the state level in a new Massachusetts growth-capping law. Yet the unintended consequences of using this method to reform health care have not been fully explored.

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