Commentary: Real heath care reform will have to come from the states

The poor quality and inefficiency of American health care business as usual is wasting $1 trillion per year.

FILE - In this Dec. 15, 2017, file photo, the HealthCare.gov website is photographed in Washington. Object to abortion? You may be able to get an exemption from the Affordable Care Act tax penalty for people don’t have health insurance. Expanded exemptions are part of a package of changes issued April 9, 2018, by the Centers for Medicare and Medicaid Services (AP Photo/Jon Elswick, File)

Commentary: Real heath care reform will have to come from the states

The poor quality and inefficiency of American health care business as usual is wasting $1 trillion per year.

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