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Context In the late 2000s, the contention that quality improvements achieved by reforms in the delivery of care would slow the growth of costs throughout the US health care system became the predominant strategy for cost-containment in the discourses and programs of all the 2008 presidential candidates. To understand why, in spite of all the critiques made of this idea, especially those of the CBO, the "quality solution" remained credible enough to be a possible argument in policymakers' discourses and programs. This article explores the
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