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The article addresses the "skin in the game" argument. The last three sentences:
"When it comes to making care better and cheaper, changing who pays the doctor [whether government, individuals, or insurance companies] will make no more difference than changing who pays the electrician. The lesson of the high-quality, low-cost communities is that someone has to be accountable for the totality of care. Otherwise, you get a system that has no brakes. You get McAllen."
I.e., doctors in McAllen get paid more for more tests.
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