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On several US towns that have improved healthcare while decreasing cost:
The stories of how these communities reformed their health care systems vary, but two common themes emerge. First, most moved away from fee-for-service, finding other ways to pay doctors.Secondly, collaboration replaced destructive competition. Rather than engaging in medical arms races--with each hospital in the community buying the same exorbitantly expensive and redundant equipment--hospitals competed to see who could be more efficient, eliminating unneeded hospital beds, along with unnecessary hospitalizations.
