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P a g e | 1Title: America, The Doctor Will See You Now. By: Tumulty, Karen, Pickert, Kate, Park, Alice, Time, 0040781X, 4/5/2010, Vol. 175, Issue 13Database: Academic Search CompleteHTML Full TextAmerica, The Doctor Will See You Now Contents1.
 What Will It Cost?2.
 What Does It Do to Medicare?3.
 Who Treats 32 Million Patients?4. State by State5. What Comes NextListenPauseStopSelect: SettingsDownload mp3?CloseSection: NATIONPassing the bill was just a start. It's what happens next that will determine what health care costs,whom it helps and how much changesNow for the really hard part. President Obama's signature on sweeping health reform legislation in the East Room of the White House on March 23 was an achievement for the history books. Yeteven though the bill is now the law of the land, the partisan and ideological warfare over it is certain to rage on, both as an issue in the midterm elections and in statehouses across the map. But the success or failure of the whole endeavor is going to ride not on what it does for anyone's American Accent
P a g e | 2political prospects--or their place in history. The new law will be judged on whether it actually fulfills its promise of a better and fairer health care system or instead sends costs spiraling skyward and opens up a world of unintended medical consequences. Obama's team, for its part, admits to no doubts. "I think this will sell itself," says David Axelrod, the President's top politicalstrategist. "The most important thing is that we implement it effectively, efficiently and with great accountability." Senate minority leader Mitch McConnell, meanwhile, says the GOP has animplementation plan of its own: "Repeal and replace."Economists and health care experts have long agreed on the problems that ail the health insurance system in America. It leaves too many people out. Even those who have coverage may be one diagnosis away from financial catastrophe. On the other side of that same equation lie the waste and excess created by paying doctors and hospitals for the quantity of treatment they provide rather than what works best. By some estimates, as much as 30% of the more than $2 trillion Americans spend on health care each year goes toward treatments that are unnecessary and even harmful. And what does the U.S. get for that staggering investment? Shining hospitals packed with cutting-edge technology but also a population whose health and life expectancy lag behind those of most other industrialized democracies.Will these reforms turn all that around? We won't know for years, probably not for decades. The most ambitious element of the new health care law--the expansion of coverage to an additional 32 million Americans--won't even take effect until 2014. "It'll take four years to implement fully many of these reforms because we need to implement them responsibly," Obama said as he prepared to sign the legislation. "We need to get this right."And expanding coverage is just the beginning. Once the U.S. moves close to the long-standing