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Health care costs are reaching a tipping point.

In the 1980s, when PPOs and HMOs gained ground, health care costs were 7.5 percent of GDP. In the 1990s, costs rose to 10 percent of GDP, and in 2000, health care accounted for 13.3 percent of GDP.

Health care costs have increased in the economy at a much higher rate than anything else, concurrent with an increase in demand for health services driven by the health care system itself.

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