Health Care Reform Part 1: Introduction. 4/19/11. Outline. I. Why reform ? II. How to reform. I. Why Reform?. Reason 1: Rising costs National health expenditures (NHE) grew from 5.7% of GDP in 1965 to 15.3% of GDP in 2003. NHE are projected to grow 1% faster each year than real GDP.
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