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April 07, 2006



What reasons do we have to think that's Aetna's "expansion" of DM programs isn't a shell game? Are they really building out end-to-end nurse-facilitated DM programs for 24 additional conditions or are they renaming things they're already doing anyway?

More important, is another DM program (let alone another 24) really what we need? Do DM programs address the root causes of failures of health? And isn't it time to start addressing the health care crisis at the root cause level, i.e. the level at which we come to understand that the health care crisis is really a crisis of much broader contexts?

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