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The Dilemma of Medicare Coverage of 'Reasonable and Necessary' Care and Why It's Important
The Health Care Blog 
[Opinion] Nov. 14, 2012
"Medicare has always covered medical services that are 'reasonable and necessary.' As new approaches, drugs and medical technologies have been released, you'd think coverage would be based on an objective analysis of outcomes and cost effectiveness. You'd be wrong. Years of differing interpretations, patient advocacy, Congressional meddling, regulatory carve-outs and case law have generated a miasma of bureaucratic complexity that will guarantee the incomes of thousands of lawyers for years to come."
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