In this report
Overview
Geography and health care
By the numbers
Spending by state
Why the differences?
In defense of "more"
Why primary care matters
Needed changes
Get better care, no matter where

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July 2008
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Spending by state
Medicare spending in the last two years of life varies almost twofold from the lowest-spending state, North Dakota, to the highest, New Jersey. Three hot spots of aggressive care: New Jersey, New York, and California.


Map of US Medicare spending

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