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Dr. Peter Bach wants to turn the entire philosophical underpinnings of America’s health care system upside down.

In a new argument — first laid out in a zippy 10-minute speech at last week’s STAT Summit in Cambridge, Mass. — Bach suggests the incentives created by policymakers to improve public health aren’t actually the best ideas for achieving that overarching goal.


It centers on a seemingly heretical question: Is Washington’s obsession with eliminating rare diseases really the best use of taxpayer resources?

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