The prospects for genuine reform of the nation's broken health care system will likely turn on how Congress deals with two nettlesome questions: How will the government pay for reform? Is it wise to also offer a plan run by the federal government?

We already know, of course, that President Barack Obama favors a public plan. And this idea just might work with the proper safeguards. But there is legitimate concern from Republicans and Democrats alike that a government plan would crowd ou ...

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