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Meanwhile, Massachusetts is offering a preview of where all this will end up. The state passed a prototype for ObamaCare in 2006 on the same cost-control theory as Senate Finance, only to see spending explode. So now Beacon Hill is contemplating far more drastic spending-control measures, such as a plan to "require residents to give up their nearly unlimited freedom to go to any hospital and specialist they want," as the Boston Globe reported on Sunday. Paul Levy, the CEO of Beth Israel Deaconess Medical Center, told the Globe that "You can't reap these savings without limiting patients' choices in some way."

The idea is to make providers live within a fixed budget and cut down on expensive treatments.