One of the critical issues facing health reform is dealing with escalating costs

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One of the critical issues facing health reform is dealing with escalating costs of healthcare, which drives up premiums, co-pays, and the amount of out-of-pocket costs.
Describe two or more ideas on controlling health costs and at what level (insurance companies, healthcare organizations, general public/community).
Explain how these ideas would not impact quality and safety.
Discussion Parameters: Please refer to the Nursing Syllabus Standards for Discussion Participation Guidelines & Grading Criteria.