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About 5 percent of the population is responsible for almost half of all health care spending in the United States and for rising premium rates, according to a new report from the National Institute for Health Care Management Foundation. U.S. spending for health care has been on a “relentless upward path,” the report claims, reaching $2.5 trillion in the aggregate, $8,100 per person, and 17.6 percent of GDP in 2009.

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