Via the Washington Post, here is a 2010 memo that my Harvard colleague David Cutler wrote to Larry Summers about the implementation of the Affordable Care Act. Its subject line is "Urgent Need for Changes in Health Reform Implementation."
David concludes: "All in all, the administration has immense decisions to make about transforming health care delivery and coverage. But no one I interact with has confidence that your current personnel and configuration is up to the task."
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