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Health care is one of the largest and fastest growing segments of the U.S. economy. However, the debate over health care—what system is best, and how to implement it—continues to dominate U.S. politics and headlines.

Paul Krugman is one of the world’s best known and most acclaimed economists. He is the author or editor of 20 books and won the 2008 Nobel Memorial Prize in Economic Sciences for his groundbreaking work on international trade and economic geography.

Below, Krugman outlines his thoughts on the U.S. health system and offers a number of solutions for health care reform.