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In 2009, the overhaul of the health care system in the United States was approved and the Senate passed an $871 billion bill. This was a major step towards health care reform and the stage was now set. By the end of March 2009, the chairmen of five Congressional committees had reached a consensus on the main ingredients of legislation, and insurance industry representatives had made some major concessions. The chairmen, all Democrats, agreed that everyone must carry insurance and that employers should be required to help pay for it. They also agreed that the government should offer a public health insurance plan as an alternative to private insurance.
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