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buy cheap temovate Despite what the report identifies as positive new metrics and potential trends nationwide, Dr. Harvey Fineberg, president of the nonprofit Institute of Medicine, concludes in a commentary accompanying the report that, “America’s health system is neither successful nor sustainable. If we as a nation are going to achieve our potential for health we will have to face up to three great tasks: “provide care at lower cost, foster a culture of health and invest in research in prevention and treatment.”