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1Betty Rambur is the Routhier Endowed Chair and professor of nursing at the University of Rhode Island College of Nursing in Providence. Joyce Pulcini is a professor of nursing at George Washington University in Washington, DC. Contact author: Betty Rambur, brambur@uri.edu . Betty Rambur is a member of the Medicare Payment Advisory Commission (MedPAC). The views presented here are those of the authors and do not reflect MedPAC recommendations. The authors have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com .
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