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The federal government and states should encourage advance care planning.

A progressive income tax is the preferred method of raising revenue at the federal and state levels. Other sources, such as a consumption tax, may be needed. 

Goods sold over the internet and through catalogs should be subject to the same sales tax treatment as goods sold by local brick-and-mortar retailers. 

Higher levels of government should provide adequate resources when mandating functions to lower levels of government.

Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them. 

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission should regularly monitor and evaluate beneficiaries’ access to quality care.

CMS should continue making public the Medicare Current Beneficiary Survey data on access, health care utilization, and other relevant information.

Medicare should provide more adequate reimbursement for mental health and substance abuse services.