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In his second news conference in a week, President Barack Obama said he is "willing to look at" a number of ways to reduce health care spending, including provider cuts and changing the eligibility age for Medicare. But he dismissed the Republican approach, saying "it's not necessary to completely revamp" Medicare to deal with the deficit and the debt ceiling.

A forthcoming report from the Congressional Budget Office shows that more than two dozen demonstrations projects launched by Medicare and Medicaid over the past decade have failed to stop the upward march of health care costs. But health care policy experts say the findings paint too gloomy a picture.