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 Newton, Iowa, on Wednesday to a set of stops in Des 
Moines before the end of the day.Paul also has a slick new 
TV ad out in Iowa and New Hampshire that assails the "Washington 
machine" while casting Paul as the race's "consistent" and "incorruptible" candidate.Without naming 
names, the ad says "serial hypocrites and flip-floppers can't clean up the 
mess" in Washington.
 fine-tune workplace health plans. Employees and family members could be steered 
to hospitals and doctors who follow the most effective treatment methods. Patients 
going elsewhere could face higher copayments, similar to added charges they now 
pay for "non-preferred" drugs on their insurance plans.Major insurers already are carrying 
out their own effectiveness research, but it lacks the credibility of government-sponsored 
studies.Not long ago, so-called "comparative effectiveness" research enjoyed support from lawmakers in 
both parties. After all, much of the medical research that doctors and 
consumers rely on now is financed by drug companies and medical device 
manufacturers, who have a built-in interest in the findings. And a drug 
maker only has to show that a new medicine is more effective 
than a sugar pill -- not a competing medication -- to win 
government approval for marketing.The 2009 economic stimulus bill included $1.1 billion for 
medical effectiveness 
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