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The Congressional Budget Office projects that the costs of health care will rise at an average annual rate of about 8 percent over the next decade, and for the administrators of Medical Center of South Arkansas, one of the nation’s many hospitals currently feeling the strain of the unpaid medical bills of an underinsured population, that figure is no surprise – it is, they say, a financial burden that is absorbed by both the hospital and its insured patients.

MCSA reported a 2007 bad debt total of almost $9.4 million – a figure that represents medical care and treatmen...