Vice President Joe Biden told a meeting of insurance regulators that health care reform can be accomplished without harming the health insurance industry.

Speaking at the fall meeting of the National Association of Insurance Commissioners, Mr. Biden said that proposals to reform health care delivery will not impact insurer ability to compete and earn a profit. "I want insurance companies to make money," he said. "But I also want them held accountable."

He said the trajectory of expenses must be changed, or else rising costs will cripple businesses and bust the federal budget.

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