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Health Care in America
The Good, the Bad, and the Ugly
Arch Intern Med. 2000;160:2573-2576.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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THE GOOD
Some Americans have optimal health care. They have a well-trained primary care physician of their choosing who provides continuity of primary and preventive care. When the need arises, they are referred to a specialist and/or hospital chosen by them and their primary care physician. They have ready access to all available diagnostic and therapeutic procedures, including newer medications that may be very expensive. In the 1970s and 1980s, most Americans with employer-provided indemnity insurance or Medicare had access to optimal health care, as defined above. Some Americans still have access to this optimal health care with minimal out-of-pocket expense.
THE BAD
During the 1990s, the number of Americans with optimal health care has diminished such that they have become an "endangered species." The payers of health care, employers and the government, found the cost of providing health care to be unacceptably high. Health care costs skyrocketed in the 1980s and early 1990s. . . . [Full Text of this Article] Who Benefits From the Reduction of Medical Loss? The Bad Outcomes of For-Profit Managed Care The Patient The Physician
THE UGLY
What Happens to the Uninsured?
Who Are the Uninsured? Who Are the Insured? The Ugliest
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