This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Dalen neatly and comprehensively summarizes changes in America's nonsystem of health care in the managed care era¹; his observations should be required reading for all law makers and available as a handout in physicians' offices nationwide. He wisely points out that health care reform (providing health services as the greatest good for the greatest number) will not be easy. But why not make a start? Dr Dalen lists groups that currently are "guaranteed health care." And here, our federal and state entitlements head the list: federal employees, veterans, Native Americans, Medicaid and Medicare recipients, and military dependents and retirees. Forty percent of our nation's health care is government-financed and inherently wasteful because it is fragmented into bureaucracies with their multiple regulations, varying eligibility requirements, and duplication of services.

We can at least begin reform by melting down the existing entitlements into a single national health care program. Call . . . [Full Text of this Article]