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Liberal Benefits, Conservative Spending

Arch Intern Med. 2002;162:973-975.

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

FEW WOULD dispute that our health care system is deeply troubled. Thirty-nine million Americans are completely uninsured and millions more have inadequate coverage. After a brief lull, health care costs have resumed their exuberant growth; health maintenance organizations (HMOs) have fallen to the basement of public esteem and have failed to contain costs; commercial pressures threaten medicine's best traditions; and healing has become a spectator sport, with physicians and patients performing before a growing audience of bureaucrats and reviewers. Opinion on solutions is more divided.

Debate over health care reform has been muted since the defeat of the Clinton Administration Rube Goldberg scheme for universal coverage. But the fast developing health care crisis—business leaders grappling with rapidly rising premiums, workers and unions facing cutbacks in coverage, governments confronting deficits, and a sharp upturn in the number unemployed and uninsured—promises to spur new interest in reform.

We advocate a fundamental change . . . [Full Text of this Article]

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