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  Vol. 167 No. 5, March 12, 2007 TABLE OF CONTENTS
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Access and Ability to Pay

The Ethics of a Tiered Health Care System

Benjamin J. Krohmal, BA; Ezekiel J. Emanuel, MD, PhD

Arch Intern Med. 2007;167(5):433-437.

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

INTRODUCTION

The American health care system is a mess. At least 45 million Americans are uninsured.1 The demands of Medicaid are forcing states to cut other services, especially education, and to ensure Medicare's long-term solvency would require an immediate halving of benefits or doubling of the Medicare tax.2 Although major reforms of the American health care system are not imminent or inevitable, escalating deficiencies make an extensive overhaul more likely.3 Indeed, leading conservatives, including former Senate majority leader Bill Frist; Bill Thomas, former chair of the House Ways and Means Committee; and Bill McGuire, former CEO of UnitedHealth Group, have publicly called for comprehensive health system reform to repair inefficiency and undercoverage in the current health care system.4-6

One question facing American health care reformers is whether the United States should continue to have a tiered health care system—a system that allows . . . [Full Text of this Article]

OBJECTIONS TO A TIERED HEALTH CARE SYSTEM

DEFENSE OF A TIERED HEALTH CARE SYSTEM

DESIGNING AN ETHICAL TIERED SYSTEM

CONCLUSIONS

AUTHOR INFORMATION


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Two-Tiered Health Care: A Problematic Double Standard
Allan S. Brett
Arch Intern Med. 2007;167(5):430-432.
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