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Richard J. Botelho, MD

Arch Intern Med. 1991;151(5):863-869.

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

Our health care system has been very successful in providing the most technologically advanced medical care in the world to affluent and well-insured segments of society. Pride in this accomplishment has contributed to a success-induced blind spot. Our society overlooks and fails to adequately respond to the most significant shortcomings of our health care system, namely, social inequality in access to health care and escalating health care costs.^1-6

Our country spends the highest percentage of gross national product on health care and, yet, 37 million uninsured Americans have limited access to medical care^7,8; 11 million of these Americans are children, 7 million of whom go without regular medical care. In contrast, all other western democracies implicitly or explicitly used the moral ideal, "health care as a human right," to establish different types of national health care systems (NHCS). These systems provide health care to all citizens regardless of . . . [Full Text PDF of this Article]

Author Affiliations
Department of Family Medicine Jacob W. Holler Family Medical Center 885 South Ave Rochester, NY 14620

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