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Stanley J. Reiser, MD, PhD

JAMA. 1992;267(11):1511-1515.

Abstract
This report examines the role of the expert in the American health care system, both as provider and administrative policymaker. It shows that the guiding assumption of American health care policy, ie, that the medical system can and should be managed by experts on behalf of consumers and patients, does not hold up to scrutiny. It also demonstrates that the important theme in American history of placing authority and responsibility for action in the hands of the individual has not been sufficiently influential in American health care. Drawing on this theme and creating consumer competence and responsibility in health care choices as the keys to health care reform in the United States are advocated.

(JAMA. 1992;267:1511-1515)

Author Affiliations
From the Program on Humanities and Technology in Health Care and the Health Policy Institute, The University of Texas Health Science Center at Houston.

Footnotes
Reprint requests to The University of Texas Health Science Center at Houston, Program on Humanities and Technology in Health Care, PO Box 20708, Houston, TX 77225 (Dr Reiser).

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