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  Vol. 290 No. 21, December 3, 2003 TABLE OF CONTENTS
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Proposals for US National Health Insurance

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

To The Editor: In response to the Physicians' Working Group for Single-Payer National Health Insurance,1 I believe that the elimination of private health care would be objectionable in principle. In a free society, the government should not interfere with private transactions for lawful goods and services. If patients want to pay me twice the going rate for a visit or a procedure because they think I am worth it, they should be allowed to do so. Physicians who are better trained or who work harder than their peers should be rewarded with more money if they wish. It is disingenuous to pretend that medicine, alone among all human endeavors, will be free of economic incentives.

I am also concerned that the elimination of private health care would be unpalatable. There is not yet enough support for the idea that every American deserves access to good health care that we can . . . [Full Text of this Article]

J. Timothy Ames, MD
Valparaiso, Ind



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