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Catherine D. DeAngelis, MD, MPH

JAMA. 2009;301(18):1929-1930.

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

Once again health care reform is a national priority, and President Obama has made a commitment that his administration will work to ensure health care for all US citizens. It is assumed that this includes the 47 million individuals who are currently uninsured and the other millions who have inadequate insurance because they lack the financial means to purchase adequate health care.

The United States has assiduously opted not to join other developed nations by enacting a national health service, a national health insurance, or any single-payer health system, and there is little likelihood that this will occur now. Why is this the case? The United States is a nation built on commitment, certainly to freedom and to capitalism. But what has happened to the entreaty "Give me your tired, your poor, your huddled masses yearning to breathe free . . . ," inscribed on a bronze plaque currently . . . [Full Text of this Article]

Author Affiliations: Dr DeAngelis (cathy.deangelis@jama-archives.org) is Editor in Chief, JAMA.

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