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Eli Ginzberg, PhD

JAMA. 1983;249(14):1857-1859.

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

GREATER competition in health care is trendy. Several major bills are in the congressional hopper, and the administration's proposal long delayed may yet be forwarded. The Economic Report of the President, in 1982, referred in passing to "the dilution of competition in the health care industry and the resultant inefficiencies..." (p 150). Economists have taken the lead in developing the rationale for the gains that would accrue from more competition in health care. The Economic Report stated that "it is difficult to quantify this loss in efficiency [from lack of competition] but recent estimates place it in the range of $25 billion a year" (p 150). To keep this estimate in perspective, it represents 10% of total outlays for health care in 1980.

It is important for physicians to appreciate that the procompetition approach is not shared by all economists, probably not even the majority of those who are specialists . . . [Full Text PDF of this Article]

Author Affiliations
From the Conservation of Human Resources, Columbia University, New York.

Footnotes
Reprint requests to Conservation of Human Resources, Columbia University, New York, NY 10027 (Dr Ginzberg).

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