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Steven Jonas, MD
State University of New York at Stony Brook

JAMA. 1984;251(4):468.

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

To the Editor.—

In their article, "How Cost Sharing Reduced Medical Spending," Drs Keeler and Rolph¹ have shown elegantly and at great expense that persons who are provided with medical care entirely free of cost at the time of service will use more service than persons whose care is not entirely free—in the early years of that state of grace. Drs Keeler and Rolph do not tell us what the preexperiment insurance status was of any of the participants in their study. However, since few persons in the United States other than health maintenance organization members have entirely free medical care, it is unlikely that more than a few of the subjects of this experiment did so before they entered it. Thus, the Keeler-Rolph study, and possibly the whole Rand Insurance Study, tells no more than we already know from the British National Health Service experience and, indeed, our . . . [Full Text PDF of this Article]

Footnotes
Edited by John D. Archer, MD, Senior Editor.

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