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A Proposal for the 1990s

Donald O. Nutter, MD; Charles M. Helms, MD, PhD; Michael E. Whitcomb, MD; W. Donald Weston, MD

JAMA. 1991;265(19):2516-2520.

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

A PLAN for restructuring the US health care system to achieve universal access to medically necessary health care services has been developed by the Medical Schools Section of the American Medical Association (AMA). The plan is a pluralistic approach to comprehensive system reform that requires both individual and institutional responsibility for the achievement of quality health care. A set of broad strategies are proposed to reach the goal of universal access to care in the context of responsible containment of health care costs. The plan proposes to achieve universal access through reform of our existing system of health care as follows: by restructuring and reforming Medicaid and Medicare, by supporting universal provision of necessary health benefits through employers; and by the creation of regional insurance pools for those individuals who are not covered by government programs or through their workplace. The additional cost of these strategies for universal access would . . . [Full Text PDF of this Article]

Author Affiliations
From the Office of the Vice Dean, Northwestern University School of Medicine, Chicago, Ill (Dr Nutter); the Department of Internal Medicine, University of Iowa College of Medicine, Iowa City (Dr Helms); the Department of Internal Medicine, University of Washington School of Medicine, Seattle (Dr Whitcomb); and the Department of Radiology, Michigan State College of Human Medicine, East Lansing (Dr Weston).

Footnotes
This work was sponsored by the Medical Schools Section of the American Medical Association, Chicago, Ill. The policy opinions expressed in this report are those of the authors, and may not reflect those of their academic institutions or the American Medical Association. Drs Nutter, Helms, and Whitcomb previously served as Robert Wood Johnson Health Policy Fellows at the Institute of Medicine, National Academy of Sciences, Washington, DC.

Reprint requests to Northwestern University Medical School, 303 E Chicago Ave, Chicago, Ill 60611-3008 (Dr Nutter).

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