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A Response

William L. Winters, Jr, MD

JAMA. 1991;265(4):496-498.

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

THE ARTICLE prepared for this issue of JAMA by the Cardiology Working Group¹ is more evidence from concerned citizens (medical and nonmedical) of the need to explore the issues of and search for solutions to the escalation of health care costs that threaten the solvency of our health care system. The Cardiology Working Group is composed of distinguished individuals from the fields of medicine, law, business, and economics. It is my understanding that this article is a distillation of discussions held by this group over a period of many months. Their concern for the appropriate utilization of "proved effective and beneficial" resources in our medical care system is succinctly articulated. I believe what they are searching for is "value" in health care. Value is a personal measure of benefit, as well as a measure of cost. Value in health is subjective and, in many instances, undefined or unknown. Value . . . [Full Text PDF of this Article]

Author Affiliations
From the American College of Cardiology, Bethesda, Md.

Footnotes
Reprint requests to American College of Cardiology, Heart House, 9111 Old Georgetown Rd, Bethesda, MD 20814 (Dr Winters).

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