This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

John S. Schweppe, MD
Chicago, Ill

JAMA. 1991;266(15):2078-2079.

	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.

—Physicians for a National Health Program¹ ascribe the high cost of medical care to administrative waste. Too many payers complicate our payment method. A monopsonistic system with only one payer would drastically reduce administrative expenses incurred. The funds saved would go a long way toward paying for the 35 million persons listed as indigent, nonreceivers of medical care. Perhaps the monopsonistic system will be introduced state by state.

The Canadian system has been touted as being the model for a new approach to health care provision. It may be that such a system would not be viable in the United States because of society's demands for immediate treatment. Medicare is adequate for care of the elderly. Could this diagnosis related group system not be extended to cover those 21 to 65 years of age under a national comprehensive health care system? If so, how are we . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?