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Gordon T. Moore, MD, MPH
Harvard Community Health Plan Teaching Center Boston, Mass

JAMA. 1991;266(9):1216.

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

In Reply.

—The foregoing letters cite a number of concerns about my proposal to provide primary care to uninsured Americans. The issues raised are typical of the intensely felt objections raised to any of the proposals for universal health care coverage—issues such as physician payment, malpractice, rationing, manpower incentives, and more.

My proposal does not purport to solve these problems but rather to put a temporary "fix" in place—a simple, cost-effective safety net for uninsured Americans—while we continue the debate. Primary care, paid for in the fashion I described, could provide basic services where none now exist, and the plan would pay physicians something for services for which they now receive nothing. Surely this is preferable, as a temporary step, to continuing the current embarrassment of being the richest country in the world, yet failing to provide the most basic of health services to so many of our citizens. . . . [Full Text PDF of this Article]

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