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Mary Jo Jacobs, MD, MPH, MPP
Aurora, Colo

JAMA. 1992;267(21):2892.

	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.

—Dr Brown and colleagues¹ are to be commended for the comprehensive national health program developed for Sen Bob Kerrey (D, Neb). Its special value in moving forward the discussion of health care reform is its attention to the provision of how to finance such a change, which is sadly lacking in many previous proposals, including the Pepper Commission report.

Not clear, however, in Brown's description, and leaving the reader wondering, is attention to the role of the National Health Care Commission. Our nation's previous experience with health delivery, "administered by the states under federal guidelines and with strong federal financial support" (Medicaid), has been a disaster to state budgets, resulted in drastic underpayment to all providers, and has been drastically unequal in benefits to recipients, depending on their state residency.

The recent battle between the Health Care Financing Administration and the unusual coalition of Congress and . . . [Full Text PDF of this Article]

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