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Wendy E. Parmet, JD

JAMA. 1992;268(24):3468-3472.

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

AS THE health care cost and access crises deepen,¹ and with the arrival of a new administration in Washington, health insurance reform looks increasingly inevitable. However, despite widespread recognition that change is needed, many fear that reform will lead to increased regulation, a decline in the quality of care, and an erosion of physician autonomy and patient choice. This need not be the case. Although reform will undoubtedly change the legal climate in which health care is practiced, it may prove no more corrosive of the physician-patient relationship than continuation of the decentralized system we now have.

For editorial comment see p 3479.

PROPOSED REFORMS

The number and variety of reforms that have been proffered is truly staggering.² Nevertheless, three broad categories warrant special consideration: single-payer proposals, employment-based proposals, and tax credit/insurance reform proposals.

An example of the single-payer model is the proposal put forward by Rep Marty . . . [Full Text PDF of this Article]

Author Affiliations
From Northeastern University School of Law, Boston, Mass.

Footnotes
Reprint requests to Northeastern University School of Law, 400 Huntington Ave, Boston, MA 02115 (Ms Parmet).

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