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Myths and Miracles

Barbara P. Yawn, MD, MS; William E. Jacott, MD; Roy A. Yawn, MD

JAMA. 1993;269(4):511-515.

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

OREGON, Massachusetts, Vermont, New Jersey, Hawaii, and now Minnesota have adopted legislation with broad implications for health care system reform. Each of these reform packages will be examined by other states and the federal government as they attempt to deal with health care system reform policies and issues. Blendon et al¹ recently published a set of characteristics that they felt should be included in any major health care system reform plan (Table 1). The article by Blendon et al was accompanied by an editorial in which Lundberg² presented a set of criteria for analyzing the reform packages (Table 2). The criteria of Blendon et al resemble process analysis, whereas Lundberg's criteria involve outcome analysis. Minnesota's new MinnesotaCare (formerly HealthRight) will be analyzed herein with reference to both sets of criteria. (Due to conflict with a trademark in California, the name Health-Right was changed to MinnesotaCare. But that name . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Clinical Research (Dr Barbara Yawn) and the Department of Internal Medicine (Dr Roy Yawn), Olmsted Medical Foundation, Rochester, Minn; and the Department of Family Medicine, University of Minnesota, Minneapolis (Dr Jacott). Dr Barbara Yawn, MD, MS, is a consultant to the Minnesota Rural Research Center that was funded by the Federal Office of Rural Health beginning October 1, 1992. On November 1, 1992, that center received a grant to do two of the research studies required under the MinnesotaCare law. The studies pertain to rural access to prenatal and obstetrical care and the use of midlevel practitioners in the area.

Footnotes
Reprint requests to 826 19th St NE, Rochester, MN 55906 (Dr Barbara Yawn).

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