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Where Is the Health in Health System Reform?
Jonathan Fielding, MD, MPH, MBA;
Neal Halfon, MD, MPH
JAMA. 1994;272(16):1292-1296.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE HEALTH system reform debate is over how to organize, deliver, and finance personal health care services. At $1 trillion, the enormity of the health care sector warrants a healthy debate about its structure and the respective roles of the public and private sectors. Erosion of middle-class health insurance coverage and an insecure economic and employment future have mobilized a broad constituency for insurance market reforms.1,2 Distributive justice issues raise concern for the 40 million Americans without health benefits. Lost, however, among discussions of health security, universal coverage, and competitive markets is the unstated principal mission that any health system must serve to improve the health of the entire population. Legislators know that increasing public interest in health reform is attributable to the emergence of health insurance coverage as a middle-class issue.2,3 An increasing proportion of the voting public has become part
See also pp 1276 and 1297.
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Health Services (Dr Fielding) and Department of Community Health Science (Dr Halfon), School of Public Health, and Department of Pediatrics (Drs Fielding and Halfon), School of Medicine, University of California—Los Angeles.
Footnotes
The authors are listed in alphabetical order because of equal contribution in preparing the manuscript.
Reprint requests to UCLA School of Public Health, 10833 Le Conte Ave, Los Angeles, CA 90024-1772 (Dr Halfon).
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