This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

A Different Approach

Victor R. Fuchs

JAMA. 1994;272(7):560-563.

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

Early in his administration, President Clinton placed health system reform at the top of the nation's domestic policy agenda. Since then proposals from all parts of the political spectrum have proliferated. Many of these proposals are embodied in specific legislation now under consideration by Congress. Unfortunately, none of the proposed plans will finance coverage efficiently and equitably and slow the rate of growth of health care spending while providing the flexibility, freedom of choice, and improvement in quality that is desirable and feasible. In my judgment, a different approach is needed to achieve these objectives. I believe we must develop a national financial plan to cover basic care for all, accelerate the present trend toward integrated health care systems, attack directly the major causes of increased health care spending, and completely change the nation's policy regarding malpractice. The approach outlined herein consists of five interrelated components.

A Value-Added Tax Earmarked . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Economics and Health Research and Policy, Stanford University, and National Bureau of Economic Research, Stanford, Calif.

Footnotes
The views expressed are those of the author and not those of the organizations with which he is affiliated.

Reprint requests to NBER, 204 Junipero Serra Blvd, Stanford, CA 94305 (Mr Fuchs).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?