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The Failure of Organized Health System Reform—Now What?Caveat Aeger—Let the Patient Beware
George D. Lundberg, MD
JAMA. 1995;273(19):1539-1541.
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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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As regular JAMA readers know, we editors have been working seriously on American health system reform since at least 1987. Our early efforts emphasized volunteerism and the absolute responsibility of physicians as learned professionals to deliberately give away free care to those in need, following a 1847 American Medical Association (AMA) tenet: "To individuals in indigent circumstances, professional services should be cheerfully and freely accorded."1
In 1990, the AMA approved as policy "Health Access America," a 16-point, middle-of-the-road, honest effort at fixing the system's many problems.2 In 1991, JAMA and the nine AMA Archives journals launched the "Caring for the Uninsured and Underinsured" campaign, spearheading a major professional effort at much-needed reform. Since then, we have published literally hundreds of articles, featuring research, analysis, history, proposals, and passionate rhetoric calling for reform and pointing the way.3
With the 1992 election results and the public mood, national reform
. . . [Full Text PDF of this Article]
Footnotes
Dr Lundberg is the Editor of JAMA.
Reprint requests to JAMA, 515 N State St, Chicago, IL 60610 (Dr Lundberg).
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