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Some Aspects of Health Care System Reform Need Not Be Held Hostage

Stephen C. Gleason, DO

JAMA. 1995;274(18):1483-1486.

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

What a difference a year can make. During the summer of 1994, Washington was completely consumed by the congressional debate over health care system reform. The tides have ebbed and this issue has been at least temporarily swept into the recesses of the Capitol corridors. The 104th Congress is not expected to enact any comprehensive health system reform, and the attention of most health care lobbyists has been diverted to preventing deep Medicare and Medicaid cuts. While sharp divisions emerged in the last 12 months over health system reform, there is bipartisan support for decreasing paperwork and reducing the oppressive regulatory health care environment. Administrative simplification should move forward.

Efforts to streamline the existing health care bureaucracy in the public and private sectors can be accomplished in many cases without new legislation. This article outlines examples of such initiatives.

The following proposals are based, in part, on a report prepared . . . [Full Text PDF of this Article]

Author Affiliations
From Mercy Clinics, Inc, Des Moines, Ia; Department of Family Medicine, Mayo Medical School, Rochester, Minn; and Office of the Chairman, National Health Policy Council, Washington, DC. Dr Gleason is a former White House Advisor and Senior Consultant to the Department of Health and Human Services.

Footnotes
Reprint requests to National Health Policy Council, 1050 Connecticut Ave NW, Suite 700, Washington, DC 20036 (Dr Gleason).

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