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Joseph T. Massoud, MD, MBA, MPH, MPA
Boca Raton, Fla

JAMA. 1996;275(10):755-756.

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

To the Editor.

—I am amused by the apparent confusion Dr Ginzberg¹ is trying to create in the health care system reform arena by only focusing on financing and capacity. We are dealing with a control crisis.

It is well known that the markets in a purely capitalistic society are cruel. The private sector historically participates in areas in which the perceived risks are balanced with appropriate compensation, otherwise known as profits. It is at that point that society, through its governmental institutions, can address those individuals who "fall between the cracks."

Ginzberg correctly states that government finances about half of the medical care in the United States. However, this does not mean that government bureaucrats have the right to establish their own hospitals, clinics, and other assorted monuments without first placing the provision of these services out to bid with the private sector. Much of the health care problem . . . [Full Text PDF of this Article]

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