Health Care Policies in the United States
Guest, Donald B.
Lancet. 1985 Nov 2; 2(8462): 997-1000.
Medical care in the United States has become so "decentralised, fragmented, and uncoordinated" that the country effectively "lacks a health care system." Guest elaborates on such problems as inadequate provision for the poor, the failure of attempts to control costs through the market system, and the erosion of the economic base of public hospitals as the for-profit sector lures away profitable patients. He calls for the funding of public and teaching hospitals through transfer of funds from payroll deductions for private health insurance premiums, the organization of funding on a less centralized state basis with the federal government providing guidance on minimum standards, and the emergence of public hospitals as prepaid health maintenance organizations. (KIE abstract)
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Nutter, Donald O.; Helms, Charles M.; Whitcomb, Michael E.; Weston, W. Donald (1991-05-15)Nutter, et al. present proposals, developed by the Medical Schools Section of the A.M.A., for reform of the U.S. health care system. The goals of this plan include the definition of appropriate roles for business, government, ...