Restructuring Health Care in the United States: A Proposal for the 1990s
Nutter, Donald O.
Helms, Charles M.
Whitcomb, Michael E.
Weston, W. Donald
JAMA. 1991 May 15; 265(19): 2516-2520.
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, and the individual; responsible cost containment; simplified administration; quality assurance linked to effective methods of technology assessment; continued public and private support for biomedical research; greater responsiveness by academic medicine to national health care needs in the areas of primary care and geographic distribution; health care payers' shared responsibility for the support of graduate medical education; and the measurement of the restructured system's effectiveness against changes in citizens' health status. Supportive of the Pepper Commission's proposed replacement of Medicaid with a public health plan, the authors also urge the continuation of Medicare, the provision of health benefits by all employers, and subsidized, regional insurance pools for those not covered by other means. (KIE abstract)
Aged; Biomedical Research; Containment; Economics; Education; Employment; Financial Support; Goals; Government; Government Regulation; Health; Health Care; Health Care Delivery; Health Insurance; Health Status; Hospitals; Indigents; Insurance; Medical Education; Medical Schools; Medicine; Methods; Organizational Policies; Organizations; Physicians; Primary Health Care; Professional Organizations; Public Health; Public Policy; Quality Assurance; Regulation; Remuneration; Research; Schools; State Government; Technology; Technology Assessment;
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