Reforming the Health Care System

Author:
  • ARArnold S. Relman
    Arnold S. Relman
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Abstract
In a preceding editorial1 I suggested that changing the American health care system to address the basic causes of inflation would be a much better solution to the cost crisis than rationing. Here I wish to explain what sorts of changes I have in mind.First of all, we need a better health insurance system. One of the inflationary features of the present system is the existence of multiple competing insurance plans, each with its own overhead costs of marketing and administration. Even more important, insurance is usually open-ended, in that it indemnifies hospitals and physicians for whatever services they . . .

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