Medical Insurance and Health -- What about Managed Care?

Author:
  • ARArnold S. Relman
    Arnold S. Relman
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Abstract
Arguments about the need for universal health insurance coverage are based on medical as well as ethical and economic considerations. Some who doubt the need for universal coverage claim that in our present health care system even the uninsured manage to obtain essential care. On the other hand, advocates of universal coverage insist that a lack of insurance inevitably reduces access to necessary medical care and is therefore harmful to health, not simply to the pocketbook. A large and growing literature, recently summarized by Weissman and Epstein,1 supports the latter view. However, so many factors can influence access to medical . . .

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