 |
|
Requiem for Traditional Medical Practice in the United States
Kevin Grumbach, MD
Arch Fam Med. 1995;4(9):756-757.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
By THE END of 1994, as rigor mortis fully set in on the lifeless body of health care legislation in Congress, pronouncements abounded that health system reform in the United States was dead. However, this conclusion is only partly accurate. To be sure, imminent reform through the political process appears to be nonviable for the immediate future. A very different approach to health system reform, however, is becoming ever more animated—market-driven reform. Guiding this type of reform are not democratically elected officials or public planning agencies, much less organized medicine, but rather the leaders of large businesses acting as organized purchasers of health care and the executives of the major private health insurance plans vying to cover the employees of these firms. The instrument of change is now the "invisible" hand of the competitive marketplace, not the alltoo-evident hand of government regulation. This erupting reform is producing unprecedented changes in
. . . [Full Text PDF of this Article]
Author Affiliations
University of California, San Francisco
|
