The central policy challenge for reform of the US health care system
in the next decade will be helping society come to grips with the unsolved
problem of meeting patient needs fairly under reasonable resource constraints.
Providing an excellent level of care to all within acceptable levels of expenditure
will require a new way of thinking about quality1
and a much more open forum for public reflection and debate.2
Unfortunately, with the notable exception of the state of Oregon, US political
dialogue to date has been characterized more by avoidance and wish fulfillment
than by realistic analysis and openly acknowledged hard choices. As a nation
we are in the very early stages of a learning curve regarding setting limits
and talking candidly about rationing.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 17
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.