We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Ten Encounters With the US Health Sector, 1930-1999

Eli Ginzberg, PhD
JAMA. 1999;282(17):1665-1668. doi:10.1001/jama.282.17.1665.
Text Size: A A A
Published online


Many US citizens believe that history can teach them very little, but I disagree. Accordingly, in this article, I identify and discuss 10 major encounters that I, a political economist and government consultant, have had with the US health care sector over the last 70 years in the hope that my reactions to these encounters may be of interest and of value to those whose disciplines and experiences differ from mine.

These encounters had nothing to do with any personal need on my part to seek medical or surgical treatment. I have had the good fortune of spending only 1 night in a hospital when my tonsils were extracted at the age of 31—in hindsight, a questionable procedure. Given this good genetic endowment, which enabled my mother to live an active life until 1 day short of her 94th birthday, it might be asked why I have had ongoing relations with the health care sector throughout most of these last 7 decades, especially since World War II. The answer is simple: the 3 years that I spent in the Medical Department of the US Army between late 1943 and mid-1946 had an important influence in shaping my post–World War II career. Although my primary interest continued to be centered on human resources and employment, health policy became a strong secondary focus and after 1980 was my primary area of research.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

4 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis