The past several years have witnessed an outpouring of derogatory statements about health care in the United States. Need for reorganization of medical practice has been advocated as in proposals for Health Maintenance Organizations (HMOs). Research and development (familiar words at the Pentagon) have been called for as a means to bring technological advances to health care delivery. National health insurance has been proclaimed inevitable in this decade.
These and related matters will undoubtedly occupy avid attention by the 93rd Congress in the months ahead. As all interested parties including congressmen, their staffs, and their committees devote their energies to the problems and nonproblems of medicine, we hope that their thinking will follow right channels as regards two factors in particular— development of "systems" and applications of technology to health care delivery.
In mid-December 1971, JAMA published White's1 views on the requirements—the desiderata—of a system or organization for delivery