0
ARTICLE |

Market Reforms for the Health Care System

Fredric M. Steinberg, MD, MBA
JAMA. 1996;275(10):755. doi:10.1001/jama.1996.03530340019012.
Text Size: A A A
Published online

To the Editor.  —In his thoughtful Commentary,1 Dr Ginzberg points out several important issues that need to be addressed in any informed debate about changing the status quo in health care. However, Ginzberg relies on some incorrect assumptions that bias his arguments against free market solutions.While discussing the current emphasis on the free market, Ginzberg includes managed care company executives among its enthusiasts. These executives, whose jobs exist because of government interventions such as the HMO [health maintenance organization] Act of 1973 and a current tax code that distorts free choice in insurance decisions, are no friends of the free market and, in fact, consistently oppose free market reforms. It is government decrees that have promoted the growth of these entities, whose incentives to physicians additionally make them no friends of patients.Ginzberg asks why, if "the market has had wide scope to 'do its thing' for the

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
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.
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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

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

Sign In to Access Full Content

Related Content

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

Jobs
brightcove.createExperiences();