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 ......
Article |

Market Reforms for the Health Care System

Joseph T. Massoud, MD, MBA, MPH, MPA
JAMA. 1996;275(10):755-756. doi:10.1001/jama.1996.03530340019013.
Text Size: A A A
Published online


To the Editor.  —I am amused by the apparent confusion Dr Ginzberg1 is trying to create in the health care system reform arena by only focusing on financing and capacity. We are dealing with a control crisis.It is well known that the markets in a purely capitalistic society are cruel. The private sector historically participates in areas in which the perceived risks are balanced with appropriate compensation, otherwise known as profits. It is at that point that society, through its governmental institutions, can address those individuals who "fall between the cracks."Ginzberg correctly states that government finances about half of the medical care in the United States. However, this does not mean that government bureaucrats have the right to establish their own hospitals, clinics, and other assorted monuments without first placing the provision of these services out to bid with the private sector. Much of the health care problem


Sign in

Purchase Options

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




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.

0 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.