February 15, 2012

Health Care Cost and ValueThe Way Forward

Author Affiliations

Author Affiliations: Division of General Medicine, Department of Internal Medicine, University of Michigan Health System. Ann Arbor.

JAMA. 2012;307(7):671-672. doi:10.1001/jama.2012.136

The increasing cost of health care has been a focal policy issue since the 1970s. During this period, many interventions aimed at moderating health care costs, including the managed-care movement and reforms in hospital and physician payment, have failed. It is estimated that by 2019, 19.3% of the US gross domestic product (GDP) will be devoted to health care.1 An increasing proportion of GDP committed to health is simply unsustainable.

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