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March 11, 1998

Articulating a Social Ethic for Health Care

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(10):745-746. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-10-jac80000

To the Editor.—Dr Reinhardt1 paints a bleak portrait of America as a Dickensian society that woefully and consciously neglects its young. Few would admit to being a member of that society and few can argue with him since he has adroitly positioned himself so securely on the moral high ground that the rest of us, particularly those who may carp with some of his arguments, wallow in the swamps of social callousness and indifference. While other Western nations have said "yea" to his model for a nation's health care system, Reinhardt likely sees the United States as a primitive, socially backward society on the road to moral bankruptcy.

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