Author Affiliations: Dr Fontanarosa (email@example.com) is Executive Deputy Editor, Dr DeAngelis is Editor in Chief, and Dr Rennie is Deputy Editor, JAMA.
A 232-year-old “patient”1 has been experiencing acute and chronic systemic health problems.
Despite the concerted efforts of dedicated and superb physicians,
the availability of state-of-the-art medical treatments and technological advances, and trillions of dollars in annual health care expenditures,2 major aspects of the health, well-being,
and prognosis for this complex “patient”—ie, the United States and its health care system—are, at best, less than optimal.
Fontanarosa PB, DeAngelis CD, Rennie D. Theme Issue on Health of the NationCall for Papers. JAMA. 2008;299(5):576. doi:10.1001/jama.299.5.576