To the Editor: In their Commentary, Drs Sessions and Lee1 outlined the rationale for using tax reform to drive health care reform. While we agree with their call for a single program covering all US residents, and that the current fragmented system encourages health care institutions and physicians to shift costs, we disagree with their conclusion that the way forward is the creation of a voucher system to pay private insurers, financed by a regressive value-added tax (VAT).
Floyd JS, Wolfe SM, Angell M. The Role of Tax Reform in Health Care Reform. JAMA. 2009;301(12):1226-1227. doi:10.1001/jama.2009.300