Author Affiliation: Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Mass.
Just 6 years ago,
the United States began to acknowledge on a broad scale that there were
systemic problems with its health care system—problems that simple
adjustments, called "Band-Aids" at the time, would not
solve.1 After flirting with a plan proposed by the Clinton
Administration to create a crosscutting federal role in the
organization and financing of health care, the nation embraced
competition in the marketplace as the way to manage growing problems
with cost and quality.
Fletcher RH. Who Is Responsible for the Common Good in a Competitive Market?. JAMA. 1999;281(12):1127-1128. doi:10.1001/jama.281.12.1127