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March 24/31, 1999

Who Is Responsible for the Common Good in a Competitive Market?

Author Affiliations

Author Affiliation: Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Mass.

JAMA. 1999;281(12):1127-1128. doi:10.1001/jama.281.12.1127

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.

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