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Books, Journals, New Media
November 2, 2005


Author Affiliations

Books, Journals, New Media Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA; Journal Review Editor: Brenda L. Seago, MLS, MA, Medical College of Virginia Campus, Virginia Commonwealth University.

JAMA. 2005;294(17):2238-2239. doi:10.1001/jama.294.17.2238

Medicare has become a paradox in US health care. It is at once an anomaly and a central influence in the health care system; a throwback to an earlier era and an increasingly proposed vehicle for addressing our coverage crisis; a system in need of reform and a model for reform. Like democracy, it may be the worst model except for all the others. In this spirit, Christine Cassel documents its flaws in depth in her important new book, yet concludes that, if we can fix its problems, it can serve as a model for needed coverage expansions to younger age groups.

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