[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.0.26. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
May 18, 1994

The United States Needs a Health System Like Other Countries

Author Affiliations

Southern California Permanente Medical Group Pasadena

JAMA. 1994;271(19):1480. doi:10.1001/jama.1994.03510430032016
Abstract

To the Editor.  —The article by Dr Glaser,1 which recommends a "genuine national health insurance system," dismisses criticisms that such a system leads to "backward technologies, waiting lists, [and] underpaid... physicians," but does not provide any justification for that dismissal. On the other hand, one can readily justify the criticisms. For example, a recent article2 stated that France provides dialysis to 88% fewer of its citizens than does the United States, and physician income is only 30% of the US level. Short visits and long waiting lists are a feature of every national health insurance system. These facts should make one pause before recommending a change. What is the virtue of correcting the United States' sin of high expenditures by substituting the sin of inadequate expenditures under a government-mandated global budget?Similarly, the article summarily dismisses the proposed middle ground of managed competition. The author states that hospital

First Page Preview View Large
First page PDF preview
First page PDF preview
×