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October 12, 1994

Health System Reform: The Case for a Single-Payer Approach

Author Affiliations

Van Nuys, Calif

JAMA. 1994;272(14):1102. doi:10.1001/jama.1994.03520140031023

To the Editor.  —The report by Representative McDermott1 is right on. For all of its shortcomings, the single-party payer is the only way to go. Doctors and patients are being strangled by the present insurance-dominated financing system.I'm tired of the micromanagement by insurance companies that slows the delivery of quality care every step of the way. I'm shocked by the obscene salaries and perks that insurance executives award themselves. I'm exhausted by the logjam of telephone calls and the mountain of paperwork mandated by insurance companies in order to treat managed care patients. I'm offended by the implication that I don't know how and when to order tests and make referrals in order to provide patients with high-quality, cost-effective care.Representative McDermott is right! If we get rid of the insurance companies, we'll have plenty of money to pay for patient care by "reducing administrative cost to its

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