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Article
December 7, 1994

JAMA Editorial Position and US Health System Reform

Author Affiliations

University of Wisconsin Madison

JAMA. 1994;272(21):1655-1656. doi:10.1001/jama.1994.03520210039017
Abstract

To the Editor.  —Your cogent Editorial1 about health care system reform has inspired a lighter analysis of this major problem I have entitled "The Verities From Alice in Nimbyland" (with apologies to L. Carroll).

  1. We have a moral obligation to provide universal access to high-quality health care, but thou shalt not raise my taxes.

  2. We absolutely must control health care costs, but thou shalt not ration care for my family.

  3. We must increase the number of primary care physicians, but thou shalt not restrict my free access to the specialists I choose.

  4. We must curtail the use of expensive, unproven new technology, but thou shalt not restrict my freedom to choose the tests and treatment my doctor and I want.

  5. We must reduce the cost of drugs, but thou shalt not question my choosing a new, expensive drug even though it has not been shown to be superior.

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