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December 7, 1994

JAMA Editorial Position and US Health System Reform

Author Affiliations

Oak Ridge, Tenn

JAMA. 1994;272(21):1656. doi:10.1001/jama.1994.03520210039019

To the Editor.  —I and many other medical professionals and patients diametrically oppose the JAMA rating of the various health care plans as issued by the Cox News Service and carried in the Knoxville News-Sentinel on Thursday, May 19,1994. Erroneously, the impression was given that the American Medical Association (AMA) represents its physicians in supporting such plans as the "Expanded Medicare Bill" and President Clinton's plan as the "best" health care alternatives for everyone.Certainly, such plans are not best for the public majority. Any plan that seeks to punish patients and physicians for pursuing a maximum level of health care and forces lower standards of care on everyone is unjust and should not be backed by the AMA. A Clinton prototype, TennCare, is already in place in Tennessee and is functioning poorly. Vital personal health decisions are being complicated and made even more stressful and unpredictable by TennCare's third-party

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