Everything has changed. Nothing has changed.
None of the big problems with our health system—primarily insurance coverage—have been solved. The biggest problem continues to be our 40 million or so with no sickness insurance on any one day.1 Since our federal government has been unable to assure universal coverage, it falls by default to the private sector to do so.
See also p 243-257.
As members of a learned profession, physicians have traditionally been expected to give away free care to those who need it and can't pay for it.2 In this impending era of domination by for-profit health industry participants such as insurance companies, managed care organizations, hospitals, drug manufacturers and, yes, for-profit physicians, it falls to all of them to help to achieve universal access to basic care for our uninsured. THE JOURNAL calls on all players in the entire health industry—for-profit and not-for-profit—to give away
Lundberg GD. How to Approach Universal Access to Basic Medical Care Without Our Government Doing It. JAMA. 1995;273(3):242. doi:10.1001/jama.1995.03520270076037