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January 18, 1995

Health System ReformWhither or Whether?

Author Affiliations

From the Office of the Chair of the Board of Trustees (Dr Seward) and the Office of the Executive Vice President (Dr Todd), American Medical Association, Chicago, Ill.

JAMA. 1995;273(3):246-247. doi:10.1001/jama.1995.03520270080041

As early as 1990, the American Medical Association recognized the imperative for health system reform and advanced its own program called Health Access America.1 Yet it was not until the campaign slogan of Harris Wofford and the promises of President Clinton that the great health system reform debate of the 1990s began. Many felt the need to extend insurance coverage, flatten the rise of health care expenditures, and to find new and innovative ways of providing cost-effective health care with an emphasis on preventive medicine. Public polls overwhelmingly indicate that the public believes the current system requires change, albeit without a clear indication of how. The medical profession as much as anyone sees the defects in the current system along with the intrusion of entrepreneurial giants and continues to declare the status quo unacceptable. Anticipation regarding possible reforms was high, activity frenetic, and expectations rampant, but the whole reform

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