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May 17, 1995

Understanding Health Care Reform

Author Affiliations

School of Public Health Boston (Mass) University

JAMA. 1995;273(19):1544-1545. doi:10.1001/jama.1995.03520430080048

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Understanding Health Care Reform is not last year's book. Professor Marmor has assembled a lucid, readable, and relevant series of essays that fully meet the promise of the foreword to help the reader "understand the dynamics of American medicine, the political constraints that shape our policies and the lessons that comparative study can offer."

The book was published when optimism about US health care reform was still running high and was clearly intended to illuminate the 1994 national health care debate. However, Understanding Health Care Reform is perhaps more relevant and valuable for the inevitable work on reform that is still before the American people and their institutions of government. Marmor helps the reader put the failures of 1994 into historical perspective, to better understand what went wrong, and to comprehend central process and substantive issues that must be handled with greater sophistication if future national health policy discussions are

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