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September 9, 1992

Consumer Choices and the American Health Care System

Author Affiliations

Arlington, Tex

JAMA. 1992;268(10):1265. doi:10.1001/jama.1992.03490100059016

To the Editor.  —Dr Reiser1 makes some excellent observations and recommendations concerning current problems with the American health care system.But I fail to appreciate why he states that funding for health care, at least for the general population, "should come from workers, employers, and government," or why "an equal contribution by each is needed to spread the financial burden of health care." Government dollars, after all, are nothing but the dollars of the productive members of society (ie, workers), that have been extracted from them by taxation, less a handling fee. Similarly, employer-paid health insurance is merely a wage equivalent that factors into the economic reality of the labor market.I would like to see the tort law, insurance, and market incentive reforms that Reiser suggests. But I see no benefits in creating additional government involvement in the health care of the general population. Why should medicine be