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December 23, 1992

Science Organization Sponsors Discussions About What Constitutes Health Care Reform

JAMA. 1992;268(24):3415-3417. doi:10.1001/jama.1992.03490240015005

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WHEN IT COMES to deciding what goes into the health care package—services that would be covered by a national health insurance plan—the first thing is to put everyone in the same boat.

A two-tiered system, one that provides coverage for those who can pay or are covered by insurance, and another for the poor, the unemployed, or the inadequately insured, is unacceptable.

And coverage should be universal.

These are conclusions from a draft document being discussed by the American College of Physicians (Philadelphia, Pa) for dealing with one aspect of health care reform—the services to which all should have access.

Series of Meetings  The draft was summarized by Janet Weiner, research associate at the college, during a Washington, DC, meeting on health care reform, one of a series sponsored by the American Association for the Advancement of Science.This meeting was devoted to defining the minimum standard of health care.