Author Affiliations: Division of General Medicine, Department of Internal Medicine, University of Michigan Health System. Ann Arbor.
The increasing cost of health care has been a focal policy issue since the 1970s. During this period, many interventions aimed at moderating health care costs, including the managed-care movement and reforms in hospital and physician payment, have failed. It is estimated that by 2019, 19.3% of the US gross domestic product (GDP) will be devoted to health care.1 An increasing proportion of GDP committed to health is simply unsustainable.
McMahon LF, Chopra V. Health Care Cost and Value: The Way Forward. JAMA. 2012;307(7):671–672. doi:10.1001/jama.2012.136
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