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December 3, 2003

Proposals for US National Health Insurance—Reply

JAMA. 2003;290(21):2797. doi:10.1001/jama.290.21.2797-a

To the Editor: Dr Woolhandler and colleagues, on behalf of the Physicians' Working Group for Single-Payer National Health Insurance,1 argued for the establishment of single-payer national health insurance (NHI). Details of their proposal—to require that physicians negotiate a binding fee schedule, prohibit hospital expansions and capital purchases, eliminate the health insurance industry, and require employers to transfer money earmarked for health benefits to the NHI program—represent the antithesis of freedom, choice, and private enterprise, the very hallmarks of American society.