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January 18, 1995

Academic MedicineFacing Change

JAMA. 1995;273(3):245-246. doi:10.1001/jama.1995.03520270079040

The 103rd Congress resisted the best opportunity this country has yet had to restructure its health care delivery system and establish universal coverage for basic health care services for all Americans. The stakes were high in the debate, particularly for academic medicine. We strongly endorsed universal coverage for a number of reasons. Universal access to health insurance would alleviate our institutions' uncompensated care burden. Moreover, a system of universal coverage would provide a structure on which to secure permanent federal support (eg, an all-payer surcharge) for our missions to educate the nation's physicians, provide high-quality care to the sickest patients, and conduct biomedical and behavioral research to prevent disease and improve the quality of life.

Academic medicine must continue its fight for a broad-based, all-payer system that explicitly supports graduate medical education, teaching hospitals, medical schools, biomedical and behavioral research, and advanced nursing education. Currently, academic missions are being financed

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