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March 13, 1996

Market Reforms for the Health Care System

Author Affiliations

Boca Raton, Fla

JAMA. 1996;275(10):755-756. doi:10.1001/jama.1996.03530340019013

To the Editor.  —I am amused by the apparent confusion Dr Ginzberg1 is trying to create in the health care system reform arena by only focusing on financing and capacity. We are dealing with a control crisis.It is well known that the markets in a purely capitalistic society are cruel. The private sector historically participates in areas in which the perceived risks are balanced with appropriate compensation, otherwise known as profits. It is at that point that society, through its governmental institutions, can address those individuals who "fall between the cracks."Ginzberg correctly states that government finances about half of the medical care in the United States. However, this does not mean that government bureaucrats have the right to establish their own hospitals, clinics, and other assorted monuments without first placing the provision of these services out to bid with the private sector. Much of the health care problem