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In This Issue of JAMA
July 24/31, 2013


JAMA. 2013;310(4):341-343. doi:10.1001/jama.2013.5222

In a 2012 survey of 3897 randomly selected US physicians to assess physicians’ perceived roles and responsibilities in addressing health care costs, Tilburt and colleagues found that the responding physicians accepted some responsibility to address health costs, but they were more likely to assign major cost-reduction responsibility to other groups including, insurers, trial lawyers, hospitals and health systems, pharmaceutical and device manufacturers, and patients. The respondents expressed general agreement with several quality initiatives to reduce costs but reported less enthusiasm for cost-containment involving changes in payment models, such as eliminating fee-for-service payment. In an Editorial, Emanuel and Steinmetz discuss why physicians must take the lead in controlling health care costs.