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In This Issue of JAMA
November 13, 2013


JAMA. 2013;310(18):1883-1885. doi:10.1001/jama.2013.5403

Edited by Joshua Sharfstein, MD; Phil B. Fontanarosa, MD, MBA; and Howard Bauchner, MD

This week’s cover reflects the collective contribution of many prominent individuals whose writing appears in this issue. Their analysis and investigation provides a framework to discuss the complex challenges currently faced by those in medicine, public health, and social policy in the effort to create an effective and caring health care system in the United States. Image: Cassio Lynm, MA, CMI

Health care in the United States comprises a complex array of interrelationships among those who receive, provide, and finance care. To describe and document the current anatomy and historical trends of health care in the United States, Moses and colleagues analyzed publicly available data (primarily from 1980 to 2011) relating to the source and use of funds; the people receiving and organizations providing care; and the resulting value created and health outcomes. A number of the authors’ findings contradict common assumptions about health care in the United States, and highlight conflicting expectations of patients, physicians, and policy makers.