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Editorial
December 12, 2019

JAMA Health Forum—A New Channel of Information

Author Affiliations
  • 1Dr Bauchner is Editor in Chief, JAMA and JAMA Network, and Mr Easley is Publisher, Periodical Publications, JAMA Network
JAMA. 2020;323(4):318. doi:10.1001/jama.2019.19691

Health care represents approximately 20% of the US economy with $3.5 trillion in spending annually.1 For many key health-related quality measures, the United States lags behind other developed countries. The intersection of access to health care, quality, and cost is a complex tangle of urgent issues that are vitally important to the health of patients. And a fundamental question—is health care a right or privilege?—remains unanswered. While many in the United States receive exceptional care and about 20 million fewer individuals are uninsured2 following enactment of the Affordable Care Act (ACA), the number of uninsured is again increasing, now close to an estimated 27.5 million or 8.5% of the US population.3 Financial support for health and health care is also a growing challenge for low-, middle-, and high-income countries around the world.

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