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Editor's Correspondence
August 9/23, 2004

A Single-Payer National Health Insurance: We Gave Twice at the Office

Arch Intern Med. 2004;164(15):1702. doi:10.1001/archinte.164.15.1702-a

From the results of a survey, McCormick et al1 conclude that a single-payer national health insurance is more acceptable to physicians than a managed care or fee-for-service system. Part of this conclusion was based on the willingness of physicians to accept a 10% fee reduction or a 10% salary reduction in exchange for the postulated benefits of the new payment method including, most significantly, paperwork reduction. Of the physicians surveyed, 67% stated that they would accept a fee reduction and 57% would accept a salary reduction. Why two thirds of physicians accepted a system that is likely to cost them twice as much was not explained.