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May 7, 2020

The Case for Health Reform—The Oncologist’s Perspective

Author Affiliations
  • 1Division of Healthcare Delivery Science and Innovation, Weill Cornell Medicine, New York, New York
  • 2Department of Medicine, New York-Presbyterian Hospital, New York, New York
  • 3University of Michigan Law School, Ann Arbor
  • 4Department of Radiation Oncology, University of Michigan, Ann Arbor
  • 5Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor
  • 6Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
JAMA Oncol. Published online May 7, 2020. doi:10.1001/jamaoncol.2020.0568

The United States, while leading the world in health care expenditures, is unique among developed countries in its failure to provide universal health care coverage to all citizens. The patchwork of insurance coverage that exists today—employer-sponsored private insurance, Medicare and Medicaid, exchange-based individual plans, and out-of-pocket payments—is experiencing enormous strain. Employers are passing along the rising costs of health insurance to their employees, who must shoulder higher contributions toward premiums. The continued viability of the health insurance exchange is in question, threatened by lawsuits seemingly every day and the elimination of the individual mandate, and this uncertainty becomes a self-fulfilling prophecy as it leads to rising prices.

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    1 Comment for this article
    H Silverstein, MD | Preventive Medicine Center
    I ask you to just consider this:

    Is you view as an MD already in a single payer system & not being a solo private practitioner, affected by that predisposition? I am the latter, have worked in the former, and as I watch around the world where most single payer systems are in increasing economic trouble, that that may not be the best choice and decision.