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February 1990

Second Opinions in Ophthalmic Health Care

Author Affiliations

Louisville, Ky

Arch Ophthalmol. 1990;108(2):192-194. doi:10.1001/archopht.1990.01070040044028

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Health care in the United States costs too much and the cost continues to escalate. The cost of health care in this country currently amounts to 12% of the gross national product. Moreover, there is a yearly inflation of 30% to 40% for many third-party payers and employers. Ophthalmic health care costs too much. Approximately 9% of all Medicare money goes to ophthalmic health care. This seems larger than it should be when one considers that Medicare patients are over 65 years of age and often have other problems requiring medical expenditures such as cancer, heart attacks, and diabetes. Why is the cost of health care out of control? Health care in the United States has always been driven by patients and physicians. Both patients and physicians want the best and often the maximum care. In fact, this drive for thorough, high-quality care historically has given the United States the best health care

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