Homeostasis without Reserve — The Risk of Health System Collapse

To the Editor: I accept the premise, stated by Sandy in his Sounding Board article (Dec. 12 issue), 1 that “a high-quality, cost-effective, and just health care system” can be developed, but I see no sign that the public is currently willing to pay for it — unless it costs less than the current syst...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 348; no. 14; p. 1410
Main Author Sandroni, Stephen
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 03.04.2003
Subjects
Delivery of Health Care - organization & administration
Health Policy
Health Services Administration - trends
United States
United States
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Summary:To the Editor: I accept the premise, stated by Sandy in his Sounding Board article (Dec. 12 issue), 1 that “a high-quality, cost-effective, and just health care system” can be developed, but I see no sign that the public is currently willing to pay for it — unless it costs less than the current system. We seek to educate the public and policymakers about what we believe is best; perhaps it is time to present totally new models that can actually do better for less. Our system of hospital-centric and office-centric care, with traditional rounds and visits, evolved several centuries ago, . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM200304033481423