Marc Gourevitch, MD; Mack Lipkin Jr., MD; James A. Bryan, MD
To the Editors: We strongly support a system of universal health insurance as thoughtfully discussed in the American College of Physicians' recent position paper (1). However, although universal coverage might result in a net decrease in the weight of bureaucracy and regulation (2), most physicians fear the opposite. In the current climate of physician hostility to "bureaucracy," many oppose universal coverage for fear of further loss of autonomy and increased and noxious scrutiny of their every decision. This tension between resistance to greater bureaucratic intrusion and recognition that the current system is inadequate must be addressed.
Physicians' apprehensions are well-founded.
Gourevitch M, Lipkin M, Bryan JA. Access to Health Care. Ann Intern Med. ;113:478–480. doi: 10.7326/0003-4819-113-6-478
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Published: Ann Intern Med. 1990;113(6):478-480.
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