Jack A. Ginsburg, MPE; Robert B. Doherty; J. Fred Ralston, MD
Potential Financial Conflicts of Interest: None disclosed.
Ginsburg JA, Doherty RB, Ralston JF. How to Achieve a High-Performance Health Care System in the United States. Ann Intern Med. 2008;148:712. doi: 10.7326/0003-4819-148-9-200805060-00021
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Published: Ann Intern Med. 2008;148(9):712.
Everyone who wrote a letter raised important points that should be considered by public policymakers for achieving universal health insurance coverage. The American College of Physicians identified 2 pathways for consideration: a single-payer model or a pluralistic model with legal guarantees for coverage and subsidies for those who cannot afford it. The College did not recommend one pathway over the other—it noted the advantages and disadvantages of each approach. It examined the U.S. health care system and those of 12 other countries, determined what lessons could be learned, and made recommendations for consideration to ensure that all people in the United States have equitable access to appropriate health care without unreasonable financial barriers. Although we can learn much from other health care systems, the College recognizes that our political and social culture, demographic characteristics, and form of government will shape any solution for the United States.
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