Kenneth Arrow, PhD; Alan Auerbach, PhD; John Bertko, BS; Shannon Brownlee, MS; Lawrence P. Casalino, MD, PhD; Jim Cooper, JD; Francis J. Crosson, MD; Alain Enthoven, PhD; Elizabeth Falcone; Robert C. Feldman, MD; Victor R. Fuchs, PhD; Alan M. Garber, MD, PhD; Marthe R. Gold, MD, MPH; Dana Goldman, PhD; Gillian K. Hadfield, JD; Mark A. Hall, JD; Ralph I. Horwitz, MD; Michael Hooven, MS; Peter D. Jacobson, JD, MPH; Timothy Stoltzfus Jost, JD; Lawrence J. Kotlikoff, PhD; Jonathan Levin, PhD; Sharon Levine, MD; Richard Levy, PhD; Karen Linscott, MA; Harold S. Luft, PhD; Robert Mashal, MD; Daniel McFadden, PhD; David Mechanic, PhD; David Meltzer, MD, PhD; Joseph P. Newhouse, PhD; Roger G. Noll, PhD; Jan B. Pietzsch, PhD; Philip Pizzo, MD; Robert D. Reischauer, PhD; Sara Rosenbaum, JD; William Sage, MD, JD; Leonard D. Schaeffer; Edward Sheen, MD, MBA; B. Michael Silber, PhD; Jonathan Skinner, PhD; Stephen M. Shortell, PhD, MPH; Samuel O. Thier, MD; Sean Tunis, MD; Lucien Wulsin, JD; Paul Yock, MD; Gabi Bin Nun, MA; Stirling Bryan, PhD; Osnat Luxenburg, MD; Wynand P.M.M. van de Ven, PhD
Disclaimer: The views presented in this work represent the views of the authors and not the views of their employers or of the U.S. government.
Acknowledgment: The authors thank Dr. Ezekiel Emanuel for his leadership in organizing the FRESH-Thinking workshops and helping to prepare initial drafts of the manuscript and Emily Tashman for her administrative support.
Potential Financial Conflicts of Interest:Employment: F.J. Crosson (Kaiser Permanente); R. Mashal (NKT Therapeutics); L. Wulsin Jr. (Director, Insure the Uninsured Project). Consultancies: J.P. Newhouse (Director, Aetna); L. Schaeffer (consultant to private equity firm). Stock ownership or options: R. Mashal (equity ownership, public and private biotechnology companies); D. Mechanic (McKesson Corporation); J.P. Newhouse (equity ownership, Aetna); L. Schaeffer (Pharmaceutical companies and outpatient surgery centers); S.O. Thier (Director, Charles River Laboratories; Director, Merck & Co.). Grants received: D. Mechanic (Robert Wood Johnson Foundation); L. Wulsin Jr. (The California Endowment, The California Wellness Foundation, L.A. Care Health Plan, Blue Shield of California Foundation). Royalties: D. Mechanic (The Truth about Health Care: Why Reform is Not Working in America. Piscataway, NJ: Rutgers Univ Pr; 2006.) Other: J.P. Newhouse (Director of NCQA [unpaid]).
Requests for Single Reprints: Stephen M. Shortell, PhD, MPH, School of Public Health, University of California, Berkeley, 50 University Hall, Berkeley, CA 94720.
Current Author Addresses: Drs. Arrow, Fuchs, Levin, and Noll: Department of Economics, Stanford University, Landau Economics Building, 579 Serra Mall, Stanford, CA 94305-6072.
Dr. Auerbach: Department of Economics and School of Law, University of California, Berkeley, 549 Evans Hall #3880, Berkeley, CA 94720-3880.
Mr. Bertko: 1084 East Sterling Lane, Flagstaff, AZ 86001.
Ms. Brownlee: New America Foundation, 1899 L Street NW, Suite 400, Washington, DC 20036.
Dr. Casalino: Department of Public Health, Weill Cornell Medical College, 402 East 67th Street, New York, NY 10021.
Mr. Cooper: U.S. Congressman, Tennessee 5th District, U.S. House of Representatives, 1536 Longworth House Office Building, Washington, DC 20515.
Dr. Crosson: Kaiser Permanente Institute for Health Policy, 1950 Franklin Street, 20th Floor, Oakland, CA 94612.
Dr. Enthoven: Graduate School of Business, Stanford University, 518 Memorial Way, Stanford, CA 94305-5015.
Ms. Falcone: U.S. Congress, 1536 Longworth House Office Building, Washington, DC 20515.
Dr. Feldman: Hill Physicians Medical Group, 868 Paramount Road, Oakland, CA 94610-2437.
Dr. Garber: Department of Veterans Affairs Palo Alto Care System and Center for Health Policy, Stanford University, 117 Encina Commons, Stanford, CA 94305-6019.
Dr. Gold: City College, City University of New York, 138th Street and Convent Avenue, Room J 920, New York, NY 10031.
Dr. Goldman: David Geffen School of Medicine and School of Public Health, University of California, Los Angeles, PO Box 951772, Los Angeles, CA 90095.
Ms. Hadfield: Law Center and Department of Economics, University of Southern California, 699 Exposition Boulelvard, Los Angeles, CA 90089-0071.
Mr. Hall: Schools of Law and Medicine, Wake Forest University, Worrell Professional Center, PO Box 7206, Reynolds Station, Winston-Salem, NC 27109.
Dr. Horwitz: Department of Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Room S102, MC 5110, Stanford, CA 94305.
Mr. Hooven: Enable Medical Technologies, 7778 Bennington Drive, Cincinnati, OH 45241.
Mr. Jacobson: School of Public Health, University of Michigan, 109 Observatory Street, Ann Arbor, MI 48109.
Mr. Jost: School of Law, Washington and Lee University, 4008 Sydney Lewis Hall, Lexington, VA 24450.
Dr. Kotlikoff: Department of Economics, Boston University, 270 Bay State Road, Boston, MA 02215.
Dr. Levine: The Permanente Medical Group, 1950 Franklin Street, 20th Floor, Oakland, CA 94612.
Dr. Levy: Varian Medical Systems, 3100 Hansen Way, M/S E-220, Palo Alto, CA 94304.
Ms. Linscott: The Leapfrog Group, 1150 17th Street Northwest, Suite 600, Washington, DC 20036.
Dr. Luft: Palo Alto Medical Foundation Research Institute, 795 El Camino Real, Palo Alto, CA 94301.
Dr. Mashal: Alinea Pharmaceuticals, 1 Memorial Drive, Suite 1225, Cambridge, MA 02142.
Dr. McFadden: Department of Economics, University of California, Berkeley, 508-1 Evans Hall #3880, Berkeley, CA 94720-3880.
Dr. Mechanic: Institute of Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901.
Dr. Meltzer: Departments of Medicine and Economics and School of Public Policy, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL 60637.
Dr. Newhouse: Schools of Medicine, Public Health, Government, and Arts and Sciences, Harvard University, 180 Longwood Avenue, Boston, MA 02115.
Dr. Pietzsch: Department of Management Science and Engineering, Stanford University, Terman Engineering Center, 3rd Floor, 380 Panama Way, Stanford, CA 94305-4026.
Dr. Pizzo: School of Medicine, Stanford University, 300 Pasteur Drive, Room M-121, Stanford, CA 94305-5119.
Dr. Reischauer: The Urban Institute, 2100 M Street NW, Washington, DC 20037.
Ms. Rosenbaum: School of Public Health, George Washington University, 2021 K Street NW, Suite 800, Washington, DC 20006.
Dr. Sage: School of Law, University of Texas at Austin, 727 East Dean Keeton Street, Austin, TX 78705.
Mr. Schaeffer: University of Southern California, Lewis Hall 312, Los Angeles, CA 90089-0626.
Dr. Sheen: School of Public Health, Harvard University, 677 Huntington Avenue, Boston, MA 02115.
Dr. Silber: Department of Neurology, School of Medicine, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143.
Dr. Skinner: Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth School of Medicine, 6106 Rockefeller Hall Dartmouth College, Hanover, NH 03755-3514.
Dr. Shortell: School of Public Health, University of California, Berkeley, 50 University Hall, Berkeley, CA 94720.
Dr. Thier: Departments of Medicine and Health Policy, Harvard Medical School, 55 Fruit Street, Boston MA 02114.
Dr. Tunis: Center for Medical Technology Policy, 4712 Keswick Road, Baltimore, MD 21210.
Mr. Wulsin: Insure the Uninsured Project, 2444 Wilshire Boulevard, Suite 415, Santa Monica, CA 90403.
Dr. Yock: Department of Bioengineering, Stanford University, 318 Campus Drive, Room E100, Stanford, CA 94305-5428.
Mr. Bin Nun: Department of Health System Management, Ben Gurion University of the Negev, PO Box 653, Beer Sheva 84105, Israel.
Dr. Bryan: Department of Health Economics, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom.
Dr. Luxenburg: Ministry of Health, Israel, 2 Ben Tabai Sreet, Jerusalem, Israel 93591.
Dr. van de Ven: Erasmus University, PO Box 1738, 3000 DR Rotterdam, the Netherlands.
Arrow K, Auerbach A, Bertko J, Brownlee S, Casalino LP, Cooper J, et al. Toward a 21st-Century Health Care System: Recommendations for Health Care Reform. Ann Intern Med. 2009;150:493-495. doi: 10.7326/0003-4819-150-7-200904070-00115
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Published: Ann Intern Med. 2009;150(7):493-495.
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