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Serious and Unstable Condition: Financing America's Health Care

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Aaron Henry J.. . 147 pages. Washington, D.C.: : The Brookings Institution; ; 1991.. $8.95.

Ann Intern Med. 1991;115(10):835. doi:10.7326/0003-4819-115-10-835_1
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The national debate on health care finance founders on three interrelated issues: rising costs, the uninsured (and underinsured), and how to pay for desired health care services. Special interests that advocate for partisan advantage on "minor" issues, such as quality of care, medical effectiveness, malpractice, nonallopathic practitioners, administrative burdens, nonfinancial barriers, income redistribution, and government controls, raise legitimate questions, but also confuse debate on the three main problems. Additionally, commentators reach different conclusions depending on whether the particular author's perspective is political, economic, clinical, policy, or "other."

Given the voluminous and sometimes vituperative literature, what could remain unsaid? Aaron's review


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