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Universal Insurance for American Health Care: A Proposal of the American College of Physicians*

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Requests for Reprints: H. Denman Scott, MD, Health and Public Policy Division, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572.

© 1992 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1992;117(6):511-519. doi:10.7326/0003-4819-117-6-511
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This excerpt has been provided in the absence of an abstract.

America urgently needs comprehensive health care reform. The American College of Physicians (ACP) believes that universal access to care can be achieved only through system-wide reform in the organization and financing of health care (1). This paper outlines our proposal for a national policy to achieve that reform.

Overview: As a professional society of physicians whose goal is excellence in medicine, we see a system failing all who are a part of it—patients, physicians and other health professionals, purchasers, and insurers. Most of the problems have been well documented: over 35 million Americans without health coverage, excessive utilization of high




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