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Straight Talk about Rationing

Arthur L. Caplan, PhD
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University of Pennsylvania Medical Center; Philadelphia, PA 19104-3308 Requests for Reprints: Arthur L. Caplan, PhD, Center for Bioethics, University of Pennsylvania Medical Center, 3401 Market Street, Suite 320, Philadelphia, PA 19104-3308.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1995;122(10):795-796. doi:10.7326/0003-4819-122-10-199505150-00011
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Among the many reasons given for the utter collapse of the Clinton administration's health reform initiative is the failure of that initiative to openly address the issue of rationing [12]. The leadership of the Domestic Health Policy Task Force, including Ira Magaziner, firmly believed that explicit talk of rationing was political suicide. Critics of Hillary Clinton's task force insisted that attempting to sell the American public on a plan for reform that would rein in costs and expand coverage for the uninsured without acknowledging the necessity of some form of rationing was, at best, dishonest [13].

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