We have met the future: managed care.
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Biomedical subjects
Publications and source records attributed to J Kosterlitz.
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Once seen as stubborn naysayers, the American Medical Association and the American Hospital Association are trying a kinder, gentler approach to the health care reform debate. For both groups, it's a matter of survival.
Too many physicians are being trained as specialists and not enough as generalists. As a result, the nation's health care system emphasizes high-cost, high-technology medicine at the expense of basic and preventive care.
At the Centers for Disease Control, director William L. Roper battles the deadly AIDS epidemic and other rising health hazards. But critics say political interference sets back the effort to stem AIDS.
Food and Drug Administration chief David A. Kessler balances the instincts of a tough regulatory enforcer against the political realities of serving a President who preaches free-market values.
State medicaid officials are eager to take advantage of cost control techniques offered by managed care health plans. But advocates for medicaid patients oppose the easing of safeguards against possible abuses.
After nearly two decades of skyrocketing costs, widespread gaps in insurance coverage and overwhelming public sentiment in favor of reform, health care has finally taken hold as a political issue. The Bush Administration, key Capitol Hill lawmakers and most of the major Democratic presidential candidates have advanced plans to break Washington's gridlock on overhauling the system. Here's a road map of the competing routes to reform and the hazards that are likely to be encountered along the way.
As health care consumes an increasing share of the economic pie, critics say the nation's competitive position is at risk. But social and moral arguments for health reforms may prove more compelling.
Medicaid was designed to help the nation's poor. But with help from government and smart lawyers, relatively well-to-do Americans are finding new ways to have the program pick up their nursing-home bills.
Just about everyone applauds the use of cost estimates for federal programs as a way to curb the federal government's tendency to spend in the face of rising budget deficits. But a nagging question arises: Just how good are these cost estimates?
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Political maneuvering, not a medical crisis, has moved the malpractice issue to the fore on Capitol Hill. But it isn't likely to go anywhere until health care reform does.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.