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Toward a 21st-Century Health Care System: The Devil Is in the Details

2009; American College of Physicians; Volume: 151; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-151-5-200909010-00023

1539-3704

Umesh Gidwani,

Primary Care and Health Outcomes

Letters1 September 2009Toward a 21st-Century Health Care System: The Devil Is in the DetailsUmesh Gidwani, MDUmesh Gidwani, MDFrom Mount Sinai Hospital, New York, NY 10029.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-5-200909010-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I fear that the focus on “universal coverage” in the article by Arrow and colleagues (1) and the consequent debate almost completely ignore another important principle that should be an integral part of health care reform: a single-payer system. The massive chunk of health care dollars (about 30%) being siphoned off by for-profit intermediaries is almost enough to pay for all uninsured persons in the U.S. (about 18%). Is the academic health care establishment so weakened that they cannot withstand these vested interests?Umesh Gidwani, MDMount Sinai HospitalNew York, NY 10029Reference1. 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;150:493-5. [PMID: 19258550] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Mount Sinai Hospital, New York, NY 10029.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoToward a 21st-Century Health Care System: Recommendations for Health Care Reform Kenneth Arrow , Alan Auerbach , John Bertko , Shannon Brownlee , Lawrence P. Casalino , Jim Cooper , Francis J. Crosson , Alain Enthoven , Elizabeth Falcone , Robert C. Feldman , Victor R. Fuchs , Alan M. Garber , Marthe R. Gold , Dana Goldman , Gillian K. Hadfield , Mark A. Hall , Ralph I. Horwitz , Michael Hooven , Peter D. Jacobson , Timothy Stoltzfus Jost , Lawrence J. Kotlikoff , Jonathan Levin , Sharon Levine , Richard Levy , Karen Linscott , Harold S. Luft , Robert Mashal , Daniel McFadden , David Mechanic , David Meltzer , Joseph P. Newhouse , Roger G. Noll , Jan B. Pietzsch , Philip Pizzo , Robert D. Reischauer , Sara Rosenbaum , William Sage , Leonard D. Schaeffer , Edward Sheen , B. Michael Silber , Jonathan Skinner , Stephen M. Shortell , Samuel O. Thier , Sean Tunis , Lucien Wulsin Jr. , Paul Yock , Gabi Bin Nun , Stirling Bryan , Osnat Luxenburg , and Wynand P.M.M. van de Ven Toward a 21st-Century Health Care System: The Devil Is in the Details Philip Cohen Toward a 21st-Century Health Care System: The Devil Is in the Details Lester Mayers Toward a 21st-Century Health Care System: The Devil Is in the Details Robert M. Hansen Metrics 1 September 2009Volume 151, Issue 5Page: 366KeywordsConflicts of interestFearHealth care ePublished: 1 September 2009 Issue Published: 1 September 2009 CopyrightCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...