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Previous Volume 329:1357-1358 October 28, 1993 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: I applaud Senator Paul Wellstone's courage in proposing a sensible and well-thought-out single-payer system to reform health care in the United States. In their article on the American Health Security Act (May 20 issue),¹ Wellstone and Shaffer propose to control health care costs by establishing "consumer-oriented managed-care plans" in which "providers could be allowed to keep some portion of budget savings" as an "incentive for efficiency."

Financial incentives to providers should not be used to control costs. Providers should be encouraged to practice cost-effective medicine through quality-control reviews and other mechanisms. Many managed-care plans work because the . . . [Full Text of this Article]

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