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Previous Volume 331:1158-1159 October 27, 1994 Number 17 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: Senator Gramm's grocery analogy is flawed (June 16 issue).¹ In his view, American health care consumers will greedily consume as much health care as they can get unless financial disincentives are applied. Clearly, health care is a fundamentally different commodity from groceries. There is no inherent benefit to the consumer in receiving an unnecessary computed tomographic scan or a course of expensive antibiotic drugs.

Putting the onus on patients to regulate their own health care consumption will have obvious consequences. Financially strapped consumers will forgo aspects of care that they perceive as not urgently needed -- primary . . . [Full Text of this Article]

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