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Previous Volume 333:259-260 July 27, 1995 Number 4 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: Annas (March 16 issue)¹ discusses the importance of metaphors in the debate on health care reform and argues for a new metaphoric framework based on ecology. Although it may be stretching the point, I propose that the entitlement metaphor is a key determinant of the approach to health care.

The third-party–payer system turned medical care into an entitlement for most people in the United States (although now for a decreasing number). The influence of the entitlement metaphor is pervasive. It affects the way everyone looks at medical issues — not just patients but physicians, legislators, and policy . . . [Full Text of this Article]

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