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Previous Volume 345:1780-1781 December 13, 2001 Number 24 Next

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To the Editor: Vladeck¹ and Wilensky² (Aug. 9 issue) present alternative views regarding restructuring the Medicare program. Although the issues they discuss are critical, more attention should be paid to the fact that Medicare has become a program for persons with chronic conditions and yet remains structured for the treatment of acute episodes.

Medicare should change the focus of its benefit package to the needs of persons with chronic conditions. Medicaid and large companies have benefit packages that are more oriented to the needs of such persons. The payment system also needs to support ongoing care. In the fee-for-service program . . . [Full Text of this Article]

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