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Volume 348:1410 April 3, 2003 Number 14
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Homeostasis without Reserve — The Risk of Health System Collapse

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 by Sandy, L. G.
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To the Editor: I accept the premise, stated by Sandy in his Sounding Board article (Dec. 12 issue),1 that "a high-quality, cost-effective, and just health care system" can be developed, but I see no sign that the public is currently willing to pay for it — unless it costs less than the current system. We seek to educate the public and policymakers about what we believe is best; perhaps it is time to present totally new models that can actually do better for less. Our system of hospital-centric and office-centric care, with traditional rounds and visits, evolved several centuries ago, . . . [Full Text of this Article]




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