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Volume 352:1927-1928 May 5, 2005 Number 18
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Health Care in the 21st Century

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by Frist, W. H.
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To the Editor: In his Shattuck Lec ture on health care in the 21st century (Jan. 20 issue),1 William Frist takes pride in the "tough but wise dec isions" by America's leaders that "unleashed the creative power of the competitively driven marketplace," promising to bring "lower costs, higher quality, greater efficiency, and better access to care" by 2015. Frist's confidence seems strangely misplaced, since it is precisely this marketplace model that has brought us our currently escalating health care costs, shrinking access to care, and mounting dissatisfaction on the part of patients and the medical profession alike. We in the . . . [Full Text of this Article]



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