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Previous Volume 353:1202-1204 September 22, 2005 Number 12 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.

	Full Text PDF PDA Full Text Interview Perspective by Robinson, J. C. Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Employers struggling with rising health care costs are implementing their strategy for the post–managed-care era — a shift of costs and responsibility to the consumer. As Robinson describes in this issue of the Journal (pages 1199–1202), this shift is likely to be accelerated by the spread of health savings accounts, which are expected to encourage as many as 25 percent of privately insured Americans to enroll in "high-deductible health plans" by the end of the decade. With these insurance products, patients bear a substantial portion of their health care costs ($1,000 or more per year for individuals). Advocates of these . . . [Full Text of this Article]

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Dr. Lee is network president at Partners Healthcare System, Boston, and an associate editor of the Journal. Dr. Zapert is vice president for health policy research at Harris Interactive, New York.

An interview with Dr. Lee can be heard at www.nejm.org.

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