This year, we have the best chance in a generation of enactinglegislation worthy of being called health care reform and ofsetting the United States on the path to high-quality, affordablehealth care for all Americans. The recent commitment by severalmajor stakeholders — including the American Medical Association— to slowing the growth of health care spending is a promisingdevelopment. But the controversy about whether the organizationsactually agreed to a 1.5-percentage-point reduction in annualspending growth is just one indication that success is stillfar from assured.
Dr. Fisher is a professor of medicine and of community and family medicine and associate director for Population Health and Policy at the Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Lebanon, NH. Dr. Berwick is a professor in the Department of Health Policy and Management, Harvard School of Public Health, Boston, and president and chief executive officer of the Institute for Healthcare Improvement, Cambridge, MA. Dr. Davis is the president of the Commonwealth Fund, New York.
This article (10.1056/NEJMp0903923) was published on May 20, 2009, at NEJM.org.
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