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Previous Volume 328:1489-1493 May 20, 1993 Number 20 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.

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Almost 30 years after the nation's last brush with comprehensive health care reform, the prospect of fundamental change once again seems almost palpable. As in 1965, policy analysts, interest groups, and the public are debating the nature and extent of reform. This time, however, it is imperative that we adopt a solution that will successfully control costs, while improving access and quality.

The American Health Security Act of 1993 (S. 491), which one of us (Senator Wellstone) introduced into the Senate, proposes such a solution, through a publicly accountable single-payer system -- in our opinion, the best way to control . . . [Full Text of this Article]

Basic Operation of the System

Administrative Simplicity

Cost Control

Universal Coverage

Comprehensive Benefits

Quality Assurance

Equitable Financing

Alternative Proposals

A Yardstick for Reform

References

Related Letters:

The American Health Security Act
Goldin H. M., Konstam M. A., Kimmelstiel C. D., Wellstone P. D., Shaffer E. R.
Extract | Full Text  
N Engl J Med 1993; 329:1357-1358, Oct 28, 1993. Correspondence

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