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Special Report
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Volume 329:1666-1672 November 25, 1993 Number 22
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The Framework of Health Care Reform
Paul Starr

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President Clinton's Health Security plan is a distinctively American synthesis. Like universal health insurance in other industrialized countries, it covers a comprehensive set of benefits for all citizens and makes health coverage a right of citizenship. But unlike most systems abroad, it offers consumers the opportunity to choose among private health plans.

Like programs abroad, the Health Security plan establishes national limits on the growth of health costs for covered benefits. It places a distinctive emphasis, however, on helping consumers obtain value for money by requiring health plans to compete for enrollment on the basis of both price and service. . . . [Full Text of this Article]

Ten Key Judgments

A Framework for Change


Related Letters:

The Case for the Clinton Plan for Health Care Reform
Stevens C. D., Harris C. J., Sullivan K., Starr P.
Extract | Full Text  
N Engl J Med 1994; 330:1086-1088, Apr 14, 1994. Correspondence

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