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The American Health Care System Previous Volume 340:327-332 January 28, 1999 Number 4

	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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When Medicare was enacted in 1965 as the health care linchpin of President Lyndon Johnson's Great Society, its architects considered this insurance program for the elderly only an interim step toward the broader goal of universal health care coverage.¹ That goal has never been achieved, although Medicare is the nation's single largest source of payment for medical care, insuring 39 million beneficiaries against the financial consequences of acute illness. Since Congress established the program, the benefits covered by Medicare have remained largely unchanged, with the exception of a few added preventive services, and they are certainly inadequate by current medical . . . [Full Text of this Article]

The Challenge Faced by the Health Care Financing Administration

Medicare's Financial Problems

Restructuring Medicare

Medicare+Choice

Conflicts among Physicians

Graduate Medical Education

Future Directions

References

Related Letters:

The American Health Care System
Menon M., Vickers M. A., Alpert J. J., Boren S. D., Boren D. M., Anstadt G. W., Leeman C. P., Rosenblatt M. G., Gornick M. E., Maun R. A., LaPorta R. F., Iglehart J. K., Bodenheimer T., Angell M.
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N Engl J Med 1999; 341:917-921, Sep 16, 1999. Correspondence

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