After a few years of success in controlling the costs of healthcare, the United States once again faces the challenge of what,if anything, to do about skyrocketing health care expenditures.Dealing with this challenge, which dominated the health policyagenda from the late 1960s until the mid-1990s, will be extremelydifficult under any circumstances. It may prove impossible unlessthe factors that prevent poor and uninsured persons from obtainingmedical care are addressed simultaneously.
Evidence of rising health care expenditures is widespread. Hoganand colleagues1 estimate that private expenditures increasedby 6.6 percent per insured person in 1999, . . . [Full Text of this Article]
Arguments for Controlling Health Care Spending
Strategies for Reducing Health Care Spending
Strengthening Market Forces
Strengthening Government Controls
Improving the Management of Health Care Services
Enacting Cost Controls
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Massachusetts General Hospital Boston, MA 02114
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