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Perspective
Volume 357:1677-1679 October 25, 2007 Number 17
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Learning from Failure in Health Care Reform
Jonathan Oberlander, Ph.D.

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Since 1994, inaction and incrementalism have governed U.S. health policy, with the predictable result that both health care spending and the number of uninsured Americans have reached record levels. Indeed, worsening conditions in the health care system have triggered renewed interest in comprehensive health care reform. Signs of change in the health care debate are everywhere — in the formation of coalitions by business and labor groups to pursue reform, the launching of advertising campaigns by the American Cancer Society and the American Medical Association to highlight the plight of the uninsured, the pursuit of ambitious plans by states such . . . [Full Text of this Article]


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Dr. Oberlander is an associate professor of social medicine and of health policy and administration at the University of North Carolina–Chapel Hill, Chapel Hill.

An interview with Dr. Oberlander can be heard at www.nejm.org.


Related Letters:

Learning from Failure in Health Care Reform
Relman A. S.
Extract | Full Text | PDF  
N Engl J Med 2008; 358:856-857, Feb 21, 2008. Correspondence

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