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Alfred Sommer, MD, MHS

Arch Ophthalmol. 1994;112(11):1417-1418.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

I MUST CONFESS from the start that the timing and nature of health care reform are as speculative as they are inevitable; that "managed care" has as many different stripes as "health care reform," and their balance is subject to the evolving outcome of the health care reform debate; and that all predictions are subject to change at a moment's notice.

Why health care reform in the first place? Put simply, because our present system of providing and paying for health services is inefficient, ineffective, and inequitable. As Brody et al¹ noted, it "provides appropriate high-quality care to a small group, inappropriately complex care to a larger group, and virtually no care at all to far too many." It does not fulfill "Sommer's maxim"²: maximizing the quality years of life at a cost society can afford.

We spend more on health care than any other country, whether in . . . [Full Text PDF of this Article]

Author Affiliations
The Johns Hopkins School of Hygiene and Public Health Baltimore, Md

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