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Roughly 35 million Americans have no health care coverage. Health expenditures are out of control. The problems of access and cost are related. Important correctable causes include cost-unconscious, a system not organized for quality and economy, market failure, and funds not distributed equitably or effectively to motivate widespread. We propose Public Sponsor agencies to offer subsidized coverage to otherwise uninsured, mandated employer-provided health insurance, contributions from all employers and employees, a limit on tax-free contributions to employee health insurance, and "managed. " Our proposed new government revenues equal proposed new outlays. believe our proposal will work because efficient managed care does exist can provide satisfactory care for a cost far below that of the traditional-for-service third-party payment system. Presented with an opportunity to an economically responsible choice, people choose value for money; the created by these individual choices will give providers strong to render high quality, economical care. We believe that providers respond to these incentives.
A. C. Enthoven (Wed,) studied this question.