"Chronic Condition" provides a compelling analysis of the causes of
the current health care crisis and of the shortcomings of reform
proposals. It also offers an ingenious new framework for reform
that, while minimizing government interference, would provide a
means for financing care for the less affluent.
Sherry Glied shows that rising health care spending is
consistent with a rising standard of living. Since we can, as a
nation, afford more health care, reform must address not the
overall level of health care costs but the distribution of health
care spending.
Prior reform proposals, Glied argues, have failed to account
for the tension between the clearly manifested desire for improving
the quality of health care and the equally widespread interest in
assuring that the less fortunate share in these improvements. After
careful analysis of the ill-fated Clinton plan, Glied proposes a
new solution that would make the willingness to pay for innovation
the means of financing health care improvements for the less
affluent. While rejecting the idea that the distribution of health
care should be perfectly equal, Glied's proposal would enable all
Americans to benefit from the dynamics of the free market.
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